Wender Utah Rating Scale (WURS-25)

Full Name

Date field

Please read each item carefully and decide which answer fits you best when you were between the age of 6 and 10 years of age. Enter in the corresponding number for each of the 25 items below.

As a child I was (or had):

Concentration problems, easily distracted

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Anxious, worrying

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Nervous, fidgety

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Inattentive, daydreaming

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Hot- or short-tempered, low boiling point

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Temper outbursts, tantrums

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Trouble with stick-to-it-iveness, not following through, failing to finish things

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Stubborn, strong willed

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Sad or blue, depressed, unhappy

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Disobedient with parents, rebellious, sassy

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Low opinion of myself

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Irritable

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Moody, ups and downs

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Angry

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Acting without thinking, impulsive

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Tendency to be immature

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Guilty feelings, regretful

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Losing control of myself

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Tendency to be or to act irrational

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Unpopular with other children, didn't keep friends for long, didn't get along with other children

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Trouble seeing things from someone else's point of view

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Trouble with authorities, trouble with school, visits to principal's office

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Overall a poor student, slow learner

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Trouble with mathematics or numbers

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Not achieving up to potential

0 = Not at all or very slightly 1 = Mildly 2 = Moderately 3 = Quite a bit 4 = Very much

Your information will be encrypted.