ADHD Rating Scale IV-Preschool 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. Fails to give close attention to details (i.e. rushes through activities, makes careless mistakes)
1
2
3
4
2. Fidgets with hands or feet or squirms in seat (taps hands or feet)
5
6
7
8
3. Has difficulty sustaining attention in tasks or play activities
9
10
11
12
4. Leaves seat in classroom, during meals, or in other situations in which remaining seated is expected
13
14
15
16
5. Does not seem to listen when spoken to directly (tunes you out)
17
18
19
20
6. Runs about or climbs excessively in situations in which it is inappropriate
21
22
23
24
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)
25
26
27
28
8. Has difficulty playing quietly (alone or in groups)
29
30
31
32
9. Has difficulty organizing tasks and activities (i.e. choosing an activity, getting materials, doing steps in order)
33
34
35
36
10. Is “on the go” or acts as if “driven by a motor”
37
38
39
40
11. Avoids tasks that require sustained mental effort (i.e. puzzles, learning ABC’s, writing name)
41
42
43
44
12. Talks excessively
45
46
47
48
13. Loses things necessary for tasks or activities (i.e. mittens, shoes, backpack)
49
50
51
52
14. Blurts out answers before questions have been completed
53
54
55
56
15. Is easily distracted
57
58
59
60
16. Has difficulty awaiting turn
61
62
63
64
17. Is forgetful in daily activities (i.e. forgets papers, forgets directions)
65
66
67
68
18. Interrupts or intrudes on others
69
70
71
72
Submit
Should be Empty: