Family Care Clinic | D. Blayne Laws, M.D. | Office 972-875-6700 | Fax 972-875-6790
The ADHD-RS-IV with Adult Prompts is an 18-item scale based on the DSM-IV- TR criteria for ADHD that provides a rating of the severity of symptoms. The adult prompts serve as a guide to explore more fully the extent and severity of ADHD symptoms and create a framework to ascertain impairment.
None - 0 | Mild - 1 | Moderate - 2 | Sever - 3
1. Carelessness
2. Difficulty sustaining attention in activities
Do you have trouble paying attention when:
3. Doesn't listen
4. No follow through
5. Can't organize
6. Avoids/dislikes tasks requiring sustained mental effort
7. Loses important items
8. Easily distracted
9. Forgetful in daily activities
10. Squirms and fidgets
11. Can't stay seated
12. Runs/climbs excessively
13. Can't play/work quietly
14. On the go, "driven by a motor"
15- Talks excessively
16. Blurts out answers
17. Can't wait for turn
18. Intrudes/interrupts others
Your information will be encrypted.
Your browser does not support capabilities required for electronic signatures.
Click a signature you want to use: