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  1. D4 NICHQ Vanderbilt Assessment Scale—TEACHER Informant, continued Te acher’s Name: _____ Class Time: _____ Class Name/Period: _____

  2. 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. not sure? 2. Has difficulty keeping attention to what needs to be done. 3. Does not seem to listen when spoken to directly. 4.

  3. NICHQ Vanderbilt Assessment Scale—PARENT Informant To day’s Date: _____ Child’s Name: _____ Date of Birth: _____

  4. Adapted from the Vanderbilt Rating Scales developed by Mark L.Wolraich, MD. Revised - 1102

  5. 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. not sure? The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician.

  6. 12 wrz 2002 · The NICHQ Vanderbilt Assessment Scales are used by health care professionals to help diagnose ADHD in children between the ages of 6- and 12-years. NICHQ is proud to have published the first edition in 2002 and has been at the forefront of supporting children and families affected by ADHD.

  7. 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. not sure? 1. Does not pay attention to details or makes careless mistakes with, for example, homework. 2.