Behavior Rating Scale for AD-HD

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Criteria for AD-HD

Inattention
Severity
None                                                               Severe
Often fails to give close attention to details or makes careless mistakes in school, work, or other activities
0 1 2 3 4 5 6 7 8 9 10
Often has difficulty sustaining attention in tasks or play activities
0 1 2 3 4 5 6 7 8 9 10
Often does not seem to listen when spoken to directly
0 1 2 3 4 5 6 7 8 9 10
Often does not follow through on instructions and fails to finish schoolwork, chores or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
0 1 2 3 4 5 6 7 8 9 10
Often has difficulty organizing tasks and activities
0 1 2 3 4 5 6 7 8 9 10
Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)
0 1 2 3 4 5 6 7 8 9 10
Often loses things necessary for tasks or activities (e.g. toys, school assignments, pencils, books or tools)
0 1 2 3 4 5 6 7 8 9 10
Is often easily distracted by extraneous stimuli
0 1 2 3 4 5 6 7 8 9 10
Is often forgetful in daily activities
0 1 2 3 4 5 6 7 8 9 10

Hyperactivity
Severity
Often fidgets with hands or feet or squirms in seat
0 1 2 3 4 5 6 7 8 9 10
Often leaves seat in classroom or in other situations in which remaining seated is expected
0 1 2 3 4 5 6 7 8 9 10
Often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)
0 1 2 3 4 5 6 7 8 9 10
Often has difficulty playing or engaging in leisure activities quietly
0 1 2 3 4 5 6 7 8 9 10
Is often "on the go" or often acts as if "driven by a motor"
0 1 2 3 4 5 6 7 8 9 10
Often talks excessively
0 1 2 3 4 5 6 7 8 9 10

Impulsivity
Severity
Often blurts out answers before questions have been completed
0 1 2 3 4 5 6 7 8 9 10
Often has difficulty awaiting turn
0 1 2 3 4 5 6 7 8 9 10
Often interrupts or intrudes on others (e.g., butts into conversations or games)
0 1 2 3 4 5 6 7 8 9 10



OVERALL SEVERITY SCORE
Inattention Severity
Hyperactivity Severity
Impulsivity Severity
Total Severity Score

     Questions? Send them to Laburd@medicine.nodak.edu.