Conn ers' Paren t Rating Scale - Revised (L) 4

by C. Keith Conners, Ph.D. .

Child's Name:
- -------- Gender: M.
(tlrcle Ono)
~~

Birthdate: · --~/
Month 0.y
._/_ _
Ye11r
. _
Age:_ _ School Grade:
- --
Parent's Name:._ _ _ _ __ _ _ _ _ _ __ _ _ _ __ Today's Date: _____J _ _j_ _
;\llol,111 Doy Yr~r

lnst.-ucUons: Below are a number of common problem ~ that child ren have. Please rate, each
item according to your child's behavior fo the lllt!t mo01h. For euch item, 11sk yourself "How
m uch of a problem 1111s !his been in the la~I month'?". and circle the ~-t unNwer for e1tch one.
If none, nol 111 all, seldom. or very infrequently. you would circle 0. If very much true. or it NOT1'RVE JI IS'J' A l'Rl!IT'f V1'llY MtiCH
ATAl..L u·rn.;e. MtJCII TRIJP. TnliE
oc1;urs very often or frequently. you would circle 3. Yoo would circle l or 2 for rating8 in (Never. TlWE (Of'tr.,,,. Quite a (Very Q ftr,1.
~ tween. Please renpond to l!ll the item s. Bil)
------ ..,._" "'---- ------ ------ ------ -----
Sel<lnin ) (Qt:•,;,,lnnallv) Very F-cequent)

r----.-
1. Angry and resentfu l .............. ......... ............ .. ......... ......... .............. .......... ........ .. ..... .. ... ...... .. . 0 2 3
2. Difficulty doing or comple ting home work .. ............ ... ... .... ... .... ...... ........................... ........ . 0 2 3
3. Is always "on the go" or acts as if driven by u motor .. ............................... ......... ... ........... . 0 2 3
4. Timid. easily frightened ... ...... ...... .... ....... ... ... .. ........ ... ..................... ............... ............... .... .. . 0 2 3
5. Everything must he just oo ........ .. ........ ...... .......... :... ..... ...... ......... .. ............. .. ........ .. ............. 0 2 3
6. Ha" no friends ............ ....... ................... .. ....... ....... .. ... ................. .......... ..... .... .. ........ .. .... ...... 0 l 2 3
7. Stomach aches ................... ... ..... ....... ............. .......... ............... _.... ............... .................... ... . 0 1 2 3
8. Fights ..... .................... .................. ...... .................. ..... ..... ... ......... .. .. ... .... .. ......... .... .. ......... .....
0 1. 2 3
9. Avoids, expresses reluctance abou t. or has diffi culties engaging in tasks that require
sustained mental e ffort (such ac; schoolwork or homework) ....... .... .................... .... ......... .. 0 2 3
Has difficuJty su1:taining attention in tasks or play activities ..... .......... ........ ...... ................ .0 2 3
J0 .
11. Argues with adults ................ .......... .............. ... :............ ............. .. .... ..... ....... .. .. ........ ..... ...... . 0 2 3
3
12. Fails to complete ui;signments .... ....... ..................... .:... .. :... ........ :.. ........................... .......... . 0 1 2
13. Hard to control in malls or while grocery shopping ............... ...........................:...........:... 0 T 2 3
14. Afraid of people ............... ....... ............... ..... .... ..................... ...... ... ..................... ................ . () 1 2 3
3
15. Keeps checking things ovel' again and again ................ .. .. ;..................... .......... .................. 0 l 2
16. Loses friends quickly .................. ............ ............ ;.............................................................. . 0 1 2 J
I .,
17. Aches and pains ..... ;..... .................. .... .................... .. ....... ....... ... ... ..................... .............. ... . 0 2 I
!
