ADHD Rating Scale IV - Other ratings (Past) Your Name First Last Name of person you are rating First Last Date MM slash DD slash YYYY Check the response that BEST DESCRIBES the person you are rating between the ages of 5 and 12. 1. Fails to give close attention to details or makes careless mistakes in work or other tasks. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 2. Fidgets with hands or feet. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 3. Has difficulty sustaining attention to tasks or play activities. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 4. Leaves seat in situations in which remaining seated is expected. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 5. Does not seem to listen when spoken to directly. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 6. Runs about or shows excessive energy in situations in which it is inappropriate. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 7. Does not follow through on instructions and fails to finish work. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 8. Has difficulty playing or engaging in leisure activities quietly. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 9. Has difficulty organizing tasks and activities. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 10. Is "on the go" or acts as if "driven by a motor." 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 11. Avoids tasks (e.g., reading, writing) that require mental effort. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 12. Talks excessively. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 13. Loses things necessary for tasks or activities. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 14. Blurts out answers before questions have been completed. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 15. Is easily distracted. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 16. Has difficulty awaiting turn. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 17. Is forgetful in daily activities. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often 18. Interrupts or intrudes on others. 0 Never or Rarely 1 Sometimes 2 Often 3 Very Often CAPTCHA
