ADHD RATING SCALE –IV SCHOOL VERSION

Child’s name ________________________________________________________ Date:__________________________

Child’s age________________ Sex: Male Female Grade: ________________________

How long have you known this child? ________________________________________________

What type of class do you teach?______________________________________________________

Instructions: Write the number that best describes this student’s behavior over the past 6 months
(or since the beginning of the school year). Please mark every item. If you don´t know or are unsure
of your response to an item, give your best estimate. Before starting, please provide the
information requested in the box at the top of the page.

0 1 2 3
Never or rarely Sometimes Often Very often

1 Fails to give close attention to details or makes careless mistakes in schoolwork

2 Has difficulty sustaining attention in tasks or play activities
3 Does not seem to listen when spoken directly
4 Does not follow through on instructions and fails to finish work
5 Has difficulty organizing tasks or activities
6 Avoids tasks (e.g., schoolwork, homework) that require sustained mental effort
7 Loses things necessary for tasks or activities
8 Is easily distracted
9 Is forgetful in daily activities

10 Fidgets with hands or feet or squirms in seat

11 Leaves seat in classroom or in other situations in which remaining seated is expected
12 Runs about or climbs excessively in situations in which it is inappropriate
13 Has difficulty playing or engaging in leisure activities quietly
14 Is “on the go” or acts as “driven by a motor”
15 Talks excessively
16 Blurts out answers before questions have been completed
17 Has difficulty awaiting turn
18 Interrupts or intrudes on others

19 Loses temper
20 Argues with adults
21 Defies rules or refuses to comply with adults requests
22 Deliberately annoys others
23 Blames other people for his/her own misbehavior or mistakes
24 Is easily annoyed by others
25 Is resentful/angry
26 Is vindictive/spiteful

Please, use the reverse of this sheet to explain child’s learning problems if necessary