TRF/6-18 - Adaptive Functioning Scale Scores for Girls 6-11 Page 1 of 5

ID: 200105-004 Gender: Female Date Filled: 12/01/2000 Clinician: Theresa Lopez Informant: Helen Saunders
Name: Catherine A. Holcomb Age: 11 Birth Date: 06/16/1989 Agency: School Relationship: Classroom Teacher {F}

65

60

55

N
T 50 O
S R
C M
O A
R 45 L
E

40

35

VII. Academic VIII-1. VIII-2. VIII-3. VIII-4. Sum of items

Performance Working Hard Behaving Learning Happy 1,2,3,4
Total Score 1.25 1 4 1 2 8
T Score 35-C 35 44 35 35 35-C
Percentile <=7 <=7 28 <=7 <=7 <=7
B = Borderline clinical range; C = Clinical range
Broken lines = Borderline clinical range

Copyright 2007 T.M. Achenbach

ASEBA, University of Vermont
1 South Prospect St. nc = The score was not computed
Burlington, VT 05401-3456 due to missing data.
www.ASEBA.org
 TRF/6-18 - Syndrome Scale Scores for Girls 6-11 Scored Using T Scores for United States Page 2 of 5
ID: 200105-004 Gender: Female Date Filled: 12/01/2000 Clinician: Theresa Lopez Informant: Helen Saunders
Name: Catherine A. Holcomb Age: 11 Birth Date: 06/16/1989 Agency: School Relationship: Classroom Teacher {F}
Internalizing Verified: Yes Externalizing
100
C
95
L
90 I
N
85
I
T 80 C
S A
75
C L
O 70
R 65
E N
60 O
R
55
M
< 50 A
Anxious/ Withdrawn/ Somatic Social Thought Problems Attention Rule-Breaking Aggressive L
Depressed Depressed Complaints Problems Problems Behavior Behavior
Total Score 15 9 1 4 2 25 1 8
T Score 73-C 74-C 57 62 63 66-B 55 64
Percentile >97 >97 76 89 90 95 69 92
1 1.ActsYoung
0 14.Cries 2 5.EnjoysLittle 0 51.Dizzy 0 11.Dependent 1 9.MindOff 0 26.NoGuilt 0 3.Argues
0 2.Noisy
0 29.Fears 1 42.PreferAlone 1 54.Tired 0 12.Lonely 0 18.HarmSelf c 0 28.BreaksRules 0 6.Defiant
2 4.FailsToFinish
1 30.FearSchool 0 65.Won'tTalk 0 56a.Aches 1 25.NotGetAlong 0 40.HearsThings c 0 7.Brags 0 39.BadFriends 0 16.Mean
1 31.FearDoBad 1 69.Secretive 0 56b.Headaches 1 27.Jealous 0 46.Twitch 2 8.Concentrate 0 43.LieCheat 1 19.DemAtten
1 10.SitStill
1 32.Perfect 2 75.Shy 0 56c.Nausea 0 34.OutToGet 0 58.PicksSkin 1 63.PreferOlder 0 20.DestroyOwn
2 13.Confuse
0 33.Unloved 1 102.LacksEnergy 0 56d.EyeProb 0 36.Accidents 0 66.RepeatsActs 0 82.Steals 0 21.DestroyOther
0 15.Fidgets
1 35.Worthless 1 103.Sad 0 56e.SkinProb 1 38.Teased 0 70.SeesThings c 2 17.Daydream 0 90.Swears 0 23.DisbSchool
1 45.Nervous 1 111.Withdrawn 0 56f.Stomach 0 48.Not Liked 0 83.StoresUp 1 22.Directions 0 96.ThinksSex 0 37.Fights
0 24.Disturbs c
1 50.Fearful 0 56g.Vomit 0 62.Clumsy 1 84.StrangeBehav 0 98.Tardy 0 57.Attacks
2 41.Impulsive
1 52.Guilty 1 64.PreferYoung 0 85.StrangeIdeas 0 99.Tobacco 0 68.Screams
1 49.DiffLearn
2 71.SelfConsc 0 79.SpeechProb 0 53.TalksOut 0 101.Truant 0 76.Explosive
2 81.NoCriticism 1 60.Apathetic 0 105.AlcDrugs c 1 77.Frustrated
0 91.TalkSuicide c 2 61.PoorSchool 2 86.Stubborn
0 67.DisruptDisc
2 106.AnxPleas 2 87.MoodChang
0 72.Messy
1 108.FearMistk 1 73.Irresponsible 1 88.Sulks
1 112.Worries 0 74.ShowOff 1 89.Suspicious
1 78.Inattentive 0 94.Teases
2 80.Stares
0 95.Temper
2 92.Underachiev
0 93.TalkMuch 0 97.Threaten
1 100.FailsToDo 0 104.Loud
1 109.Whining
Copyright 2007 T.M. Achenbach B = Borderline clinical range; C = Clinical range Broken lines = Borderline clinical range
 TRF/6-18 - Internalizing, Externalizing, Total Problems, Other Problems for Girls 6-11 Page 3 of 5
Scored using T scores for United States
ID: 200105-004 Gender: Female Date Filled: 12/01/2000 Clinician: Theresa Lopez Informant: Helen Saunders
Name: Catherine A. Holcomb Age: 11 Birth Date: 06/16/1989 Agency: School Relationship: Classroom Teacher {F}
100
Attention Problems Subscales:
95
Inattention (I)
90
C
Hyperactivity-Impulsivity (H-I)
L Other Problems
85 I
T
N
Attention Problems S 80 I
I H-I 0 44.BiteNail
C C
O 0 47.Overconform
1 1.ActsYoung x 75 A
R L 0 55.Overweight
x 2.Noisy 0 E
2 4.FailsToFinish x
70 0 56h.OtherPhys

