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Get Canada SNAP-IV 26 2013-2024

Patient Name Date of Birth MRN/File No Physician Name Date SNAP-IV 26 Teacher and Parent Rating Scale Name Gender Age Grade Ethnicity African-American Asian Caucasian Hispanic Other Completed by Type of Class Class size For each item check the column which best describes this child 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 schoolwork chores or duties 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 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 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 19. Often loses temper 20. Often argues with adults 21. Often actively defies or refuses adult requests or rules 22. Often deliberately does things that annoy other people 23. Often blames others for his or her mistakes or misbehavior 24. Often touchy or easily annoyed by others 25. Often is angry and resentful 26. Often is spiteful or vindictive Version May 2013. Refer to www. caddra*ca for latest updates. 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 schoolwork chores or duties 6. Often has difficulty sustaining attention in tasks or play activities 3. Often does not seem to listen when spoken to directly schoolwork chores or duties 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 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 or executing directions 11. Often is distracted by extraneous stimuli 9. Often is forgetful in daily activities 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 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 15. Often is on the go or often acts as if driven by a motor 16.

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