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Psychological Testing and Assessment
 

ADHD Tracking Scale: Teacher Form 

Child’s Name: ______________________________ 

Form completed by: ______________________  Date: ____________  (Note: To permit tracking of 
                                                                                            child’s behavior, please be sure to enter today’s date).

 Circle the number that best describes this child’s behavior today.

 

Never or Rarely

Sometimes

Often

Very Often

1.   Fails to give close attention to details or makes careless
      mistakes (e.g., in schoolwork).

1

2

3

4

2.   Fidgets with hands or feet or squirms in seat

1

2

3

4

3.   Has difficulty sustaining attention in tasks or other
      activities

1

2

3

4

4.   Leaves seat in situations in which remaining seated is
      expected

1

2

3

4

5.   Does not seem to listen when spoken to directly.

1

2

3

4

6.   Moves about excessively in situations in which it is
      inappropriate, or seems very restless.

1

2

3

4

7.   Does not follow through on instructions and fails to finish
      homework (not due to oppositional behavior or failure to
      understand instructions).

1

2

3

4

8.   Has difficulty engaging in leisure activities quietly

1

2

3

4

9.   Has difficulty organizing tasks and activities

1

2

3

4

10. Is “on the go” or acts as if “driven by a motor.”

1

2

3

4

11. Avoids or is reluctant to engage in tasks(e.g., schoolwork,
      homework) that require sustained mental effort.

1

2

3

4

12. Talks excessively.

1

2

3

4

13. Loses things necessary for tasks or activities (e.g., school
      assignments, pencils, books)

1

2

3

4

14. Blurts out answers before questions have been
      completed.

1

2

3

4

15. Is easily distracted by extraneous stimuli.

1

2

3

4

16. Has difficulty awaiting turn.

1

2

3

4

17. Is forgetful in daily activities.

1

2

3

4

18. Interrupts or intrudes on others (e.g., butts into
      conversations

1

2

3

4

19. Daydreams; seems “in a fog”

1

2

3

4

20. Other (specify)

1

2

3

4

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