Vanderbilt Adhd Diagnostic Teacher Rating Scale Template Page 2
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3BRIGHT FUTURES
TOOL FOR PROFESSIONALS
Vanderbilt ADHD Diagnostic Teacher Rating Scale
Name:
Grade: ____________________
Date of Birth: ______________ Teacher:__________________________________ School: __________________________________
Each rating should be considered in the context of what is appropriate for the age of the children you are rating.
Frequency Code: 0 = Never; 1 = Occasionally; 2 = Often; 3 = Very Often
1. Fails to give attention to details or makes careless mistakes in schoolwork
0
1
2
3
2. Has difficulty sustaining attention to tasks or activities
0
1
2
3
3. Does not seem to listen when spoken to directly
0
1
2
3
4. Does not follow through on instruction and fails to finish schoolwork
0
1
2
3
(not due to oppositional behavior or failure to understand)
5. Has difficulty organizing tasks and activities
0
1
2
3
6. Avoids, dislikes, or is reluctant to engage in tasks that require
0
1
2
3
sustaining mental effort
7. Loses things necessary for tasks or activities (school assignments, pencils,
0
1
2
3
or books)
8. Is easily distracted by extraneous stimuli
0
1
2
3
9. Is forgetful in daily activities
0
1
2
3
10. Fidgets with hands or feet or squirms in seat
0
1
2
3
11. Leaves seat in classroom or in other situations in which remaining
0
1
2
3
seated is expected
12. Runs about or climbs excessively in situations in which remaining
0
1
2
3
seated is expected
13. Has difficulty playing or engaging in leisure activities quietly
0
1
2
3
14. Is “on the go” or often acts as if “driven by a motor”
0
1
2
3
15. Talks excessively
0
1
2
3
16. Blurts out answers before questions have been completed
0
1
2
3
17. Has difficulty waiting in line
0
1
2
3
18. Interrupts or intrudes on others (e.g., butts into conversations or games)
0
1
2
3
19. Loses temper
0
1
2
3
(continued on next page)
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