2 3
18. Restless or overactive ........... ............... .... ... .......... ....... .............. ............. .... ... ..... ......... ........ O I
0 3
19. Has trouble concentratin g jn class .... ....... .................... ................. ........_. ........ .. .............. .... • 1 2
0 2 3
20. Does not seem to listen to what is being said to him/her... ................................................ .., 3
21. Loses temper ........ .................... ........ ..... .................... .. .............. ....... ........ ........................... 0 l ~

0 l 2 '.,
22. Needs close supervision to get throu~h assjgnment,; .... .. ., ................... ..... .......... ;.... ..........
0 l 2 3
23 . Runs about 01· climbs excessively in situations where it is inappropriate..........................
24. Afraid of new situations ..... .... .. . ·····:··· ···· .. ···· ········· .. ··········.. ··--·--· ... ·· ... ·....... .......... .......... .... . g 1 2 3

25. Fussy about cleanliness ..... ................. .. ......... ............ ...............:................... .................... .. .
l 2
2
,.
3

26. l:>oe& not know how to n1ake friends ............................................................ ....................... 0

~~~

2 3
27. Gets act-es and pains or stomachache s before.schooJ ......... ............ .... .. ........... ................... 0 3
2
28. Excitable, impuJsive ...... ....... .................................... ..... ......... ..............................:.... ........... 0'
29. Does not follow through on instructions and fails to finish sdmolwork, chores or duties in •)
3
the wodplace (not due to oppositional behavior or failure lo tmdersland instructions) ..........
0 ""
.. 0 2 3
30. Has difficulty organizing tasks and activJtie,; ........................... ............. .. .. ... ........... .. ........ 3
2
31. Irritable ............ ................ .. ........................ ...................... ........................................ ........... . 0 .2 3
0
32. Restless in the "squi1my sense" ................................. .................................. ...................... . 2 3
0
33. Afraid of being alone ... .-............. .... ..... ....... ........................ :......... ...................................... . :i 3
0 I
34. Things must.be done the same way every time .... .. .............. ......... .. .................................. . . "I
,. 3
0 1
JS. Docs not get invited over to friends' houses ..................... ......................................... ... ..... . 3
,...,
1 2
36. Headaches ... .................. ....................... .................... ....................... .................. ................... 0
() 1 3
37. Fails to finish things he/she starts • - ·~-~-~·~·· ·~ ·~--·--··--- -......___,....--

Items continued on hack. page ...

· . · . . . d In lht: United S1111e~ 908 Niutttl'll FullHBlvd., North 1un11wand11. NY Iii lZO·J060. I .k()(\.45!',•1003 .
IICIYC .
Copyright@ l 'Y-n . Mulh-Heallh S)•Htcrn~fnc. Allnghllt l'C210, ()N M4H IPJ ·J .800·2Cil\·60 ll 1•416-4?.4•17(11). Pin. 1•41.6••12.J•l7:l6. .
111 Ca111id11. fi5 Ovc,leo Blvu,, Suire Tt)t'Ol1«1. • • , .
 Conners' ·Parent Rating Scale Revised· {.L)·
by C. Keith Conners, Ph.D.
NEURODEVELOPMENTAL SECTION
Cbltd Neuroscience Dlvilion
Phil Children's Medlcat Center N(JrTRUP.
AT ALL
JUITT' A
I..ITTLB
f'IU:TTY
MUCH ·nu1E TRlll!
Vl\RY MUCH

(Never. TKUE (01\eu. Q1uilen (Vr.ry Oflt·Jl.

Sd<l<1m) {(xt111rionfllly) Hit) Very Prequ ~m I

38. Inattentive. easily distracted ..................... .. ...... .. ........... ..... .................... :..... ................. .. ... 0 2 3
39. Talksexcessi.vely ..... :.........................: ........................................ ,............ :... ................... ... .. . 0 2 3
