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Vadtrs Adhd Assessment Child Teacher Blank Form

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0% found this document useful (0 votes)
251 views4 pages

Vadtrs Adhd Assessment Child Teacher Blank Form

...

Uploaded by

indrashis.mandal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NovoPsych

Vanderbilt ADHD Diagnostic Teacher Rating Scale (VADTRS)

Instructions:
Each rating should be considered in the context of what is appropriate for the age of the children you are
rating.

Never Occasionally Often Very Often

Does not pay attention to details or makes careless


1
mistakes, such as in homework
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


Does not follow through on instruction and fails to finish
4 schoolwork (not due to oppositional behaviour or failure to 0 1 2 3
understand)

5 Has difficulty organising tasks and activities 0 1 2 3

Avoids, dislikes, or is reluctant to engage in tasks that


6
require sustaining mental effort
0 1 2 3

Loses things necessary for tasks or activities (school


7
assignments, pencils, or books)
0 1 2 3

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

Leaves seat in classroom or in other situations in


11
which remaining seated is expected
0 1 2 3

Runs about or climbs excessively in situations in


12
which remaining seated is expected
0 1 2 3

Has difficulty playing or engaging in leisure activities


13
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

Blurts out answers before questions have been


16
completed
0 1 2 3

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NovoPsych

Never Occasionally Often Very Often

17 Has difficulty waiting in line 0 1 2 3

Interrupts or intrudes on others (e.g., butts into


18
conversations or games)
0 1 2 3

19 Loses temper 0 1 2 3

Actively defies or refuses to comply with adults’


20
requests or rules
0 1 2 3

21 Is angry or resentful 0 1 2 3

22 Is spiteful and vindictive 0 1 2 3

23 Bullies, threatens, or intimidates others 0 1 2 3

24 Initiates physical fights 0 1 2 3

Lies to obtain goods for favours or to avoid


25
obligations (i.e., “cons” others)
0 1 2 3

26 Is physically cruel to people 0 1 2 3

27 Has stolen items of nontrivial value 0 1 2 3

28 Deliberately destroys others’ property 0 1 2 3

29 Is fearful, anxious, or worried 0 1 2 3

30 Is self-conscious or easily embarrassed 0 1 2 3

31 Is afraid to try new things for fear of making mistakes 0 1 2 3

32 Feels worthless or inferior 0 1 2 3

33 Blames self for problems, feels guilty 0 1 2 3

Feels lonely, unwanted, or unloved; complains that


34
“no one loves him/her”
0 1 2 3

35 Is sad, unhappy, or depressed 0 1 2 3

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NovoPsych

PERFORMANCE
36
Rate his/her academic performance in reading

1 Problematic
2 Somewhat of a Problem
3 Average
4 Above Average
5 Excellent
Somewhat of Above
Problematic Average Excellent
a Problem Average

37 Rate his/her academic performance in mathematics 1 2 3 4 5

Rate his/her academic performance in written


38
expression
1 2 3 4 5

CLASSROOM BEHAVIOURAL PERFORMANCE


39
Rate his/her classroom behavioural performance in relationships with peers

1 Problematic
2 Somewhat of a Problem
3 Average
4 Above Average
5 Excellent
Rate his/her classroom behavioural performance in
40
following directions/rules
1 2 3 4 5

Rate his/her classroom behavioural performance in


41
disrupting class
1 2 3 4 5

Rate his/her classroom behavioural performance in


42
assignment completion
1 2 3 4 5

Rate his/her classroom behavioural performance in


43
organisational skills
1 2 3 4 5

44 Name of teacher who completed this form:

Developer Reference:
Wolraich, M. L., Bard, D. E., Neas, B., Doffing, M., & Beck, L. (2013). The psychometric properties of the
Vanderbilt attention-deficit hyperactivity disorder diagnostic teacher rating scale in a community population.
Journal of developmental and behavioral pediatrics : JDBP, 34(2), 83–93.
https://doi.org/10.1097/DBP.0b013e31827d55c3

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NovoPsych

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