Scribd
Upload
19K views2 pages

Barkley Adult Adhd Rating Scale

The document contains two 18-item rating scales for assessing symptoms of attention-deficit/hyperactivity disorder (ADHD). The first scale is for self-report, asking individuals to rate how often in the past 6 months they have experienced each symptom. The second scale is for other-report, asking a spouse or friend to rate how often the individual has displayed each symptom. Respondents circle a number from 0 to 3 to indicate if a symptom occurs never/rarely, sometimes, often, or very often.

Uploaded by

Cintia Ferris Lantero
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
19K views2 pages

Barkley Adult Adhd Rating Scale

The document contains two 18-item rating scales for assessing symptoms of attention-deficit/hyperactivity disorder (ADHD). The first scale is for self-report, asking individuals to rate how often in the past 6 months they have experienced each symptom. The second scale is for other-report, asking a spouse or friend to rate how often the individual has displayed each symptom. Respondents circle a number from 0 to 3 to indicate if a symptom occurs never/rarely, sometimes, often, or very often.

Uploaded by

Cintia Ferris Lantero
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

ADHD RATING SCALE IV

Please complete this rating scale about yourself.


Your Name _________________

Your Age _________________

Todays Date _________________

Circle the number that best describes your behavior over the past six months.
Never
HOW OFTEN DO YOU
or rarely
Sometimes
Often

Very
Often

1. Fail to give close attention to details or


make careless mistakes doing work.

2. Fidget with hands or feet or squirm in seat.

3. Have difficulty sustaining attention in tasks


or fun activities.

4. Leave seat in classroom, work or other


situations in which sitting is expected.

5. Not listen when spoken to directly.

6. Feel restless.

7. Not follow through on instructions and


fail to finish work.

8. Have difficulty engaging in leisure activities


or doing fun things quietly.

9. Have difficulty organizing tasks and activities.

10. Feel on the go or as if driven by a motor.

11. Avoid, dislike, or is reluctant to engage in work


that requires sustained mental effort.

12. Talk excessively.

13. Lose things necessary for tasks and activities.

14. Blurt out answers before questions have been


completed.

15. Become easily distracted.

16. Have difficulty awaiting turn.

17. Become forgetful in daily activities.

18. Interrupt or intrude on others.

(Used with permission of Dr. Russell Barkley of the University of Massachusetts Medical Center.)

ADHD RATING SCALE IV


Please have a spouse, friend, or someone who knows you well complete this rating scale about you.
Person completing form _______________ Relationship to client ____________ Todays Date ____________
Circle the number that best describes your spouses/friends behavior over the past six months.
Never
Very
or rarely
Sometimes
Often
Often
HOW OFTEN DOES YOUR SPOUSE/FRIEND
1. Fail to give close attention to details or
0
1
2
3
make careless mistakes doing work.
2. Fidget with hands or feet or squirm in seat.

3. Have difficulty sustaining attention in tasks


or fun activities.

4. Leave seat in classroom, work or other


situations in which sitting is expected.

5. Not listen when spoken to directly.

6. Feel restless.

7. Not follow through on instructions and


fail to finish work.

8. Have difficulty engaging in leisure activities


or doing fun things quietly.

9. Have difficulty organizing tasks and activities.

10. Feel on the go or as if driven by a motor.

11. Avoid, dislike, or is reluctant to engage in work


that requires sustained mental effort.

12. Talk excessively.

13. Lose things necessary for tasks and activities.

14. Blurt out answers before questions have been


completed.

15. Become easily distracted.

16. Have difficulty awaiting turn.

17. Become forgetful in daily activities.

18. Interrupt or intrude on others.

(Used with permission of Dr. Russell Barkley of the University of Massachusetts Medical Center.)

You might also like