CHILDHOOD BEHAVIOUR SCALE – PARENT REPORT Please select the the appropriate description that best describes the behaviour of your son or daughter when he or she was a child. PLEASE RATE BEHAVIOUR AT AGE SEVEN (7 years of age) Name of your son or daughter First Last 1. Failed to give close attention to details or made careless mistakes in work* Never/Rarely Sometimes Often Very often 2. Fidgeted with hands or feet or squirmed in seat* Never/Rarely Sometimes Often Very often 3. Had difficulty sustaining attention in tasks or fun activities* Never/Rarely Sometimes Often Very often 4. Left seat in classroom or other situations in which sitting was expected* Never/Rarely Sometimes Often Very often 5. Didn’t listen when spoken to directly* Never/Rarely Sometimes Often Very often 6. Restless in the “squirmy” sense* Never/Rarely Sometimes Often Very often 7. Didn’t follow through on instructions and failed to finish work* Never/Rarely Sometimes Often Very often 8. Had difficulty engaging in leisure activities or doing fun things quietly* Never/Rarely Sometimes Often Very often 9. Had difficulty organising tasks and activities* Never/Rarely Sometimes Often Very often 10. Was “on the go all the time” or acted as if “driven by a motor”* Never/Rarely Sometimes Often Very often 11. Avoided, disliked, or was reluctant to engage in work that required sustained mental effort* Never/Rarely Sometimes Often Very often 12. Talked excessively* Never/Rarely Sometimes Often Very often 13. Lost things necessary for tasks or activities* Never/Rarely Sometimes Often Very often 14. Blurted out answers before questions had been completed* Never/Rarely Sometimes Often Very often 15. Easily distracted* Never/Rarely Sometimes Often Very often 16. Had difficulty awaiting turn* Never/Rarely Sometimes Often Very often 17. Forgetful in daily activities* Never/Rarely Sometimes Often Very often 18. Interrupted or intruded on others* Never/Rarely Sometimes Often Very often Areas of life activitiesTo what extent did the problems you may have selected in the previous section interfere with their ability to function in each of following areas of life activities, when she or he was a child between 7 and 12 years of age?19. In his/her home life with immediate family* Never/Rarely Sometimes Often Very often 20. In his/her social interactions with other children* Never/Rarely Sometimes Often Very often 21. In his/her activities or dealings in the community* Never/Rarely Sometimes Often Very often 22. In school* Never/Rarely Sometimes Often Very often 23. In sports, clubs, or other organisations* Never/Rarely Sometimes Often Very often 24. In learning to take care of themselves* Never/Rarely Sometimes Often Very often 25. In his/her play, leisure or recreational activities* Never/Rarely Sometimes Often Very often 25. In his/her handling of daily chores or other responsibilities* Never/Rarely Sometimes Often Very often Δ