Parent Vanderbilt Rating Form (Follow-Up)

Tri-State Developmental Pediatrics

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. Please think about your child’s behaviors since the last assessment scale was filled out when rating his/her behaviors

Symptoms

Scale: 0 = Never; 1 = Occasionally; 2 = Often; 3 = Very Often

Performance

Scale: 1 = Excellent; 2 = Above Average; 3 = Average; 4 = Somewhat of a Problem; 5 = Problematic

Side Effects

Has your child experienced any of the following side effects or problems in the past week? Are these side effects currently a problem?

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