NICHQ Vanderbilt Assessment Scale (PARENT Informant)

Please correct the errors described below.

Directions:

Each rating should be considered in the context of what is appropriate for the age of your child. When completing this form, please think about your child's behaviors in the past 6 months.

Symptoms


1. Does not pay attention to details or makes careless mistakes with, for example,homework


2. Has difficulty keeping attention to what needs to be done


3. Does not seem to listen when spoken to directly


4. Does not follow through when given directions and fails to finish activities (not due to refusal or failure to understand.)


5. Has difficulty organizing tasks and activities


6. Avoids dislikes or is reluctant to engage in tasks that require sustained mental effort.


7. Loses things necessary for tasks or activities (school assignments, pencils or books)


8. Is easily distracted by extraneous stimuli


9. Is forgetful in daily activities


10. Fidgets with hands or feet or squirms in seat


11. Leaves seat when remaining seated is expected.


12. Runs about or climbs too much in situations in which remaining seated is expected


13. Has difficulty playing or beginning quiet play activities


14. Is "on the go" or often acts as if "driven by a motor"


15. Talk too much


16. Blurts out answers before questions have been completed


17. Has difficulty waiting his or her turn


18. Interrupts or intrudes in on other's conversations and/or activities


19. Argues with adults


20. Loses temper


21. Actively defies or refuses to go along with adults'requests or rules


22. Deliberately annoys people


23. Blames others for his or her mistakes or misbehaviors


24. Is touchy or easily annoyed by others


25. Is angry or resentful


26. Is spiteful and wants to get even


27. Bullies threatens or intimidate others


28. Starts physical fights


29. Lies to get out of trouble or to avoid obligations(ie, "cons", others)


30. Is truant from school (skips school) without permission


31. Is physically cruel to people


32. Has stolen things that have value


33. Deliberately destroys other's property


34. Has used a weapon that can cause serious harm (bat, knife, brick, gun)


35. Is physically cruel to animals


36. Has deliberately set fires to cause damage


37. Has broken into someone else's home, business, or car


38. Has stayed out at night without permission


39. Has run away from home overnight


40. has forced someone into sexual activity


41. Is fearful, anxious, or worried


42. Is afraid to try new things for fear of making mistakes


43. Feels worthless or inferior


44. Blames self for problems, feels guilty


45. Feels lonely, unwanted, or unloved; complains that "no one loves him or her"


46. Is sad, unhappy, or depressed


47. Is self- conscious or easily embarrassed

Performance


48. Overall school performance


49. Reading


50. Written expression


51. Mathematics


52. Relationship with parents


53. Relationship with siblings


54. Relationship with peers


55. Participation in organized activities (eg, teams)

The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.

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, M.D. Revised - 1102

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