x 7.Brags 0 0 59.SleepsClass
65
2 8.Concentrate x 1 107.DislikeSchl
x 10.SitStill 1 0 110.Unclean
60 N
2 13.Confuse x 0 113.OtherProb
O
x 15.Fidgets 0 55 R
2 17.Daydream x M
1 22.Directions x < 50 A
x 24.Disturbs 0 L
x 41.Impulsive 2 Internalizing Problems Externalizing Problems Total Problems
1 49.DiffLearn x
x 53.TalksOut 0
Total Score 25 9 66
1 60.Apathetic x T Score 72-C 63-B 67-C
2 61.PoorSchool x Percentile >98 90 96
x 67.DisruptDisc 0
B = Borderline clinical range; C = Clinical range Broken lines = Borderline clinical range
0 72.Messy x
x 73.Irresponsible 1
x 74.ShowOff 0
1 78.Inattentive x
2 80.Stares x
2 92.Underachiev x
x 93.TalkMuch 0
1 100.FailsToDo x
Copyright 2007 T.M. Achenbach
x 109.Whining 1 ASEBA, University of Vermont
1 South Prospect St.
20 Total Score 5 Burlington, VT 05401-3456
97 Percentile 83 www.ASEBA.org

Borderline = 93rd-97th %ile

Clinical = >97th %ile
ADM Version 7
 TRF/6-18 - DSM-Oriented Scales for Girls 6-11 Scored Using T Scores for United States Page 4 of 5
ID: 200105-004 Gender: Female Date Filled: 12/01/2000 Clinician: Theresa Lopez Informant: Helen Saunders
Name: Catherine A. Holcomb Age: 11 Birth Date: 06/16/1989 Agency: School Relationship: Classroom Teacher {F}
100
Attention Deficit/
95 Hyperactivity Problems
C Subscales:
90 L
I Inattention (I)
85 N Hyperactivity-Impulsivity (H-I)
T I
80 C
S A
C 75 L I AD/H Problems H-I
O
R 70 2 4.FailsToFinish x
E
2 8.Concentrate x
65
N x 10.SitStill 1
60 O x 15.Fidgets 0
R
1 22.Directions x
55 M
A x 24.Disturbs 0
< 50 L x 41.Impulsive 2
Affective Anxiety Somatic Attention Oppositional Conduct
x 53.TalksOut 0
Problems Problems Problems Deficit/ Defiant Problems
Hyperactivity Problems x 67.DisruptDisc 0
Problems 1 78.Inattentive x
Total Score 8 4 0 10 2 1 x 93.TalkMuch 0
T Score 72-C 67-B 50 62 61 55 1 100.FailsToDo x
Percentile >97 96 <=50 89 87 69 x 104.Loud 0

