Oppositional Defiant Disorder Assessment Form
Rate observed behaviors and their impact during the selected time period. This questionnaire does not provide a diagnosis.
Time period being assessed
*
Past 2 weeks
Past month
Past 3 months
Other period
How often have the following behaviors been observed during this period?
*
Rows
Never
Rarely
Sometimes
Often
Very often
Loses temper
1
2
3
4
5
Is easily annoyed or touchy
6
7
8
9
10
Is often angry or resentful
11
12
13
14
15
Argues with adults or authority figures
16
17
18
19
20
Actively defies or refuses to follow reasonable requests or rules
21
22
23
24
25
Deliberately annoys others
26
27
28
29
30
Blames others for mistakes or misbehavior
31
32
33
34
35
Acts vindictively or spitefully
36
37
38
39
40
How much do these behaviors interfere with daily life overall?
*
No interference
0
1
2
3
4
5
6
7
8
9
Severe interference
10
0 is No interference, 10 is Severe interference
Where have these behaviors been observed?
*
At home
At school or work
With peers or friends
In the community or other settings
Only in one setting
How long have these behaviors been present?
*
Less than 1 month
1–5 months
6–11 months
12 months or longer
Not sure
How often do these behaviors disrupt relationships or interactions with others?
*
Never
0
1
2
3
4
5
6
7
8
9
Very often
10
0 is Never, 10 is Very often
How often do these behaviors affect responsibilities or participation in everyday activities?
*
Never
0
1
2
3
4
5
6
7
8
9
Very often
10
0 is Never, 10 is Very often
What tends to happen before or around the time these behaviors occur?
What strengths, supports, or approaches seem helpful?
Submit Assessment
Should be Empty: