Vanderbilt Assessement Scale- Modified Parent Version
Child's Name
First Name
Last Name
Completed By
First Name
Last Name
Relationship
Age
Sex
Male
Female
Mark the number that best describe the child's behavior over the last 6 months.
Rows
Rarely or never
Sometimes
Often
Very Often
1. Does not pay attention to details or makes careless mistakes with, for example, homework
1
2
3
4
2. Has difficulty keeping attention to what needs to be done
5
6
7
8
3. Does not seem to listen when spoken to directly
9
10
11
12
4. Does not follow through when given directions and fails to finish activities (not due to refusal or failure to understand)
(i.e. “go upstairs, get your shoes and socks”; has difficulty with transitions)
13
14
15
16
5. Has difficulty organizing tasks and activities
(i.e. choosing an activity, getting materials, doing steps in order)
17
18
19
20
6. Avoids, dislikes, or does not want to start tasks that require ongoing mental effort
(i.e. puzzles, learning ABC’s, writing name)
21
22
23
24
7. Loses things necessary for tasks or activities (toys, assignments, pencils, or books,backpacks, shoes, gloves)
25
26
27
28
8. Is easily distracted by noises or other stimuli
29
30
31
32
9. Is forgetful in daily activities (i.e. forgets papers, forgets directions)
33
34
35
36
10.Fidgets with hands or feet or squirms in seat
37
38
39
40
11. Leaves seat when remaining seated is expected
41
42
43
44
12.Runs about or climbs too much when remaining seated is expected
45
46
47
48
13. Has difficulty playing or beginning quiet play activities
49
50
51
52
14.Is “on the go” or often acts as if “driven by a motor”
53
54
55
56
15. Talks too much
57
58
59
60
16. Blurts out answers before questions have been completed
61
62
63
64
17. Has difficulty waiting his or her turn
65
66
67
68
18. Interrupts or intrudes on others conversations and/or activities
69
70
71
72
19.Argues with adults
73
74
75
76
20. Loses temper
77
78
79
80
21. Actively defies or refuses to go along with adults' requests or rules
81
82
83
84
22. Deliberately annoys people
85
86
87
88
23. Blames others for his or her mistakes or misbehaviors
89
90
91
92
24. Is touchy or easily annoyed by others
93
94
95
96
25. Is angry or resentful
97
98
99
100
26. Is spiteful and wants to get even
101
102
103
104
27. Bullies, threatens, or intimidates others
105
106
107
108
28. Starts physical fights
109
110
111
112
29. Lies to get out of trouble or to avoid obligations (i.e. "cons" others)
113
114
115
116
30. Is truant from school (skips school) without permission
117
118
119
120
31. Is physically cruel to people
121
122
123
124
32. Has stolen things that have value
125
126
127
128
33. Deliberately destroys other's property
129
130
131
132
34. Has used a weapon that can cause serious harm (bat, knife, brick, gun)
133
134
135
136
35. Is physically cruel to animals
137
138
139
140
36. Has deliberately set fires to cause damage
141
142
143
144
37. Has broken into someone else's home, business, or car
145
146
147
148
38. Has stayed out at night without permission
149
150
151
152
39. Has run away from home overnight
153
154
155
156
40. Has forced someone into sexual activity
157
158
159
160
41. Is fearful, anxious, or worried
161
162
163
164
42. Is afraid to try new things for fear of making mistakes
165
166
167
168
43. Feels worthless or inferior
169
170
171
172
44. Blames self for problems, feels guilty
173
174
175
176
45. Feels lonely, unwanted, or unloved; complains that "no one loves him or her"
177
178
179
180
46. Is sad, unhappy, or depressed
181
182
183
184
47. Is self-conscious or easily embarrassed
185
186
187
188
Submit
Should be Empty: