Vanderbilt Assessment Scale - PARENT Informant (Spanish)

Fecha de hoy / Today's Date

Nombre del niño(a) / Child's Name

Fecha de nacimiento / Date of Birth

Nombre del padre y/o de la madre / Parent's Name

Telefono / Parent's Phone Number

Instruccionnes:
Conteste basandose en lo que considera apropiado para un niño de esa edad. AL completar este cuestionario, piense por favor en la conducta de su niño durante los ultimos seis meses,

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.

Esta evaluacion se refiere a un periodo en el que su hijo(a) / Is this evaluation based on a time when the child

tomaba medicamentos / Was on Medication

no tomaba medicamentos / Was not on Medication

no lo recuerda / Not sure?

Symptoms

1. No pone atencion a los detalles o comete errores por descuido, como por ejemplo, cuando hace la tarea Does not pay attention to details or makes careless mistakes with, for example, homework

Never [0] Occasionally [1] Often [2] Very Often [3]

2. Se le dificulta mantenerse atento al llevar a cabo sus actividades. Has difficulty keeping attention to what needs to be done

Never [0] Occasionally [1] Often [2] Very Often [3]

3. Parece no estar escuchando cuando se le habla directamente. Does not seem to listen when spoken to directly

Never [0] Occasionally [1] Often [2] Very Often [3]

4. No sigue las instrucciones hasta el final y no concluye sus actividades (no porque se rehuse a seguirlas o porque no las comprenda) Does not follow through when given directions and fails to finish activities

Never [0] Occasionally [1] Often [2] Very Often [3]

5. Tiene dificultad al organizar sus tareas diarias y actividades. Has difficulty organizing tasks and activities

Never [0] Occasionally [1] Often [2] Very Often [3]

6. Evita, le disgusta o no quiere comenzar actividades que requieren un mayor esfuerzo mental Avoids, dislikes, or does not want to start tasks that require ongoing mental effort

Never [0] Occasionally [1] Often [2] Very Often [3]

7. Pierde cos as que son indispensables para cumplir con sus tareas o actividades (juguetes, tareas de la escuela, lapices o libros) Loses things necessary for tasks or activities (toys, assignments, pencils, or books)

Never [0] Occasionally [1] Often [2] Very Often [3]

8. Se distrae facilmente con ruidos u otros estimulos externos Is easily distracted by noises or other stimuli

Never [0] Occasionally [1] Often [2] Very Often [3]

9. Es olvidadizo(a) en sus actividades cotidianas. Is forgetful in daily activities

Never [0] Occasionally [1] Often [2] Very Often [3]

10. Mueve constantemente las manos o los pies, o no se esta quieto(a) en su asiento.Fidgets with hands or feet or squirms in seat

Never [0] Occasionally [1] Often [2] Very Often [3]

11. Se pone de pie cuando debiera permanecer sentado(a) Leaves seat when remaining seated is expected

Never [0] Occasionally [1] Often [2] Very Often [3]

12. Corre o camina por todos lados cuando debiera permanecer sentado. Runs about or climbs too much when remaining seated is expected

Never [0] Occasionally [1] Often [2] Very Often [3]

13. Se le dificulta jugar o empezar actividades recreativas mas tranquilas. Has difficulty playing or beginning quiet play activities

Never [0] Occasionally [1] Often [2] Very Often [3]

14. Esta en constante movimiento o actua como si "tuviera un motor po dentro" Is “on the go” or often acts as if “driven by a motor”

Never [0] Occasionally [1] Often [2] Very Often [3]

15. Habla demasiado. Talks too much

Never [0] Occasionally [1] Often [2] Very Often [3]

16. Responde predpitadamente, incluso antes de escuchar la pregunta completa. Blurts out answers before questions have been completed

Never [0] Occasionally [1] Often [2] Very Often [3]

17. Tiene dificultad al esperar su turno. Has difficulty waiting his or her turn

Never [0] Occasionally [1] Often [2] Very Often [3]

18. nterrumpe o se entromete en conversaciones o actividades ajenas. Interrupts or intrudes in on others’ conversations and/or activities

Never [0] Occasionally [1] Often [2] Very Often [3]

19. Discute con adultos. Argues with adults

Never [0] Occasionally [1] Often [2] Very Often [3]

20. Se enfurece con facilidad. Loses temper

Never [0] Occasionally [1] Often [2] Very Often [3]

21. Desafia abiertamente o se niega a cumplir las ordenes o las reglas.Actively defies or refuses to go along with adults’ requests or rules

