• Vanderbilt Assessment Scale - Parent

  • What services is the client receiving?*

  • 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.

  • Is this evaluation based on a time when your child*

  • In the past 6 months, has your child showed symptoms of...

  • 1) Not paying attention to details or making careless mistakes with, for example, homework*
  • 2) Having difficult keeping attention to what needs to be done*
  • 3) Not seeming to listen when spoken to directly*
  • 4) Not following through when given directions and fails to finish activities (not due to refusal or failure to understand)*
  • 5) Having difficulty organizing tasks and activities*
  • 6) Avoiding, disliking, or not wanting to start tasks that require ongoing mental effort*
  • 7) Losing things necessary for tasks or activities (toys, assignments, pencils, or books)*
  • 8) Becoming easily distracted by noises or other stimuli*
  • 9) Becoming forgetful in daily activities*
  • 10) Fidgeting with hands or feet or squirms in seat*
  • 11) Leaving their seat when remaining seated is expected*
  • 12) Running about or climbing too much when remaining seated is expected*
  • 13) Having difficulty playing or beginning quiet play activities*
  • 14) Often acting as if "driven by a motor" or "on the go"*
  • 15) Talking too much*
  • 16) Blurting out answers before questions have been completed*
  • 17) Having difficulty waiting his or her turn*
  • 18) Interrupting or intruding in on others' conversations and/or activities*
  • 19) Arguing with adults*
  • 20) Losing their temper*
  • 21) Actively defying or refusing to go along with adults' requests or rules*
  • 22) Deliberately annoying people*
  • 23) Blaming others for his or her mistakes or misbehaviors*
  • 24) Becoming touchy or easily annoyed by others*
  • 25) Becoming angry or resentful*
  • 26) Becoming spiteful and want to get even*
  • 27) Bullying, threatening, or intimidating others*
  • 28) Starting physical fights*
  • 29) Lying to get out of trouble or to avoid obligations (ie, "cons" others)*
  • 30) Becoming truant from school (skips school) without permission*
  • 31) Becoming physically cruel to people*
  • 32) Stealing things that have value*
  • 33) Deliberately destroying others' property*
  • 34) Using a weapon that can cause serious harm (bat, knife, brick, gun)*
  • 35) Becoming physically cruel to animals*
  • 36) Deliberately setting fires to cause damage*
  • 37) Breaking into someone else's home, business, or car*
  • 38) Staying out at night without permission*
  • 39) Running away from home overnight*
  • 40) Forcing someone into sexual activity*
  • 41) Acting fearful, anxious, worried*
  • 42) Acting afraid to try new things for fear of making mistakes*
  • 43) Feeling worthless or inferior*
  • 44) Blaming self for problems, feeling guilty*
  • 45) Feeling lonely, unwanted, or unloved; complaining that "no one loves him or her"*
  • 46) Behaving sad, unhappy or depressed*
  • 47) Acting self conscious or easily embarrassed*

  • In the past 6 months, reflect on your child's performance...

  • 48. Overall school performance*
  • 49. Reading*
  • 50. Writing*
  • 51. Mathematics*
  • 52. Relationship with parents*
  • 53. Relationship with siblings*
  • 54. Relationship with peers*
  • 55. Participation in organized activities (eg, teams)*
  • Should be Empty: