Adhd Rating Scale

Appendix 1: ADHD Rating Scale
ADHD Rating Scale

Millyonnie 5 11/15/22
Child’s Name: _________________________________ Age: ________ Date: ______________________
Kayla Chambers
Completed By: ________________________________ Parent__ Teacher__ Other ______________
For each line below, please put an “x” in the box that best describes the child's behaviour over the last 6 months
BEHAVIOUR Always or Often Somewhat Rarely or

very often Never
Fails to give close attention to details or makes careless

mistakes in schoolwork/homework.
Has difficulty keeping attention on tasks or play activities.
Does not seem to listen when spoken to directly.
Does not follow through on instructions and fails to finish

schoolwork or chores.
Inattention
Has difficulty organizing tasks and activities.
Avoids or strongly dislikes tasks that require sustained mental

effort (e.g., homework)
Loses things necessary for tasks or activities (e.g., pencils,

books, toys, etc).
Is easily distracted by outside stimuli.
Is forgetful in daily activities.
TOTALS for Inattention
Fidgets with hands or feet or squirms in seat.
Leaves seat in situations in which remaining seated is

Hyperactivity
expected (e.g., dinner table).
Runs about or climbs in situations where it is inappropriate.
Has difficulty playing quietly.
Is “on the go” or acts “driven by a motor.”
Talks excessively.
and
Blurts out answers to questions before the questions have

been completed.
Impulsivity
Has difficulty awaiting turn.
Interrupts others or intrudes on others (e.g., butts into games)
TOTALS for Hyperactivity and Impulsivity

Were some of these behaviours present before age 7? Yes __ No __ Unsure __ N/A __
Sources: (1) American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 4th edition. Washington DC: American
Psychiatric Assocation; 1994. () ICSI Guidelines. Diagnosis and management of attention deicit hyperactivity disorder in primary care for
school age children and adolescents Available from: URL:http://www.guideline.gov/ (accessed November 007). (3) El Camino Pediatrics
Available from: URL:http://elcaminopediatrics.com/forms_medrecords_childattentionproile_pf.htm (accessed November 007). (4) Mor-
rison D. Off-task and idgety. An update on ADHD. The Canadian Journal of CME 003; February:79-85.
© The Foundation for Medical Practice Education, www.fmpe.org

February 008
15
Appendix 1: ADHD Rating Scale cont’d
GUIDE TO INTERPRETATION OF ADHD RATING SCALE
Using the DSM-IV-TR criteria with information There are alternative rating scales that have been
from multiple sources is the gold standard for validated for ADHD. One of these is the 90-item
diagnosis. These criteria have ensured a degree SNAP-IV Teacher and Parent Rating Scale. It is
of standardization in the assessment of ADHD. available, along with scoring instructions, for
free down-load from the CADDRA website www.
Look irst at the number of symptoms in the caddra.ca.
Inattention section in the “Always or very often”
and the “Often” columns. To meet the criteria The remaining DSM-IV-TR criteria include:
for ADHD inattentive sub-type, there must six or · Some of these symptoms were present before
more of these. In other words, the child must age 7 years.
have at least six of these symptoms which have · The symptoms are present in two or more
persisted for at least 6 months to a degree that settings (e.g., at home and at school). Thus,
is maladaptive (signiicant impairment in social, rating scales are completed by a teacher, as
academic, or occupational functioning) and well as by a parent.
inconsistent with developmental level.
In addition, the DSM criteria state that the
Look next at the totals for the Impulsivity and symptoms must not be caused by another
Hyperactivity section. To be consistent with the psychiatric disorder (Pervasive Developmental
criteria for ADHD hyperactive sub-type, six or Disorder, Schizophrenia or other Psychotic
more of these symptoms should be in the “Always Disorder) and/or are not better accounted for by
or very often” and the “Often” categories. another disorder (Mood Disorder, Anxiety Disorder,
etc).
If the criteria for both inattention and hyperactivity
are met (i.e., six or more in both), this is an ADHD
combined sub-type.
© The Foundation for Medical Practice Education, www.fmpe.org

February 008
16

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Appendix 1: ADHD Rating Scale

ADHD Rating Scale

BEHAVIOUR Always or Often Somewhat Rarely or

Fails to give close attention to details or makes careless

Has difficulty keeping attention on tasks or play activities.

Does not seem to listen when spoken to directly.

Does not follow through on instructions and fails to finish

Has difficulty organizing tasks and activities.

Avoids or strongly dislikes tasks that require sustained mental

Loses things necessary for tasks or activities (e.g., pencils,

Is easily distracted by outside stimuli.

Is forgetful in daily activities.

TOTALS for Inattention

Fidgets with hands or feet or squirms in seat.

Leaves seat in situations in which remaining seated is

expected (e.g., dinner table).

Runs about or climbs in situations where it is inappropriate.

Has difficulty playing quietly.

Is “on the go” or acts “driven by a motor.”

Blurts out answers to questions before the questions have

Has difficulty awaiting turn.

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

TOTALS for Hyperactivity and Impulsivity

© The Foundation for Medical Practice Education, www.fmpe.org

GUIDE TO INTERPRETATION OF ADHD RATING SCALE

© The Foundation for Medical Practice Education, www.fmpe.org

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