40. Actively defies or refuses to comply with adults• requests .. .... ,.......................................... 0 2 3
41. Fails w gjve close uttentlo.n to detuils or makes careless mistalces in schoolworl<..
work. or other activities................. .. ............ ......... .. .......................................................... ... 0 1 2 3
42. Has difficulty waiting in Hoes or awaiting tum in games or group situations .... .......... ... . 0 1 2 3
43. Has a lot of fears .............. :................... :................................................. ........ .. ................... . 0 t 2 3
44. Has rituals that he/she must go 11lrough .................................. ..................... ........ .............. 0 2 }
45 . .Distractibility or attention span a probJem ................... .. .................................................... 0 2 3
46. Complains about being sick even when nothing is wrong ......... ................. ........ ..... .......... 0 2 J
47. Temper outbursts................................................................. ................................................ 0 2 3
48. Gets distracted when given instructions to do something .. .... . .. ..... .... .. ... ... .. ... .. .. .. ............. 0 2 3
49. lnterri.ipts or intrudes on others (e.g., butts into others· conversations or games) ..... ..... .. 0 2 3
50. Forgetful in daily activities ...... ..... ....... .... ..... .. .. .. .... .... .. .. ..... .. .................. .. .. .... ... .... .. ... .. . .... 0 2 3
51. Cannot grasp arithmetic ... .... .... . .. . .... .. ... ............ ... .. .. .. ... ... ..... .. .. . .. . ... .. .. .... .. . .. . .... .. . .. .. .. .... .. . 0 2 3
52. Will run arotmd between mouthfuls at meals... ..... ............................................................. 0 I 2 3
53. Afraid of the dark, anirnals, or bugs................................................................................... 0 1 :2 J
54. Sets vr:ry high goals for self ........................ .. ................................ :..................................... 0 1 :~ )
55. Fjdgcts with hands or feet or squirms in seat..................................................................... 0 I ,, ..l 3
56. Sho11 attention 1,-pan ........................ :..............·........................... .......................... ................ 0 l '.:! '. 3
57. Touchy or easily annoyed by others ........ ................................ '........ .. ................... ,..... .......... . 0 I 2 :~
58. Has sloppy handwriting.. ... ........... ................................... ................ . .... .................... ......... . 0 1 2 3
59. Has difficulty playing or engaging in leisure activities quietly ........... ,......... ............... .... .. 0 1 2 }
60. Shy, withdrawn ............ ................ ,.~............................ ........................................................ 0 I 2 3
61. Blames. others for his/her mistak~ or misbehavior ... ... ............ ...... .. .... ....... .. .. . ...... ... ... . .. . . 0 1 2 3
62. Fidgeting ....................................................... ......................... .. ........................................... 0 J 2 3
63. Messy or disorganized at home or school.............. .. .................... .. ........................... .. ........ 0 2 3
64. Gets upset if someone rearran~s his/her things ... ............................................................. 0 :! 3
65. Clingi; t.o parents or other adults .......... , ............ ;..... ............ .. ... ... ..... ... ... .............. ....... ... ..... 0 2 3
66. Disturbs other children ............................................ :............. .............................. '. .............. O. 2 )
67. Deliberacely does things that annoy other people ............ .,.... .............................. ............... 0 ',_)
:~
68. Demands must be. met immediately - -- easiJy frustrated ................. ......... :......... ;........... .... 0 2 3
.,
69. Only attends if it is ,;omethiog he/she is very interested in .............. ....... ..... ............. ...... .. 0 1
70. Spiteful or vindictive ..................................... :................................... ,...................... ............ 0 ?. :1
71. Loses things necessary for tasks or activities (1~.g; , schooJ assignments, pencils,
· boolcs, tools or loys) .. .......... ............ ... .................. ......... ........ ........... .. ......... ... . .... ... .... ..... .. .. 0 ?:: 1
72. Feel~ inferior to orhers .......... ..................................................... .... ............ ...... .... ............... 0 2 ]
73. Seemi; tired or slowoo down all the time ................ ...... ................... ......... ..,................... ..... 0 :? :l
74. Spelling is poor; ......................... ...... ............................................................................ :... ... 0 :~ -:\
75. CrieR often and caR.ily ......................................:........................................................ ........... . 0 1 ;\
76. Lcavc8 seat in chu.sroom or in olher i;itua1iom1 in which remuining seated is expected.. . 0 :t ~\
77. Mood changes quickly and drru;tically .................................... ............... .............. ............ .. O 2 3
78. Ea.~ily fl'ttStrated in efforts .............·..................... ;...................... ......................................... . 0 :t 1
79. P.asily distracted by extraneou1,r stimuli ..................................... .. .............................. .......... 0 2 3
80. Blurt.<: out an1.wer:; to queAtions before the questions have been con1ple\ed ..... ... ..... .. ....... 0 ·I 2 J
.._ · • r -.• • ~ , : - - , ~ , :••:; •• ;- •·••- - •• ' " • • -:• -:-- ... • .,.,.. - ·-- • ~ - - .•• •"' " ' ' , ,r• , y • ,• ,, .., , • • ··:( {!- . ~- ·-·~ · .. ·, " • ::: • r ·7- ~:-

Copyrlghl O 1997, t.tulti-1 kiolrt, Sy'lltC>lll~ lri~. A II rlchiK n:~-ervro. Jn lhc United Swte_.;, 90M Nh1MW1• rrnil~ Rlvd .• North .funMWWl(lu, NV 14120·2(1(10, 1·K(l(l-4~Cl-'.\OI~ .
