Center for Pediatrics Online - ADD/ADHD - The SNAP-IV Teacher + Parent Rating Scale

For each item, check the column which best describes this child:	Not At All	Just A Little	Quite A Bit	Very Much
1.Often fails to give close attention to details or makes careless mistakes in schoolwork or tasks 2.Often has difficulty sustaining attention in tasks or play activities 3.Often does not seem to listen when spoken to directly 4.Often does not follow through on instructions and fails to finish schoolwork, chores, or duties 5.Often has difficulty organizing tasks and activities 6.Often avoids, dislikes, or reluctantly engages in tasks requiring sustained mental effort 7.Often loses things necessary for activities (e.g. toys, school assignments, pencils, or books) 8.Often is distracted by extraneous stimuli 9.Often is forgetful in daily activities 10.Often has difficulty maintaining alertness, orienting to requests, or executing directions	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____
11.Often fidgets with hands or feet or squirms in seat 12.Often leaves seat in classroom or in other situations in which remaining seated is expected 13.Often runs about or climbs excessively in situations in which it is inappropriate 14.Often has difficulty playing or engaging in leisure activities quietly 15.Often is "on the go" or often acts as if "driven by a motor" 16.Often talks excessively 17.Often blurts out answers before questions have been completed 18.Often has difficulty awaiting turn 19.Often interrupts or intrudes on others (e.g. butts into conversations/games) 20.Often has difficulty sitting still, being quiet, or inhibiting impulses in the classroom or at home	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____
21.Often loses temper 22.Often argues with adults 23.Often actively defies or refuses adult requests or rules 24.Often does things that annoy other people 25.Often blames others for his or her mistakes or misbehavior 26.Often touchy or easily annoyed by others 27.Often is angry and resentful 28.Often is spiteful or vindictive 29.Often is quarrelsome 30.Often is negative, defiant, disobedient, or hostile toward authority figures	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____
31.Often makes noises (e.g. humming or odd sounds) 32.Often is excitable, impulsive 33.Often cries easily 34.Often is uncooperative 35.Often acts "smart" 36.Often is restless or overactive 37.Often disturbs other children 38.Often easily changes mood quickly and drastically 39.Often easily frustrated if demands are not met immediately 40.Often teases other children and interferes with their activities	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____
41.Often is aggressive to other children (e.g. picks fights or bullies) 42.Often is destructive with property of others (e.g. vandalism) 43.Often is deceitful (e.g. steals, lies, forges, copies the work of other, or "cons" others 44.Often and seriously violates rules (e.g. is truant, runs away, or completely ignores class rules) 45.Has persistent pattern of violating the basic rights of others or major societal norms	____ ____ ____ ____ ____	____ ____ ____ ____ ____	____ ____ ____ ____ ____	____ ____ ____ ____ ____
46.Has episodes of failure to resist aggressive impulses (to assault others or to destroy property) 47.Has motor or verbal tics (sudden, recurrent, non-rhythmic motor or verbal activity) 48.Has repetitive motor behavior (e.g. hand waving, body rocking, or picking at skin) 49.Has obsessions (persistent and intrusive inappropriate ideas, thoughts, or impulses) 50.Has compulsions (repetitive behaviors of mental acts to reduce anxiety or stress)	____ ____ ____ ____ ____	____ ____ ____ ____ ____	____ ____ ____ ____ ____	____ ____ ____ ____ ____
51.Often is restless or seems keyed up or on edge 52.Often is easily fatigued 53.Often has difficulty concentrating (mind goes blank) 54.Often is irritable 55.Often has muscle tension 56.Often has excessive anxiety and worry	____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____
57.Often has daytime sleepiness (unintended sleeping in inappropriate situations) 58.Often has excessive emotionality and attention-seeking behavior 59.Often has need for undue admiration, grandiose behavior, or lack of empathy 60.Often has instability in relationships with others, reactive mood, and impulsivity	____ ____ ____ ____	____ ____ ____ ____	____ ____ ____ ____	____ ____ ____ ____
61.Sometimes for at least a week has inflated self esteem or grandiosity 62.Sometimes for at least a week is more talkative than usual or seems pressured to keep talking 63.Sometimes for at least a week has flight of ideas or says thoughts are racing 64.Sometimes for at least a week has elevated, expansive or euphoric mood 65.Sometimes for at least a week is excessively involved in pleasurable but risky activities	____ ____ ____ ____ ____	____ ____ ____ ____ ____	____ ____ ____ ____ ____	____ ____ ____ ____ ____
66.Sometimes for at least 2 weeks has depressed mood (sad, hopeless, discouraged) 67.Sometimes for at least 2 weeks has irritable or cranky mood (not just when frustrated) 68.Sometimes for at least 2 weeks has markedly diminished interest or pleasure in most activities 69.Sometimes for at least 2 weeks has psychomotor agitation (even more active than usual) 70.Sometimes for at least 2 weeks has psychomotor retardation (slowed down in most activities) 71.Sometimes for at least 2 weeks is fatigued or has loss of energy 72.Sometimes for at least 2 weeks has feelings of worthlessness or excessive inappropriate guilt 73.Sometimes for at least 2 weeks has diminished ability to think or concentrate	____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____
74.Chronic low self-esteem most of the time for at least a year 75.Chronic poor concentration or difficulty making decisions most of the time for a year 76.Chronic feelings of hopelessness most of the time for a year	____ ____ ____	____ ____ ____	____ ____ ____	____ ____ ____
77.Currently is hypervigilant (overly watchful or alert) or has exaggerated startle response 78.Currently is irritable, has anger outbursts, or has difficulty concentrating 79.Currently has an emotional (e.g. nervous, worried, hopeless, tearful) response to stress 80.Currently has a behavioral (e.g. fighting, vandalism, truancy) response to stress	____ ____ ____ ____	____ ____ ____ ____	____ ____ ____ ____	____ ____ ____ ____
81.Has difficulty getting started on classroom assignments 82.Has difficulty staying on task for an entire classroom period 83.Has problems in completion of work in classroom assignments 84.Has problems in accuracy or neatness of written work in the classroom 85.Has difficulty attending to a group classroom activity or discussion 86.Has difficulty making transitions to the next topic or classroom period 87.Has problems in interactions with peers in the classroom 88.Has problems in interactions with staff (teacher or aide) 89.Has difficulty remaining quiet according to classroom rules 90.Has difficulty staying seated according to classroom rules	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____	____ ____ ____ ____ ____ ____ ____ ____ ____ ____