CONNERS' PARENTS RATING SCALE - Revised (L) by C. Keith Conners, Ph.D. ao Center Family Individual Mdentifier: umber number number Subjects data of birth | ? ||? wll? + Genderand Agel? =f? = In what situation was the child rated? 7 Instructions: Below ar a number of common problems that children have, Please rate each item according to your childs behaviour in the last month, For each item, ask yourself How much of a problem has this been in the last month”, and check the bext answer for each one. If none, not at all, seldom or very infrequently, you would check 0. If very much true or it occurs very often or frequently, you would check 3. You would check | or 3 for ratings in between. Please respond to all the items. Nor PRETTY | VERY true | fUSTA | UMUCH | MUCH Noy avaLL UR | TRUE TRUE kee oe | gIRUE,, | fonon | car oen Sim ancstiy_|Nenomen) 1. Angry and resentful ] Cc Cc c EE 2. Difficulty doing or ‘completing homework c c c c 3. Is always ‘on the go! or acts 1s if driven by a motor c 6 6 c 4. Timid, easily frightened C Cc Cc c EE ‘5. Everything must be justso. | C Cc Cc c EE (6. Has no friends C o o c EE 7. Stomach aches c C c c KE 8. Fights c B B c EE 9. Avoids, expresses reluctance about, or has difficulties engaging in tasks. 6 c c that require sustained mental leffort (such as schoolwork orhhomework) 10. Has difficulty sustaining attention in tasks in play activities IL, Argues with adults 12, Fails to complete assignments 13. Hard to control in malls or while grocery shopping 14, Afraid of people 15. Keeps checking things over again and again 16, Loses friends quickly 17. Aches and Pains SeCeCoocal 18. Restless or overactive 19. Has trouble concentrating in class 20. Does not seem to listen to ‘what is being said to him/her 21. Loses temper anaandnananandnanan anmanmnannannan na anmanmnnannanan na anmnanmnnannaannan a 22. Needs close supervision to ‘get through assignments 23. Runs about or climbs excessively in situations where it is inappropriate 24. Afraid of new situations 25. Fussy about cleanliness 26. Does not know how to ‘make friends 27. Gets aches and pains or ‘stomachaches before school ananaana aoaonan a aanoan a aoaonoan a faa al 28. Exeitable, impulsive 29. Does not follow through on instruetions and fails to finish ‘school work chores or duties in the workplace (not due to oppositional behaviour or a oa a a{failure to understand instraction) 30, Has difficulty organising sansa ee oc oc fey 31. Irritable c C c c EE '32. Restless in the 'squirmy Lense? c c c B 33. Afraid of being alone c o c c EE 34. Things must be done the wwe |& |e [ec [co Fey 35. Does not get invited over i iteni hose ce ose ec 6 fey '36. Headaches o o c c EE Newt Conners’ Parent Rating Scale - Revised (L) Nor PRETTY | VERY que | JUST UMUCH | MUCH Noi TALL URue | TRUE TRUE | ctea Siam | Cesioeny | fat | None) 37. Fails to finish things he/she aa e Je je {ec 38. Inattentive, easily distracted Cc Cc Cc Cc 39. Talks excessively o c c c 140. Actively defies or refuses to ‘comply with adults’ requests c c c c 41. Fails to give close attention to ‘detail or makes careless mistakes |g c in schoolwork, work or other activities 42. Has difficulty waiting in lines lor awaiting turn in games or c c Cc c ‘group situations 43. Has a lot of fears Cc c c c ‘PIELER444. Has rituals that he/she must igo through 45. Distractibilty or attention ‘span problem 46. Complains about being sick ‘even when nothing is wrong, 47. Temper outbursts 48. Get distracted when given instructions to do something 49. Interrupts or intrudes on tohers (e.g.,butts into others’ ‘converstations or games) nonoaoanan aoonoanain aoaaenan aooaoaan ‘50. Forgetful in daily activitites 51. Cannot grasp arithmetic ‘52. Will run around between mouthfuls at meals 53. Afraid of the dark, animals or bugs 54, Sets very high goals for self ‘5S. Fidgets with hands or feet or ‘squirms in seat '56. Short attention span 57. Touchy or easily annoyed by others 58. Has sloppy handwriting '59. Has difficulty playing or ‘engaging in leisure activities quietly (60. Shy, withdrawn (61. Blames other for his/her mistakes or misbehaviour (62. Figdgeting (63. Messy or disoganisedat home ‘or school (64. Get upset if someone reqarranges his/her things nmnmaonanmanrnnnanananann a noanmanmoanannana naan a nanmanmnaaninanali naan a noanmantmoaannantali naan a af alt taf a ai i(65. Clings to parents or other adults (66. Disturbs other children (67. Deliberatly does things that annoy other people (68. Demands must be met immediatley - easily frusatrated (69. Only attends if itis something hhe/she is very interested in 70. Spiteful or vindictive noanmnaan nannaan ananaaan nanannaan "71. Loses things necessay for tasks or activities (e.g., school assignments, pencils, books, tools lor toys) oa o a oO 72. Feels inferior to others 73. Seems tired or slowed down, at times 174, Spelling is poor 75. Cries often and easily "76. Leaves seat in classroom or in other situations in which ‘remaining seating is expected 77. Mood changes quickly and drastically nanan oa nanan oa a oanaina a nooanain a 78. Easily frustrated efforts oO n a n "79. Easily distracted by extraneous stimuli 80. Blurts out answers to {questions before the questions hhave been completed Commit data | Back Cc C n ‘Back to Front page of Data entry system’ DISSE SSelGiSSonso