In C11narlu.MOverlen Blvd .•S\riie210, 1t1n:llll0. ON 1\141-1 I Pl. l•M(J().2<iK.(IOI I, 1-416-4-M•l"/OO. f11tx l-411i..C24•1731i. ·
 Conners' Teacher Rating Scale Revised (L)
by C. Keith Conners, Ph.D•.

Student's Name=------- - - - -- - -- ~- - - ------ Hender: 1\1 t.'

(Ch,glc ()nc) ·

Birthdate: _ ___,/_ _J/__ _ Age:_·_. _ School Grade: _ __

Momh Dey

·Thacher's Name:·----- - - ---i-- - - - - -- - Today's Date:_ ~/_ ___.!__ _

Mwith Ye,,ir

Jmtructtoor. Below a~ a number of common pl'oblcjthat chiidren hive in. school. PlC1'8f!
rate each item uc.'COrding to how much of a problem it s been in the last me>oth. For each
item, ask youl'llelf "How much of a problem has this n in the laBt month?", and drclc the
best answer for oach one. If none, not at all, seldom, or VFty
infrequently, you would ci1-cle 0. NOT1ltU B
AT AU...
l\JST A
Llffl..l!
PHeTTY
MUC.HTitU1 ·i
VEltY MUCI I
TRU B
If very much true, or it oc~urs very often or frequently. >1,u would circle 3 . You would circle (NevCf. ·!'Rue (0!'11,,. 0u;,., ,, (Very unr:...
l or 2 for raJ.in~ in betwocn. PIC11.se 1-espond to 1111 the Items. · St1kbl:l (OcCJMlt1n11ltv1 Bir\ \11-ry r,-e,.ftienl 1

I. Defiant .. _. .. ....... .. ............... ......... .................... ....., ....... ... ... ... .. .. .... ....... ...... .. .. ....... ......... .. ... .... . 0 2 3
2. Restless in the "squinny" sense ........................ ~.................................... ......... ... ... ...... ......... 0 l 2 3
3. 1-<orget.~ things he/she has already learned ........!.................................................................. 0 2 3
4. Appears to be unaccepted by group .... .............. 1..... ...... .... .. ................. .................... ............. 0 2 .1
5. Peeling::, eMily hurt .... .... ................. ............. ..... ,..... ,......... .. ...................................... .......... . 0 2 3
6. ls a perfectionist ..................... ..... .... ................. .,....... ... ........ ...... .... ............ .... ............._... ...... 0 l 2 3
7. Temper outbun;ts; explosive, unpredictable beliavior ., ... .. ..... ............. '......... .......... .. ...... ..... 0 l 2 3
8. E,c,citable, impulsive ............. :... ........ . ,... .. .. ........ ,.. .............. ..... ............ ........... ............... ..... .. 0 2 3
9. Fails to give c)osc attention to details or makes!careless mistakes in schoolwork.. work, or
other aclivities ............................. ... .... ... ; .. .. ..... .. ,.. .... .... ... ...... .. .............. .. .. ..... ..... .. .... ....... .... 0 2 '.\
10. Sassy .. ..... ... .... ........... .......... ... .... ...................... .. 4.. .. ... .. ..... ......... ... : ...... ... : . . . .. : ... : ..... .. ...... . ..... 0 2 '.\
.11. Is always "on the go" or acts as if driven by a motor .. .....:.............. :'. .................... .. .... ... .. ... 0 2 3
12. Avoids; ex.presses reluctance about, or has difflc;ulties engaging in tasks that require ·
sustained mental effort (such as schoolwork o..-'1otriework) ..........'. .. ...... ;........... .. ...... .. ... ... 0 - -1 2 3
