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ADHD Assessment Tools: Download Options
ADHD Assessment Tools: Download Options
ADHD Assessment Tools: Help in Assessment and Management of Children, Adolescents, and Adults Affected by ADHD
We
offer this set of tools to help caregivers in the assessment and
management of children, adolescents, and adults affected by ADHD.
These forms may be downloaded and printed; you may bring
completed forms with you to your visit, or mail them (in
advance) to our office:
Chiropractic Neurology Center
12413 Old Meridian Street
Carmel, IN 46032
Please do NOT email them since they may contain confidential (protected) medical information.
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Assessment Tool Name
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PDF Format
(*.requires Adobe Reader)
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MS Word Document
(*.doc format)
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Vanderbilt Assessment Scale - Parent Informant
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This is a 55-item rating scale that has
two components: symptom assessment and impairment of performance at
home, in school, and in social settings. This rating scale is widely
used by healthcare professionals to screen for symptoms of ADHD,
oppositional defiant disorder, conduct disorder, and anxiety and
depression in children.
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Vanderbilt Assessment Scale - Teacher Informant
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This is a 43-item rating scale that has two components:
symptom assessment and impairment of performance in school. This rating scale is widely used by healthcare professionals to screen for symptoms of ADHD, oppositional defiant disorder, conduct disorder, and anxiety and depression in children.
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SNAP-IV Teacher and Parent 18-Item Rating Scale
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This is an 18-item norm-referenced checklist that is designed to
determine if symptoms of ADHD are present. This checklist can be completed by either a parent or other caregiver or an educator for use by a healthcare provider in performing an assessment.
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SNAP-IV-C Rating Scale (80-Items Revised)
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The SNAP-IV-C Rating Scale is a revision of the SNAP Questionnaire. It
contains 80 items that can be completed by parents, teachers, or other caregivers for use by a healthcare provider in performing an assessment. The items from the DSM-IV criteria for ADHD and Oppositional Defiant Disorder are included. In addition, the SNAP-IV-C contains 10 items from the SKAMP.
These 10 items are
classroom manifestations of inattention, hyperactivity, and impulsivity
(i.e., getting started, staying on task, interactions with others, completing work, and shifting activities). The SKAMP may be used to estimate severity of impairment in the classroom.
There are
additional items from other DSM-IV disorders such as Conduct Disorder, Intermittent Explosive Disorder, Tourette's Disorder, Stereotypic Movement Disorder, Obsessive-Compulsive Disorder, Generalized Anxiety Disorder, Narcolepsy, Manic Episode, Major Depressive Episode, Dysthymic Disorder, etc.
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ADHD Symptom Checklist Child / Adolescent Version
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This is a 21-item checklist that is designed to determine if symptoms of ADHD are present—in
what settings symptoms appear, when symptoms began and whether the child is impaired as a result of having such symptoms.
This checklist
can be completed by a parent or other caregiver or an educator for use by a healthcare provider in performing an assessment.
Versión Española
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ADHD Symptom Checklist Adult Version-Self-Report
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This is a 21-item checklist that is designed to determine if symptoms of ADHD are present—in what settings such symptoms appear, when symptoms began and whether the adult is impaired as a result of having such symptoms.
This is the self-report version to be completed by the person suspected of having ADHD.
Versión Española
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ADHD Symptom Checklist Adult Version - Observer Report
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This is a 21-item checklist that is designed to determine if symptoms of ADHD are present—in what settings such symptoms appear, when symptoms began and whether the adult is impaired as a result of having such symptoms. This is
the observer report version to be completed by someone who knows the adult suspected of having ADHD.
Versión Española
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Childhood Disorders Checklist
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This is a listing of disorders
described in the Diagnostic and Statistical Manual of Mental Disorders: Fourth Edition (DSM IV). This checklist can be completed by a parent or other caregiver for use by a healthcare provider in performing an assessment.
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Child and Adolescent Developmental History Form
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This form asks about the child or adolescent's history and includes questions about family composition, current concerns, developmental and medical information, family information, school information, child management techniques used in the home and the child’s strengths and accomplishments. This form
can be completed by a parent or other caregiver for use by a healthcare provider in performing an assessment.
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Novotni Social Skills Checklist - Self-Report Version
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This checklist was designed by Michele Novotni, Ph.D. to
evaluate social traits and social skills of adolescents and adults. The social skills that are evaluated include: basic manners, verbal communication skills, nonverbal communication skills, communication road blocks, organizational skills-trustworthiness, self-control, knowledge of social interaction, relationship skills and self-care. This form can be completed by an adolescent or adult.
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Novotni Social Skills Checklist - Observer-Report Version
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This checklist was designed by Michele Novotni, Ph.D. to evaluate social traits and social skills of adolescents and adults. The social skills that are evaluated include: basic manners, verbal communication skills, nonverbal communication skills, communication road blocks, organizational skills-trustworthiness, self-control, knowledge of social interaction, relationship skills and self-care. This
observer form can be completed by an adolescent or adult.
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ADHD Monitoring System (Instructions and Weekly Monitoring Form)
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The ADHD Monitoring System was designed by David Rabiner, Ph.D. to carefully
track a student’s progress in school so that caregivers will be alerted when any adjustments or modifications to treatment need to be made.
This
packet contains a monitoring form and the instructions needed to interpret the information this form provides.
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ADHD Monitoring System (Weekly Monitoring Form only)
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This packet contains a monitoring form only. For information about interpreting this form, please download the Instructions and Weekly Monitoring Form version above.
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Note: PDF files require Adobe Acrobat Reader™ to
view.
To download a free copy of Acrobat Reader in a new window -
Click Here |
For more information about
Chiropractic Neurology, the conditions we treat, or to
schedule an appointment for consultation, call 317-848-6000, or
send
us an email or submit this short form. We will contact
you as soon as possible: ( * = required )
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About ADHD Assessment
Parents, you can more easily than ever play an active role in
your child's treatment program with the tools you need to track your
child’s progress and improve performance.
For example, if you have concerns about whether
your child’s medication is working well:
- You can send a tracking form to his or her teacher
- Receive feedback
from the teacher
- We will review the completed
form to see if there is room for improvement in the child’s development and performance.
Adults with ADHD also have assessment and tracking
tools available specially tailored to adult issues, along with an assortment of treatment tools to use to develop
skills in:
- Time management
- Organization
- Budgeting
- Self-control
- Communication, etc.
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