NICHQ Vanderbilt Assessment Scale

TEACHER Assessment

Telecare acknowledges that it shall not claim to possess any right, title or interest in and to the Ritvo Autism Asperger Diagnostic Scale - Revised (RAADS-R) Assessment, and shall take no actions jeopardising the existence or enforceability of the proprietaryrights which Telecare recognises as belonging to the authors of the following assessment, as well as any other alleged proprietary holders hitherto unknown.

PATIENT DETAILS (to match the patient's Medicare and patient file)

Patient's First Name *

Patient's Surname *

Patient's Date of Birth *

Please indicate the number of weeks or months you have been able to evaluate the behaviours: *

Instructions:

Each rating should be considered in the context of what is appropriate for the age of the child you are ratingand should reflect that child’s behavior since the beginning of the school year.

Is this evaluation based on a time when the child: *

Was on MedicationWas not on medicationNot sure?

Symptoms

Academic Performance

Classroom Behavioural Performance

Comments:

Developer Reference:

Adapted from the Vanderbilt Rating Scales developed by Mark L.Wolraich, MD.Revised

Score

Symptom Score *

Performance Score *