Never [0] Occasionally [1] Often [2] Very Often [3]

22. Molesta adrede a los demas. Deliberately annoys people

Never [0] Occasionally [1] Often [2] Very Often [3]

23. Culpa a otros de sus propios errores o su mal comportamiento. Blames others for his or her mistakes or misbehavior

Never [0] Occasionally [1] Often [2] Very Often [3]

24. Se ofende o se molesta facilmente con otros. Is touchy or easily annoyed by others

Never [0] Occasionally [1] Often [2] Very Often [3]

25. Esta enojado(a) o resentido(a) Is angry or resentful

Never [0] Occasionally [1] Often [2] Very Often [3]

26. Es rencoroso y vengativo

Never [0] Occasionally [1] Often [2] Very Often [3]

27. Reta, amenaza o intimida a otros. Bullies, threatens, or intimidates others

Never [0] Occasionally [1] Often [2] Very Often [3]

28. Comienza peleas de contacto fisico. Starts physical fights

Never [0] Occasionally [1] Often [2] Very Often [3]

29. Miente con el fin de salir de apuros o para eludir sus obligacioes.Lies to get out of trouble or to avoid obligations (ie,“cons” others)

Never [0] Occasionally [1] Often [2] Very Often [3]

30. Falta a la escuela sin permiso. Is truant from school (skips school) without permission

Never [0] Occasionally [1] Often [2] Very Often [3]

31. Es fisicamente cruel con los demas. Is physically cruel to people

Never [0] Occasionally [1] Often [2] Very Often [3]

32. Ha robado cosas de valor. Has stolen things that have value

Never [0] Occasionally [1] Often [2] Very Often [3]

33. Destruye deliberadamente la propiedad ajena. Deliberately destroys others’ property

Never [0] Occasionally [1] Often [2] Very Often [3]

34. Ha usado un objeto que puede herir a alguien (bate, cuchillo, ladrillo, pistola) Has used a weapon that can cause serious harm (bat, knife, brick, gun)

Never [0] Occasionally [1] Often [2] Very Often [3]

35. Tortura animales . Is physically cruel to animals

Never [0] Occasionally [1] Often [2] Very Often [3]

36. Ha provocado fuegos para causar daños. Has deliberately set fires to cause damage

Never [0] Occasionally [1] Often [2] Very Often [3]

37. Ha entrado a una casa, un negocio o un carro ajeno. Has broken into someone else’s home, business, or car

Never [0] Occasionally [1] Often [2] Very Often [3]

38. Ha permanecido fuera de la casa sin permiso durante la noche.

Never [0] Occasionally [1] Often [2] Very Often [3]

39. Se ha escapado de la casa durante la noche. Has run away from home overnight

Never [0] Occasionally [1] Often [2] Very Often [3]

40. Ha obligado a alguien a sostener agun tipo de actividad sexual. Has forced someone into sexual activity

Never [0] Occasionally [1] Often [2] Very Often [3]

41. Siente miedo, ansiedad o esta preocupado. Is fearful, anxious, or worried

Never [0] Occasionally [1] Often [2] Very Often [3]

42. Teme hacer nuevas coasas por temor a cometer errores. Is afraid to try new things for fear of making mistakes

Never [0] Occasionally [1] Often [2] Very Often [3]

43. Se desprecia a simismo se siente inferior. Feels worthless or inferior

Never [0] Occasionally [1] Often [2] Very Often [3]

44. Siente que los problemas son responsabilidad suya y se siente culpable.

Never [0] Occasionally [1] Often [2] Very Often [3]

45. Se siente solo(a), rechazado(a) o sin amor; se queja de que nadie lo quiere.Feels lonely, unwanted, or unloved; complains that “no one loves him or her”

Never [0] Occasionally [1] Often [2] Very Often [3]

46. se siente triste, infeliz o deprimido(a) Is sad, unhappy, or depressed

Never [0] Occasionally [1] Often [2] Very Often [3]

47. Esta al pendiente de sus actos o se averguenza facilmente. Is self-conscious or easily embarrassed

Never [0] Occasionally [1] Often [2] Very Often [3]

Performance

Comments

For Office Use Only

Total number of questions scored 2 or 3 in questions 1-9

Total number of questions scored 2 or 3 in questions 10-18

Total Symptom Score for questions 1-18

Total number of questions scored 2 or 3 in questions 19-26

Total number of questions scored 2 or 3 in questions 27-40

Total number of questions scored 2 or 3 in questions 41-47

Total number of questions scored 4 or 5 in questions 48-55

Average Performance Score

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