Child And Adolescent Screening Checklist For Behavior Vanderbilt Assessment Scale Template Page 3

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Somewhat
Above
Excellent
Average
of a
Problematic
Performance:
Average
Problem
Academic Performance
48. Reading
1
2
3
4
5
49. Mathematics
1
2
3
4
5
50. Written expression
1
2
3
4
5
Somewhat
Above
Excellent
Average
of a
Problematic
Average
Classroom Behavioral Performance
Problem
51. Relationship with peers
1
2
3
4
5
52. Following directions
1
2
3
4
5
53. Disrupting class
1
2
3
4
5
54. Assignment completion
1
2
3
4
5
55. Organizational skills
1
2
3
4
5
Please return competed form to your child’s teacher
Comments:
Vanderbilt Assessment Scale - Parent Information
page 3

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