SNAP-IV Teacher and Parent Rating Scale (18 items)

Sample SNAP-IV Teacher and Parent Rating Scale # 6160
James M. Swanson, Ph.D.

Name:________________ Gender: __________  Age: _____  Grade:  _____  Date: _______________

Ethnicity (check one) ___African-American ___Asian   ___Caucasian ___Hispanic  ___Other _______________

For teacher: Completed by:  _____________   Type of Class: __________________  Class Size: ____________

Telephone # at school: ____________________    Recommended times for follow-up call: _____________

For parents: Completed by: _________________   # Parents Living in Home: ______ Family Size: ___________

Period of Time Covered by Rating: ___Past Week  ___Past Month  ___Past Year  ___Lifetime  ___Other_________

For each item, select the box that best describes this child. Put only one check per item.		Not at all (0)	Just a Little (1)	Quite A Bit (2)	Very Much (3)
		Not at all (0)	Just a Little (1)	Quite A Bit (2)	Very Much (3)
1.	Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities		.	.	.
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 is reluctant to engage in tasks that require sustained mental effort (e.g., schoolwork or homework)	.	.	.	.
7.	Often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools)	.	.	.	.
8.	Often is distracted by extraneous stimuli		.	.	.
9.	Often is forgetful in daily activities	.	.	.	.
10.	Often fidgets with hands or feet or squirms in seat	.	.	.	.
11.	Often leaves seat in classroom or in other situations in which remaining seated is expected	.	.	.	.
12.	Often runs about or climbs excessively in situations in which it is inappropriate	.	.	.
13.	Often has difficulty playing or engaging in leisure activities quietly		.	.	.
14.	Often is "on the go" or often acts as if "driven by a motor"	.	.	.	.
15.	Often talks exessively	.	.	.	.
16.	Often blurts out answers before questions have been completed	.	.	.
17.	Often has difficulty awaiting turn	.	.	.	.
18.	Often interrupts or intrudes on others (e.g., butts into conversations/games)	.	.	.	.
		Sum of Items for Each Scale	Average Rating Per Item for Each Scale	Teacher 5% Cutoff	Parent 5% Cutoff
	Average score for ADHD-Inattention (sum of items 1-9/ # of items)		______	2.56	1.78
	Average score for ADHD-Hyperactivity-Impulsivity (sum of items 10-18/ # of items)		______	1.78	1.44
	Average score for ADHD-Combined (sum of items 1-18/ # of items)		______	2.00	1.67

The 4-point response is scored 0-3 (Not at All=0, Just A Little=1, Quite a Bit=2, and Very Much=3). Subscale scores on the SNAP-IV are calculated by summing the scores on the items in the specific subset (e.g., Inattention) and dividing by the number of items in the subset (e.g., 9). The score for any subset is expressed as the Average Rating Per Item. The 5% cutoff scores for teachers and parents are provided. Compare the Average Rating Per Item score to the cut-off score to determine if the score falls within the top 5%. Scores in the top 5% are considered significant.
From SNAP-IV Teacher and Parent Rating Scale by James Swanson, UCI, Irvine, CA. Printed with permission. All rights reserved. Copies may be made by myADHD.com active members only.

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