SNAP-IV Teacher and Parent Rating Scale
Child Full Name
*
Gender
Age
Grade
Today's Date
*
For teacher - Completed by
Type of Class
Class Size
School contact
Recommended times for follow-up call
For parents - Completed by
Number of Parents living at home
Family Size
Period of Time Covered by Rating
Past week
Past month
Past year
Lifetime
Other
Other timeframe
For each item, select the box that best describes this child. Put only one check per item.
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Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities.
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often has difficulty sustaining activities in tasks or play activities.
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often does not seem to listen when spoken to directly.
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often does not follow through on instructions or fails to finish schoolwork, chores or duties.
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often has difficulty organising tasks and activities.
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (e.g., schoolwork or homework)
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools)
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often is distracted by extraneous stimuli
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often is forgetful in daily activities
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often fidgets with hands or feet or squirms in seat
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often leaves seat in classroom or in other situations in which remaining seated is expected
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often runs about or climbs excessively in situations in which it is inappropriate
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often has difficulty playing or engaging in leisure activities
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often is "on the go" or often acts as if "driven by a motor"
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often talks excessively
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often blurts out answers before questions have been completed
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often has difficulty awaiting turn
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
Often interrupts or intrudes on others (e.g., butts into conversation/games)
Not at all (0)
Just a little (1)
Quite a bit (2)
Very much (3)
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