2 5.EnjoysLittle 0 11.Dependent 0 56a.Aches 2 4.FailsToFinish 0 3.Argues 0 16.Mean 7 Total Score 3

0 14.Cries 0 29.Fears 0 56b.Headaches 2 8.Concentrate 0 6.Defiant 0 21.DestroyOther 94 Percentile 79
0 18.HarmSelf 1 30.FearSchool 0 56c.Nausea 1 10.SitStill 0 23.DisbSchool 0 26.NoGuilt
Borderline = 93rd-97th %ile
1 35.Worthless 1 45.Nervous 0 56d.EyeProb 0 15.Fidgets 2 86.Stubborn 0 28.BreaksRules
Clinical = >97th %ile
1 52.Guilty 1 50.Fearful 0 56e.SkinProb 1 22.Directions 0 95.Temper 0 37.Fights
Copyright 2007 T.M. Achenbach
1 54.Tired 1 112.Worries 0 56f.Stomach 0 24.Disturbs 0 39.BadFriends
1 60.Apathetic 0 56g.Vomit 2 41.Impulsive 0 43.LieCheat
0 91.TalkSuicide 0 53.TalksOut 0 57.Attacks
1 102.Underactive 0 67.DisruptDisc 1 73.Irresponsible
1 103.Sad 1 78.Inattentive 0 82.Steals
0 93.TalkMuch 0 90.Swears
1 100.FailsToDo 0 97.Threaten
0 104.Loud 0 101.Truant

B = Borderline clinical range; C = Clinical range Broken lines = Borderline clinical range
 TRF/6-18 - 2007 Scales for Girls 6-11 Scored Using T Scores for United States Page 5 of 5

ID: 200105-004 Gender: Female Date Filled: 12/01/2000 Clinician: Theresa Lopez Informant: Helen Saunders
Name: Catherine A. Holcomb Age: 11 Birth Date: 06/16/1989 Agency: School Relationship: Classroom Teacher {F}

100

95 C
L
90 I
N
T 85
I
S 80 C
C A
O 75 L
R
E 70

65
N
60 O
R
55 M
A
< 50 L

Sluggish Cognitive Tempo Obsessive-Compulsive Problems Post-traumatic Stress Problems

Total Score 8 6 12
T Score 75-C 70-C 72-C
Percentile >97 >97 >97

2 13.Confused 1 9.MindOff 0 3.Argues

2 17.Daydream 1 31.FearDoBad 2 8.Concentrate
1 60.Apathetic 1 32.Perfect 1 9.MindOff
2 80.Stares 1 52.Guilty 0 11.Dependent
1 102.LacksEnergy 0 66.RepeatsActs 1 31.FearDoBad
1 84.StrangeBehav 0 34.OutToGet
0 85.StrangeIdeas 1 45.Nervous
1 112.Worries 1 50.Fearful
1 52.Guilty
Copyright 2007 T.M. Achenbach
1 69.Secretive
ASEBA, University of Vermont
2 87.MoodChang
1 South Prospect St.
Burlington, VT 05401-3456 1 103.Sad

www.ASEBA.org 1 111.Withdrawn

B = Borderline clinical range; C = Clinical range Broken lines = Borderline clinical range