Conners Rating Scale For Parents Revised L Example
Conners Rating Scale For Parents Revised L Example
Conners Rating Scale For Parents Revised L Example
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Full name of child:
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Full name of parent:
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Child’s date of birth:
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Date submitted:
Instructions: Below are a number of common problems that children have. Please rate each item according to your child’s
behavior in the last month. For each problem, ask yourself, “How much of a problem has this been in the last month?” Select your
rating accordingly.
Has no friend 0 1 2 3
Stomach ache 0 1 2 3
Fight 0 1 2 3
Afraid of peopl 0 1 2 3
Restless or overactiv 0 1 2 3
Loses temper
0 1 2 3
Adapted from the original created by C. Keith Conners, Ph.D. back in 1997.
Needs close supervision to get through assignment 0 1 2 3
inappropriat
Excitable, impulsiv 0 1 2 3
Irritabl 0 1 2 3
Headache 0 1 2 3
Talks excessivel 0 1 2 3
Temper outburst 0 1 2 3
conversations or games
Adapted from the original created by C. Keith Conners, Ph.D. back in 1997.
Will run around between mouthfuls at meal 0 1 2 3
Shy, withdraw 0 1 2 3
Fidgettin 0 1 2 3
Spiteful or vindictiv 0 1 2 3
Spelling is poo 0 1 2 3
TOTAL SCORE:
68
Adapted from the original created by C. Keith Conners, Ph.D. back in 1997.