Teacher 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 the child you are rating and should reflect that child’s behavior since the last assessment scale was filled out.

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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