ADHD Rating Scale IV - Preschool Version
Child’s Name: ___________________                           Sex:     M      F         Age: _________
         Completed By: ___________________                           Relationship: _________________
                                                                                       Rarely
Circle the number that best describes the child’s behavior over                                 Some-           Very
                                                                                         or             Often
the past 6 months.                                                                              times           often
                                                                                       never
      Fails to give close attention to details (i.e. rushes through activities,
1.                                                                                       0        1      2       3
      makes careless mistakes)
2.    Fidgets with hands or feet or squirms in seat (taps hands or feet)                 0        1      2       3
3.    Has difficulty sustaining attention in tasks or play activities                    0        1      2       3
      Leaves seat in classroom, during meals, or in other situations in which
4.                                                                                       0        1      2       3
      remaining seated is expected
5.    Does not seem to listen when spoken to directly (tunes you out)                    0        1      2       3
6.    Runs about or climbs excessively in situations in which it is inappropriate        0        1      2       3
      Does not follow through on instructions or fails to finish tasks (i.e. “go
7.                                                                                       0        1      2       3
      upstairs, get your shoes and socks”; has difficulty with transitions)
8.    Has difficulty playing quietly (alone or in groups)                                0        1      2       3
      Has difficulty organizing tasks and activities (i.e. choosing an activity,
9.                                                                                       0        1      2       3
      getting materials, doing steps in order)
10.   Is “on the go” or acts as if “driven by a motor”                                   0        1      2       3
      Avoids tasks that require sustained mental effort (i.e. puzzles, learning
11.                                                                                      0        1      2       3
      ABC’s, writing name)
12.   Talks excessively                                                                  0        1      2       3
      Loses things necessary for tasks or activities (i.e. mittens, shoes,
13.                                                                                      0        1      2       3
      backpack)
14.   Blurts out answers before questions have been completed                            0        1      2       3
15.   Is easily distracted                                                               0        1      2       3
16.   Has difficulty awaiting turn                                                       0        1      2       3
17.   Is forgetful in daily activities (i.e. forgets papers, forgets directions)         0        1      2       3
18.   Interrupts or intrudes on others                                                   0        1      2       3
Adapted and reprinted with permission from Guilford Press.
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  Scoring the ADHD Rating Scale IV - Preschool Version
                        Scoring Cutoffs for 3-5 year old Children
Odd numbered items:           Inattention
Even numbered items:          Hyperactivity/Impulsivity
Total Score:                  All items added together
Scores above the 93%ile are suspicious for but not diagnostic of preschool ADHD.
                      93rd Percentile score cutoff responses for Boys
       Parent                                        Teacher
       Inattention: 14                               Inattention: 18
       Hyperactivity/Impulsivity: 17                 Hyperactivity/Impulsivity: 22
              Total Score: 32                               Total Score: 38
                             93rd Percentile responses for Girls
       Parent                                        Teacher
       Inattention: 12                               Inattention: 11
       Hyperactivity/Impulsivity: 14                 Hyperactivity/Impulsivity: 13
              Total Score: 24                               Total Score: 24
Above data from: McGoey, K. E., DuPaul, G. J., Haley, E., Shelton, T. L. (2007). Parent and
teacher ratings of attention-deficit/hyperactivity disorder in preschool: The ADHD rating scale-
IV preschool version. Journal of Psychopathological and Behavioral Assessment, 29:269-276.
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