Conners’ Teacher Rating Scale - Revised (S)
by C. Keith Conners, Ph.D.
Child’s Name: Gender: MF
Birthdate:___/ Age: School Grade:
‘Teacher's Name: ‘Today's Date:___/__/
Instructions: Below are a number of common problems that children have in schol, Please rate each item according
to how much of a problem ithas been inthe last month, For each item, ask yourself, “How much ofa problem has this
‘been in the last manth?”, and circle the best answer for each one. If none, nat at all, seldom. or very intrequestly, you
would circle 0. Hf very much true, or it occurs very often or frequently, you would circle 3. You would circle 1 or?
for ratings in between, Please respond to each item. NOTTRUE aust pREFTY._ VERY MUCH
imac TRE mn Qs
Inattentive, easily distracted ...
Defiant
Restless in the “squirmy” sense ~
Forgets things he/she has already learned
Disturbs other children ssn
Actively defies or refuses to comply with adults” requests
{s always “on the go” or acts as if driven by a motor
Poor in spelling
Cannot remain still
Spiteful or vindictive se
Leaves seat in classroom or in other situations in which remaining seated
is expected
Fidgets with hands or feet or squirms in seat
Not reading up to par
Shot attention span
Argues with adults.
Only pays attention to things he/she is really interested in
Has difficulty waiting
Lacks interest in schoolwork
Distractibility or atention span a problem
‘Temper outbursts; explosive, unpredictable behavior
Runs about or climbs excessively in situations where itis inappropriate
Poor in arithmetic
Interrupts or intrudes on others. butt into others’ conversations orgamses)
Has difficulty playing or engaging in leisure activities quietly
Fails to finish things he/she starts
Does not follow through on instructions and fails to finish schoolwork
(Wot due to oppositional behavior or failure to understand instructions)
Excitable, impulsive
Restless, always up and on the go