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    Preschool ADHD Questionnaire

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    Anna
    This document contains the ADHD Rating Scale IV - Preschool Version, a questionnaire for parents and teachers to rate behaviors associated with Attention Deficit Hyperactivity Disorder (ADHD) in children ages 3-5. It consists of 18 questions with examples of inattentive and hyperactive behaviors rated on a 4-point scale. Scoring guidelines provide cutoff scores above the 93rd percentile that may indicate ADHD. Gender-specific cutoff scores are given for parent and teacher ratings.

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    Preschool ADHD Questionnaire

    Uploaded by

    Anna
    215 views2 pages
    This document contains the ADHD Rating Scale IV - Preschool Version, a questionnaire for parents and teachers to rate behaviors associated with Attention Deficit Hyperactivity Disorder (ADHD) in children ages 3-5. It consists of 18 questions with examples of inattentive and hyperactive behaviors rated on a 4-point scale. Scoring guidelines provide cutoff scores above the 93rd percentile that may indicate ADHD. Gender-specific cutoff scores are given for parent and teacher ratings.

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    This document contains the ADHD Rating Scale IV - Preschool Version, a questionnaire for parents and teachers to rate behaviors associated with Attention Deficit Hyperactivity Disorder (ADHD) in children ages 3-5. It consists of 18 questions with examples of inattentive and hyperactive behaviors rated on a 4-point scale. Scoring guidelines provide cutoff scores above the 93rd percentile that may indicate ADHD. Gender-specific cutoff scores are given for parent and teacher ratings.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    215 views2 pages

    Preschool ADHD Questionnaire

    Uploaded by

    Anna
    This document contains the ADHD Rating Scale IV - Preschool Version, a questionnaire for parents and teachers to rate behaviors associated with Attention Deficit Hyperactivity Disorder (ADHD) in children ages 3-5. It consists of 18 questions with examples of inattentive and hyperactive behaviors rated on a 4-point scale. Scoring guidelines provide cutoff scores above the 93rd percentile that may indicate ADHD. Gender-specific cutoff scores are given for parent and teacher ratings.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    ADHD Rating Scale IV - Preschool Version

    Child’s Name: ___________________ Sex: M F Age: _________

    Completed By: ___________________ Relationship: _________________

    Rarely
    Circle the number that best describes the child’s behavior over Some- Very
    or Often
    the past 6 months. times often
    never

    Fails to give close attention to details (i.e. rushes through activities,


    1. 0 1 2 3
    makes careless mistakes)

    2. Fidgets with hands or feet or squirms in seat (taps hands or feet) 0 1 2 3

    3. Has difficulty sustaining attention in tasks or play activities 0 1 2 3

    Leaves seat in classroom, during meals, or in other situations in which


    4. 0 1 2 3
    remaining seated is expected

    5. Does not seem to listen when spoken to directly (tunes you out) 0 1 2 3

    6. Runs about or climbs excessively in situations in which it is inappropriate 0 1 2 3

    Does not follow through on instructions or fails to finish tasks (i.e. “go
    7. 0 1 2 3
    upstairs, get your shoes and socks”; has difficulty with transitions)

    8. Has difficulty playing quietly (alone or in groups) 0 1 2 3

    Has difficulty organizing tasks and activities (i.e. choosing an activity,


    9. 0 1 2 3
    getting materials, doing steps in order)

    10. Is “on the go” or acts as if “driven by a motor” 0 1 2 3

    Avoids tasks that require sustained mental effort (i.e. puzzles, learning
    11. 0 1 2 3
    ABC’s, writing name)

    12. Talks excessively 0 1 2 3

    Loses things necessary for tasks or activities (i.e. mittens, shoes,


    13. 0 1 2 3
    backpack)

    14. Blurts out answers before questions have been completed 0 1 2 3

    15. Is easily distracted 0 1 2 3

    16. Has difficulty awaiting turn 0 1 2 3

    17. Is forgetful in daily activities (i.e. forgets papers, forgets directions) 0 1 2 3

    18. Interrupts or intrudes on others 0 1 2 3

    Adapted and reprinted with permission from Guilford Press.

    32
    Scoring the ADHD Rating Scale IV - Preschool Version
    Scoring Cutoffs for 3-5 year old Children

    Odd numbered items: Inattention


    Even numbered items: Hyperactivity/Impulsivity
    Total Score: All items added together

    Scores above the 93%ile are suspicious for but not diagnostic of preschool ADHD.

    93rd Percentile score cutoff responses for Boys

    Parent Teacher
    Inattention: 14 Inattention: 18
    Hyperactivity/Impulsivity: 17 Hyperactivity/Impulsivity: 22
    Total Score: 32 Total Score: 38

    93rd Percentile responses for Girls

    Parent Teacher
    Inattention: 12 Inattention: 11
    Hyperactivity/Impulsivity: 14 Hyperactivity/Impulsivity: 13
    Total Score: 24 Total Score: 24

    Above data from: McGoey, K. E., DuPaul, G. J., Haley, E., Shelton, T. L. (2007). Parent and
    teacher ratings of attention-deficit/hyperactivity disorder in preschool: The ADHD rating scale-
    IV preschool version. Journal of Psychopathological and Behavioral Assessment, 29:269-276.

    33

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