Directions: Each rating should be considered in the context of what is appropriate for the age of the child you are rating and should reflect that child’s behavior since the last assessment scale was filled out.
Legend: 1= Excellent; 2= Above Average; 3= Average; 4= Somewhat of a Problem; 5= Problematic
The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
Copyright ©2002 American Academy of Pediatrics and National Initiative for Children’s Healthcare Quality Adapted from the Vanderbilt Rating Scales developed by Mark L. Wolraich, MD. Revised - 0303
Side Effects: Has your child experienced any of the following side effects or problems in the past week?
Are these side effects currently a problem?
Legend: None; Mild; Moderate; Severe
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