Wender Utah Rating Scale for ADHD (informant knew client as child)
Friend or Family Member:
For each of the 61 questions, check the box that best describes the behavior of the client before they were 12. 

Ward MF, Wender PH, Reimherr FW. The Wender Utah Rating Scale: An aid in the retrospective diagnosis of childhood Attention Deficit Hyperactivity Disorder. Am J Psychiatry. 1993; 150: 885-890.  
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Client First Name: *
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1) As a child, the client was active, restless, always on the go
Clear selection
2) As a child, the client was afraid of things
Clear selection
3) As a child, the client had concentration problems, easily distracted
Clear selection
4) As a child the client was anxious, worried
Clear selection
5) As a child, the client was nervous, fidgety
Clear selection
6) As a child, the client was inattentive, daydreaming
Clear selection
7) As a child, the client was hot or short tempered, low boiling point
Clear selection
8) As a child, the client was shy, sensitive
Clear selection
9) As a child, the client had temper outbursts, tantrums
Clear selection
10) As a child the client had trouble with stick-to-it-tiveness, not following through. Failing to finish things started.
Clear selection
11) As a child, the client was stubborn, strong-willed
Clear selection
12) As a child, the client was sad or blue, depressed, unhappy
Clear selection
13) As a child, the client was incautious, dare-devilish, involved in pranks
Clear selection
14) As a child, the client was not getting a kick out of things, dissatisfied with life
Clear selection
15) As a child, the client was disobedient with parents, rebellious, sassy
Clear selection
16) As a child, the client had a low opinion of themselves
Clear selection
17) As a child, the client was irritable
Clear selection
18) As a child, the client was outgoing, friendly, enjoyed company of people
Clear selection
19) As a child, the client was sloppy, disorganized
Clear selection
20) As a child, the client was moody, had ups and downs
Clear selection
21) As a child, the client was angry
Clear selection
22) As a child, the client had friends, was popular
Clear selection
23) As a child, the client was well-organized, tidy, neat
Clear selection
24) As a child, the client was acting without thinking, impulsive
Clear selection
25) As a child, the client had a tendency to be immature
Clear selection
26) As a child, the client had guilty feelings, was regretful
Clear selection
27) As a child, the client was losing control of themselves
Clear selection
28) As a child, they had a tendency to be or act irrational
Clear selection
29) As a child, the client was unpopular with other children, didn't keep friends for long, didn't get along with other children.
Clear selection
30) As a child, the client was poorly coordinated, did not participate in sports
Clear selection
31) As a child, the client was afraid of losing control of themselves
Clear selection
32) As a child, the client was well-coordinated, picked first in games
Clear selection
33) As a child I was tomboyish (for women only)
Clear selection
34) As a child, the client was running away from home
Clear selection
35) As a child, the client was getting into fights
Clear selection
36) As a child, the client was teasing other children
Clear selection
37) As a child, the client was a leader, bossy
Clear selection
38) As a child, the client had difficulty getting awake
Clear selection
39) As a child, the client was a follower, led around too much
Clear selection
40) As a child, the client had trouble seeing things from someone else's point of view
Clear selection
41) As a child, the client had trouble with authorities, trouble with school, visits to principal's office
Clear selection
42) As a child, the child had trouble with police, booked, convicted
Clear selection
43) As a child, the client had headaches
Clear selection
44) As a child, the client had stomachaches
Clear selection
45) As a child, the child had constipation
Clear selection
46) As a child, the client had diarrhea
Clear selection
47) As a child, the client had food allergies
Clear selection
48) As a child, the client had other allergies
Clear selection
49) As a child, the client had bedwetting
Clear selection
50) As a child, the client was overall a good student, fast
Clear selection
51) As a child, the client was overall a poor student, slow learner
Clear selection
52) As a child, the client was slow in learning to read
Clear selection
53) As a child, the client was a slow reader
Clear selection
54) As a child, the client had trouble with reversing letters
Clear selection
55) As a child, the client had problems with spelling
Clear selection
56) As a child, the client had trouble with mathematics or numbers
Clear selection
57) As a child, the client had trouble with bad handwriting
Clear selection
58) As a child, the client was able to read pretty well but never really enjoyed reading
Clear selection
59) As a child, the client was not achieving up to my potential
Clear selection
60) As a child, the client was repeating grades
Clear selection
61) As a child, the client was suspended or expelled
Clear selection
Was the client diagnosed with ADHD (or ADD) as a child or teen?
Did the client have an IEP or 504 Plan as a child?
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