Child behavior Evaluation form - Preschool Version

Child behavior Evaluation form - Preschool Version

Let the guardians/teachers fill this well detailed checklist that will enable you evaluate the child behavior. Form Preview
  • ADHD Rating Scale IV-Preschool Version

  •   Rarely or never Sometimes Often Very Often
    1. Fails to give close attention to details (i.e. rushes through activities, makes careless mistakes)
    2. Fidgets with hands or feet or squirms in seat (taps hands or feet)
    3. Has difficulty sustaining attention in tasks or play activities
    4. Leaves seat in classroom, during meals, or in other situations in which remaining seated is expected
    5. Does not seem to listen when spoken to directly (tunes you out)
    6. Runs about or climbs excessively in situations in which it is inappropriate
    7. Does not follow through on instructions or fails to finish tasks (i.e. “go upstairs, get your shoes and socks”; has difficulty with transitions)
    8. Has difficulty playing quietly (alone or in groups)
    9. Has difficulty organizing tasks and activities (i.e. choosing an activity, getting materials, doing steps in order)
    10. Is “on the go” or acts as if “driven by a motor”
    11. Avoids tasks that require sustained mental effort (i.e. puzzles, learning ABC’s, writing name)
    12. Talks excessively
    13. Loses things necessary for tasks or activities (i.e. mittens, shoes, backpack)
    14. Blurts out answers before questions have been completed
    15. Is easily distracted
    16. Has difficulty awaiting turn
    17. Is forgetful in daily activities (i.e. forgets papers, forgets directions)
    18. Interrupts or intrudes on others
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