NICHQ Vanderbilt Assessment Scale (Teacher Informant)

Please correct the errors described below.

Directions:

is this evaluation based on a time when the child

Symptoms


1. Fails to give attention to details or makes careless mistakes in schoolwork


2. Has difficulty sustaining attention to tasks or activities


3. Does not seem to listen when spoken to directly


4. Does not follow through on instructions and fails to finish schoolwork (not due to oppositional behavior 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 in classroom or in other situations in which remaining seated is expected.


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


13. Has difficulty playing or engaging in leisure activities quietly


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


15. Talks Excessively


16. Blurts out answers before questions have been completed


17. Has difficulty waiting in line


18. Interrupts or intrudes in on other's (eg, butts into conversations/games)


19. Loses temper


20. Actively defies or refuses to comply with adult's requests or rules


21. Is angry or resentful


22. Is spiteful and vindictive


23. Bullies, threatens, or intimidates others


24. Initiates physical fights


25. Lies to obtain goods for favor or to avoid obligatioins(eg, "cons" others)


26. Is physically cruel to people


27. Has stolen items of nontrivial value


28. Deliberately destroys others' property


29. Is fearful, anxious, or worried


30. Is self-conscious or easily embarrassed


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

Symptoms


32. Feels worthless or inferior


33. Blames self for problems Feels Guilty


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


35. Is sad, unhappy, or depressed

Performance (Academic)


36. Reading


37. Mathematics


38. Written expression

Classroom Behavioral Performance


39. Relationship with peers


40. Following directions


41. Disrupting Class


42. Assignment completion


43.Organizational skills

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 - 0303

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