13. ls one of the lasr to be picked- for teams or g~s . . .......... ;................................. ................. 0 1. 2 3
14. Is an emotional child ........... ................:............. J......... ....... .;•••: .....: •••,......... .. ....... ... ............. . 0 l 2 3
15.- Everything musr be just so ...... ....... :. .. ......... ....... ◄•·· .. .......... .; .. ; ... ........ ..... ..... .... .... ... ~.. ........ .... O I
..,,., 3
· 16. Restless or overactive .... .........,..... ....... ......... ~ ··•• l••·· ................ ............... .. ...... , ................. .,... 0 l 2 3
.17. Fails to finish things he/she starts ..................;.;.... ............. .............. ..... ........ ~ .. ...... :.. ..,....... 0 2 3
18. Does not seem to listen to what is being said tq him/her :.........;.. ,.......... ;............................ 0 1 2 .3
19. Actively defies or refuses to comply with aduJt~• requests ......·.. ........~ ......: ... :...................... O I 2 :;
20. Leaves seat in classroom or in othe;· situations in which rernaining seated is expected .... O .1 2 3
21. Poot in ·spelling ................................................. ,................. :, ... ~ ~ u............. ... ...... '. ........~.'. . ~.. 0 J 2 3
22. Has no friends .......................... ...... ................... 10 ........................ .,; .. . ...... :·, .. ,. ........ , .... ..... , ... . O 2 :,.
23. Timid, easily frightened ..................................... ~.... :..... ~ ......... ... ... .'...... .:·........... ;.'. ................. () 2 :3
..,
. 24. Keeps ch~king things over and over .~ ........ ,.....;......................... ::................. ,.. ;....:.~..... u..., O t. 2 ~'
25. Cries often and eai1i)y .............. ....... .....-....... ........ 1, .. .. . . . . . .. .. . . . . . . . . . . . . . . , . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . • O 2 3
~6. Inattentive, easily distracted .......... _. ..... .......... ;..........................................·.. ······:•................ O 2 3
27. Has dift'iculty orgmizing tasks or activities ........... :.. ......................... ....................... ........ :... O 2 3
28. Has dim~~lty sustaining attention .in task·s ·or p{ay activities .... :.......... ...... :·.... :...... :........... O 2 3.
29 .. Has· difficulty waiting his/her turn ......... ;.................... .... :.. ,:.: .. :~:. ............ .. :......... :... ; .... :.. .... · O 2 ~
30.:N.ot reading up to par............. .. .. ,...... .............. . ..... .. ............. ,.... ............................... .. o 2 3

'
. ·. ltf!ms
. ·. . .
tontinued
...
an bac:~ page
.. •, . .
_
........ .
_ . · ;_ . . '

Copyri~t C 19'>7. MulrJ-Hc1dth Syllffflll; Inc. All rig.'ffll rr.9DM.~. ~n the Unitr4 S101~,;, 90I! Ni~g,:ir11 Fiall!I sa ... d., Noi'lh 1buaw.ir11t11. NY I •U21>-:?(l(tO, I..fl (lll-4~0· 300'.I.
lneiau.Jn,6.1 C)v11rlu Blvd~S11ice 21u: ti11~1110, ON M41i JPI. l-ll(X).2(111,(1011. 1'"'16-424·17()(1, Pllx 1-41(~24, 17'.lf!.
 Conne rs' _Teacher Rating Scale Revised (Ll
by C. Keith Conners, Ph.D.
