Parent Behaviour Rating Scale

Parent Behaviour Rating Scale

Child' Full Name *

Date of Birth

Today's Date *

Instructions: Below are a number of common problems that children have. Please rate each item according to your child's behaviour in the last month. For each item, ask yourself, "How much of a problem has this been in the last month?" and tick the best answer for each one.

If none, not at all, seldom, or very infrequently, you would tick 0.
If very much true, or it occurs very often or frequently, you would tick 3.
You would tick 1 or 2 for ratings in between.
Please respond to each item.

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Inattentive, easily distracted

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Disturbs other children

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Cannot remain still

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Fidgets with hands or feet or squirms in seat

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Short attention span

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Only pays attention to things they are really interested in

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Distractibility or attention span a problem

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Interrupts or intrudes on others (e.g., butts into others’ conversations or games)

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Fails to finish things they start

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Does not follow through on instructions and fails to finish schoolwork (not due to oppositional behaviour or failure to understand instructions)

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Excitable, impulsive

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Restless, always up and on the go

Not true at all (Never, Seldom) 0Just a little true (Occasionally) 1Pretty much true (Often, Quite a bit) 2Very much true (Very often, Very frequent) 3

Completed by *

Please wait, files are uploading..