25 Questions From Wender Utah Rating Scale * Name HRN Date Choose one answer in each row: ‘AS. child twas (or had): Wotatalor | Wildy] Moderetely | uiteabit_| Very much very slightly Concentration problems, easily distracted 0 t z 3 a “Anxious, worrying 0 1 2 3 4 Wiervous,Adgety 0 1 2 3 4 Inattentive, daydreaming 0 1 2 3 4 Hot-or short-tempered, low Boling paint 0 1 2 3 4 ‘Temper outbursts, tantrums 0 1 2 3 4 “Trouble with stick-to-t-tiveness, not 0 1 2 3 4 following through, ling to finish things started Stubborn, strong-willed 0 1 2 3 a Sad or blue, depressed, unhappy 0 2 2 3 4 Disobediont with parents, rebellious, sassy 0 2 2 3 4 Low opinion of self 0 1 2 3 4 iritable 0 1 2 3 4 ‘Moody, ups and downs 0 1 2 3 4 Aner 0 2 2 3 4 Acting without thinking, impulsive 0 1 2 3 4 “Tendency to be immature 0 1 2 3 4 Guilty Feelings, regretful 0 1 2 3 4 Losing control of elf o 1 2 3 4 Tendency tobe or act irrational 0 1 2 3 4 Unpopular with other children, didnt keep 0 1 2 3 4 friends for long, didn’t get along with other ehildeen “Trouble seeing things from someone else's 0 7 z 3 a point of view Trouble with authorities, trouble with schoo), 0 7 2 3 a visits to principal's office ‘AS. child in school | was (or Rad): Overall a poor student, slow learner o T z 3 4 “rouble with mathematics or numbers 0 1 2 3 4 Not achieving up to potential 0 1 2 3 4 Total score: (Range = 0-100) ‘These 25 questions (of 61 question scale) correctly classified 85 parcant of subjects with ADHD and 98 percent of control sublects using cut-off scora of 48, Ward MF, Wender PH, Relmharr FW. The Wender Utah Rating Scale: An al inthe retrospective clagnosis of childhood attention Deticit Hyperactivity Disorder. Am Psychlotry, 1993; 150: 885-580. Used with permission.