NEURODEVELOPMENTAL SECTION
Chlfd ~Urosejence DJvillon
Phll. Chfldren 11 Medical Center l'ICYI" TRUil JUST A PRBTTY Vf.RY MUCH
ATAU, U111..B MUCHTRUE TRUE
(Never, TRLIB t0fnin,Qul1u (VliryO!lml.
Sddoffl) (0....• luilll)) 1111) "-Y Fre<ruent)

31. Does n~ know how toJnake friendll ............. : ..........,................................. ............. ... .. .......... 0 1 2 3
0 J 2 .)
32. Sensitive to criticiRJU ... ............ ..... .... , ........................ ;................. .......... ....... ... .....................
33. Seems over-focused on details ........................................ -................................................... o· I 2 3
34. Fidgetina .............. - .................................._.............................. ......................... ..................... 0 1 2 3
0 1 2 3
35. DiltUT'be other children ................................. ;......... ................................. ;...........................
O 2 3
36. 'IDJks excessively ............. ........ ............................. ,.......... ........... ..........................................
O I 2 3
37. Argues with adults ........................ ......................... ....... ....... ,............................ .............. .....
O 2 3
38. Cannot remain still ..................................... :......................... ......................... ....'....... ...........
2 3
39. Runs about or climbs excenively in situations where lt is imippropria~........................... 0 l
0 1 2 3
40. Lack..,; interest in schoohvork . ....... .. ... .. .... .. .. .... .. . .. . .. . ...... . .. .... ..... .. .. . .. . .. .. . .. .. ... .. ..... .. ..... .......
0 2 3
41. Hu poor ~ial stills ..................... :............................... .....................................·........ ;........
0 2 3
. 42. Has difficolty pluying or engaging tn leisure activities qui~tly ......................... ......... ~.......
0 1 2 3
43. Like~ everything neat and clean ... - ......................................... ;............................................
0 l 2 3
44. Fidgets with hands or feet or squinns in seal ................. -.......................................... .........
2 3 .
45. Demand.,; must be ·met immediately-e asily frustrated....................................................... 0 I
0 l 2 3
46. Blurts out answers to quCRtions before the questions have been completed .........~....... ......
0 l 2 3
47. SpiCeful or viodi(..-tive .......................... :................................:.................................................
l 2 3
48. Short aiteotion span •.•... .. .••. ..... ... ............... ... ........................... ....... .... •• •................... ........... 0·
49. Loses lhings necessary for tasks or activities (e.g., school assignment.,. pr;,,cil&. books,
0 l 2 3
tools. or toys) ............ ;............................................................................ ,..............................
0 2 3
50. Only pays attention to things be/she is really interested in ........ ......... .................. ,............
2 3
51. Shy, withdrawn ................................................................. ..:..................... ............... ....... ..... O
0 l 2 3
52. .Distractibility or attention ~pan a problem .. . .... ... ... ..... .. ............. .... ..... ..... .... .. .............. ........
0 1 2 3
5_3 . Things must be done the same WIIJ every tinte ... ........................... ...................... ... .. ..........
0 2 3
54. Mood changes quickly and drastically ..................... ...............'. ...................... ~....................
55. Interrupt• or intrudes on othen (e.g., butts into others' conversations g ~ ) ..... :....... or O 2 3

56. Poor in arithmetic ........... ,............................................... u................................................... 0 2 3

57. Does not follow through on imtructions and fails to finilh 8Choolwork (nol: due to ·
0 l 2 3
oppositional behavior or failure to undentand instructiona) .... ..........................................
0 1 l 3
58. J?.a.siJy disttactcd _. e,ttraocoua stimuli ........... :.. :................................................................
0 2 3
59. Restless. always up and on the go ...........................................:............................ ....... ........

Copyriib'O 1997, Multl-HMlthS,,..._ JllC. All ripllrceerved. hl t1ae UnileldSlmea. 90& NiapaPalls Bh'll.. Nunll 1\JnilWlllldl,NY 14120•2060. UI00◄ :\6-30C 't\.
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