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NICHQ Vanderbilt Assessment Scale

A quick screening tool used by the Kiddo Psychiatry team to help evaluate symptoms of ADHD and related conditions in children and teens, based on parent and teacher input.

Score each item: 0 = Never  |  1 = Occasionally  |  2 = Often  |  3 = Very Often

Symptoms

1Fails to give attention to details or makes careless mistakes in schoolwork
2Has difficulty sustaining attention to tasks or activities
3Does not seem to listen when spoken to directly
4Does not follow through on instructions and fails to finish schoolwork (not due to oppositional behavior or failure to understand)
5Has difficulty organizing tasks and activities
6Avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort
7Loses things necessary for tasks or activities (school assignments, pencils, or books)
8Is easily distracted by extraneous stimuli
9Is forgetful in daily activities
10Fidgets with hands or feet or squirms in seat
11Leaves seat in classroom or in other situations in which remaining seated is expected
12Runs about or climbs excessively in situations in which remaining seated is expected
13Has difficulty playing or engaging in leisure activities quietly
14Is "on the go" or often acts as if "driven by a motor"
15Talks excessively
16Blurts out answers before questions have been completed
17Has difficulty waiting in line
18Interrupts or intrudes on others (e.g., butts into conversations/games)
19Argues with adults
20Loses temper
21Actively defies or refuses to comply with adult's requests or rules
22Deliberately annoys people
23Blames others for his or her mistakes or misbehaviors
24Is touchy or easily annoyed by others
25Is angry or resentful
26Is spiteful and vindictive
27Bullies, threatens, or intimidates others
28Initiates physical fights
29Lies to obtain goods for favors or to avoid obligations (e.g., "cons" others)
30Is truant from school (skips school) without permission
31Is physically cruel to people
32Has stolen items of nontrivial value
33Deliberately destroys others' property
34Has used a weapon that can cause serious harm (bat, knife, brick, gun)
35Is physically cruel to animals
36Has deliberately set fires to cause damage
37Has broken into someone else's home, business, or car
38Has stayed out at night without permission
39Has run away from home overnight
40Has forced someone into sexual activity
41Is fearful, anxious, or worried
42Is afraid to try new things for fear of making mistakes
43Feels worthless or inferior
44Blames self for problems, feels guilty
45Feels lonely, unwanted, or unloved; complains that "no one loves him or her"
46Is sad, unhappy, or depressed
47Is self-conscious or easily embarrassed

Performance

Rate performance: 1 = Excellent  |  2 = Above Average  |  3 = Average  |  4 = Somewhat of a Problem  |  5 = Problematic

Performance

Overall School Performance
Reading
Writing
Mathematics
Relationship with Parents
Relationship with Siblings
Relationship with Peers
Participation in Organized Activities (e.g., teams, clubs)
Score each item: 0 = Never  |  1 = Occasionally  |  2 = Often  |  3 = Very Often

Symptoms

1Fails to give attention to details or makes careless mistakes in schoolwork
2Has difficulty sustaining attention to tasks or activities
3Does not seem to listen when spoken to directly
4Does not follow through on instructions and fails to finish schoolwork (not due to oppositional behavior or failure to understand)
5Has difficulty organizing tasks and activities
6Avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort
7Loses things necessary for tasks or activities
8Is easily distracted by extraneous stimuli
9Is forgetful in daily activities
10Fidgets with hands or feet or squirms in seat
11Leaves seat in classroom or in other situations in which remaining seated is expected
12Runs about or climbs excessively in situations in which remaining seated is expected
13Has difficulty playing or engaging in leisure activities quietly
14Is "on the go" or often acts as if "driven by a motor"
15Talks excessively
16Blurts out answers before questions have been completed
17Has difficulty waiting in line
18Interrupts or intrudes on others (e.g., butts into conversations/games)
19Loses temper
20Actively defies or refuses to comply with adult's requests or rules
21Is angry or resentful
22Is spiteful and vindictive
23Bullies, threatens, or intimidates others
24Initiates physical fights
25Lies to obtain goods for favors or to avoid obligations (e.g., "cons" others)
26Is physically cruel to people
27Has stolen items of nontrivial value
28Deliberately destroys others' property
29Is fearful, anxious, or worried
30Is afraid to try new things for fear of making mistakes
31Feels worthless or inferior
32Blames self for problems, feels guilty
33Feels lonely, unwanted, or unloved; complains that "no one loves him or her"
34Is sad, unhappy, or depressed
35Is self-conscious or easily embarrassed

Performance

Rate performance: 1 = Excellent  |  2 = Above Average  |  3 = Average  |  4 = Somewhat of a Problem  |  5 = Problematic

Academic Performance

Reading
Mathematics
Written Expression

Classroom Behavioral Performance

Relationship with Peers
Following Directions
Disrupting Class
Assignment Completion
Organizational Skills
This tool is a clinical screening aid based on the NICHQ Vanderbilt Assessment Scale. It does not replace a full evaluation by a licensed provider. A member of the Kiddo Psychiatry team will review this report before your visit.