Parent/Guardian ADHD Questionnaire

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Details of the person completing this form

For completion by the childhood parent or guardian.

Please answer the questions below, rating your child’s behaviour on each of the criteria shown.

For each question, select the answer that best describes how they were and conducted themselves when they were a child between 7 and 12 years of age.

These questions are from the Vanderbilt ADHD Diagnostic Rating Scale (VADRS) which is a psychological assessment tool designed to measure the severity of attention deficit hyperactivity disorder (ADHD) symptoms. Developed by Mark Wolraich at the Oklahoma Health Sciences Center, this rating scale also includes items related to other disorders which are frequently comorbid with ADHD.

1. Did not pay attention to details or makes careless mistakes with, for example, homework: *
2. Had difficulty keeping attention to what needs to be done: *
3. Did not seem to listen when spoken to directly: *
4. Did not follow through when given directions and fails to finish activities (not due to refusal or failure to understand): *
5. Had difficulty organizing tasks and activities: *
6. Avoided, disliked, or did not want to start tasks that require ongoing mental effort: *
7. Lost things necessary for tasks or activities (toys, assignments, pencils, or books): *
8. Was easily distracted by noises or other stimuli: *
9. Was forgetful in daily activities: *
10. Fidgeted with hands or feet or squirmed in seat: *
11. Left seat when remaining seated was expected: *
12. Ran about or climbed too much when remaining seated was expected: *
13. Had difficulty playing or beginning quiet play activities: *
14. Was “on the go” or often acted as if “driven by a motor”: *
15. Talked too much: *
16. Blurted out answers before questions had been completed: *
17. Had difficulty waiting his or her turn: *
18. Interrupted or intruded in on others’ conversations and/or activities: *
19. Argued with adults: *
20. Lost temper: *
21. Actively defied or refused to go along with adults’ requests or rules: *
22. Deliberately annoyed people: *
23. Blamed others for his or her mistakes or misbehaviours: *
24. Was touchy or easily annoyed by others: *
25. Was angry or resentful: *
26. Was spiteful and wanted to get even: *
27. Bullied, threatened, or intimidated others: *
28. Started physical fights: *
29. Lied to get out of trouble or to avoid obligations (i.e. "conned" others): *
30. Was truant from school (skipped school) without permission: *
31. Was physically cruel to people: *
32. Had stolen things that have value: *
33. Deliberately destroyed others' property: *
34. Had used a weapon that can cause serious harm (bat, knife, brick, gun): *
35. Was physically cruel to animals: *
36. Had deliberately set fires to cause damage: *
37. Had broken into someone else’s home, business, or car: *
38. Had stayed out at night without permission: *
39. Had run away from home overnight: *
40. Had forced someone into sexual activity: *
41. Was fearful, anxious, or worried: *
42. Was afraid to try new things for fear of making mistakes: *
43. Felt worthless or inferior: *
44. Blamed self for problems, felt guilty: *
45. Felt lonely, unwanted, or unloved; complained that "no one loved him or her": *
46. Was sad, unhappy, or depressed: *
47. Was self-conscious or easily embarrassed: *
48. Overall school performance: *
49. Reading: *
50. Writing: *
51. Mathematics: *
52. Relationship with parents: *
53. Relationship with siblings: *
54. Relationship with peers: *
55. Participation in organized activities: *

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