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Vanderbilt Assessment Scale – Parent Informant (Follow-Up Assessment)

Directions: Each rating should be considered in the context of what is appropriate for the age of your child. When completing this form, please think about your child’s behaviors in the past 6 months.

1. Does not pay attention to details or makes careless mistakes with, for example, homework
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
2. Has difficulty keeping attention to what needs to be done
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
3. Does not seem to listen when spoken to directly
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
4. Does not follow through when given directions and fails to finish activities (not due to refusal or failure to understand)
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
5. Has difficulty organizing tasks and activities
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
6. Avoids, dislikes, or does not want to start tasks that require ongoing mental effort
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
7. Loses things necessary for tasks or activities (toys, assignments, pencils, or books)
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
8. Is easily distracted by noises or other stimuli
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
9. Is forgetful in daily activities
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
10. Fidgets with hands or feet or squirms in seat
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
11. Leaves seat when remaining seated is expected
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
12. Runs about or climbs too much when remaining seated is expected
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
13. Has difficulty playing or beginning quiet play activities
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
14. Is “on the go” or often acts as if “driven by a motor”
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
15. Talks too much
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
16. Blurts out answers before questions have been completed
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
17. Has difficulty waiting his or her turn
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
18. Interrupts or intrudes in on others’ conversations and/or activities
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
19. Overall School Performance
1 - Excellent
2 - Above Average
3 - Average
4 - Somewhat of a Problem
5 - Problematic
20. Reading
1 - Excellent
2 - Above Average
3 - Average
4 - Somewhat of a Problem
5 - Problematic
21. Writing
1 - Excellent
2 - Above Average
3 - Average
4 - Somewhat of a Problem
5 - Problematic
22. Mathematics
1 - Excellent
2 - Above Average
3 - Average
4 - Somewhat of a Problem
5 - Problematic
23. Relationship with Parents
1 - Excellent
2 - Above Average
3 - Average
4 - Somewhat of a Problem
5 - Problematic
24. Relationship with Siblings
1 - Excellent
2 - Above Average
3 - Average
4 - Somewhat of a Problem
5 - Problematic
25. Relationship with Peers
1 - Excellent
2 - Above Average
3 - Average
4 - Somewhat of a Problem
5 - Problematic
26. Participation in organized activities (e.g. teams)
1 - Excellent
2 - Above Average
3 - Average
4 - Somewhat of a Problem
5 - Problematic
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