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Vanderbilt Assessment Scale – Teacher Informant

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. Fails to give attention to details or makes careless mistakes with schoolwork
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
2. Has difficulty sustaining attention to task or activities
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 schoolwork (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. Argues with adults
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
20. Loses temper
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
21. Actively defies or refuses to go along with adults’ requests or rules
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
22. Deliberately annoys people
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
23. Blames others for his or her mistakes or misbehaviors
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
24.Is touchy or easily annoyed by others
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
25. Is angry or resentful
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
26. Is spiteful and wants to get even
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
27. Bullies, threatens, or intimidates others
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
28. Starts physical fights
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
29. Lies to get out of trouble or to avoid obligations (ie,“cons” others)
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
30. Is truant from school (skips school) without permission
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
31. Is physically cruel to people
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
32. Has stolen things that have value
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
33. Deliberately destroys others’ property
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
34. Has used a weapon that can cause serious harm (bat, knife, brick, gun)
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
35. Is physically cruel to animals
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
36. Has deliberately set fires to cause damage
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
37. Is fearful, anxious, or worried
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
38. Is afraid to try new things for fear of making mistakes
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
39. Feels worthless or inferior
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
40. Blames self for problems, feels guilty
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
41. Feels lonely, unwanted, or unloved; complains that “no one loves him or her”
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
42. Is sad, unhappy, or depressed
0 - Never
1 - Occasionally
2 - Often
3 - Very Often
43. Is self-conscious or easily embarrassed
0 -Never
1 - Occasionally
2 - Often
3 -Very Often
44. Reading
1 - Excellent
2 - Above Average
3 - Average
4 - Somewhat of a Problem
5 - Problematic
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