SNAP-IV Teacher and Parent Rating Scale Home SNAP-IV Teacher and Parent Rating Scale Please enable JavaScript in your browser to complete this form.Email *NameGenderAgeGradeEthnicity (select one which applies best):African-AmericanAsianCaucasianHispanicOtherCompleted byType of classClass size:For each item, check the column which best describes this child1. Often fails to give close attention to details or makes careless mistakes in schoolwork or tasks Not At AllJust A LittleQuite A BitVery Much2. Often has difficulty sustaining attention in tasks or play activities Not At AllJust A LittleQuite A BitVery Much3. Often does not seem to listen when spoken to directly Not At AllJust A LittleQuite A BitVery Much4. Often does not follow through on instructions and fails to finish schoolwork, chores, or duties Not At AllJust A LittleQuite A BitVery Much5. Often has difficulty organizing tasks and activities Not At AllJust A LittleQuite A BitVery Much6. Often avoids, dislikes, or reluctantly engages in tasks requiring sustained mental effortNot At AllJust A LittleQuite A BitVery Much7. Often loses things necessary for activities (e.g., toys, school assignments, pencils, or books) Not At AllJust A LittleQuite A BitVery Much8. Often is distracted by extraneous stimuli Not At AllJust A LittleQuite A BitVery Much9. Often is forgetful in daily activities Not At AllJust A LittleQuite A BitVery Much10. Often has difficulty maintaining alertness, orienting to requests, or executing directionsNot At AllJust A LittleQuite A BitVery Much11. Often fidgets with hands or feet or squirms in seatNot At AllJust A LittleQuite A BitVery Much12. Often leaves seat in classroom or in other situations in which remaining seated is expectedNot At AllJust A LittleQuite A BitVery Much13. Often runs about or climbs excessively in situations in which it is inappropriateNot At AllJust A LittleQuite A BitVery Much14. Often has difficulty playing or engaging in leisure activities quietly Not At AllJust A LittleQuite A BitVery Much15. Often is “on the go” or often acts as if “driven by a motor” Not At AllJust A LittleQuite A BitVery Much16. Often talks excessively Not At AllJust A LittleQuite A BitVery Much17. Often blurts out answers before questions have been completeNot At AllJust A LittleQuite A BitVery Much18. Often has difficulty awaiting turnNot At AllJust A LittleQuite A BitVery Much19. Often interrupts or intrudes on others (e.g., butts into conversations/games)Not At AllJust A LittleQuite A BitVery Much20. Often has difficulty sitting still, being quiet, or inhibiting impulses in the classroom or at homeNot At AllJust A LittleQuite A BitVery Much21. Often loses temperNot At AllJust A LittleQuite A BitVery Much22. Often argues with adultsNot At AllJust A LittleQuite A BitVery Much23. Often actively defies or refuses adult requests or rulesNot At AllJust A LittleQuite A BitVery Much24. Often deliberately does things that annoy other peopleNot At AllJust A LittleQuite A BitVery Much25. Often blames others for his or her mistakes or misbehavior Not At AllJust A LittleQuite A BitVery Much26. Often touchy or easily annoyed by othersNot At AllJust A LittleQuite A BitVery Much27 Often is angry and resentfulNot At AllJust A LittleQuite A BitVery Much28. Often is spiteful or vindictiveNot At AllJust A LittleQuite A BitVery Much29. Often is quarrelsomeNot At AllJust A LittleQuite A BitVery Much30. Often is negative, defiant, disobedient, or hostile toward authority figuresNot At AllJust A LittleQuite A BitVery Much31. Often makes noises (e.g., humming or odd sounds) ______ ______ ______ ______Not At AllJust A LittleQuite A BitVery Much32. Often is excitable, impulsiveNot At AllJust A LittleQuite A BitVery Much33. Often cries easilyNot At AllJust A LittleQuite A BitVery Much34. Often is uncooperativeNot At AllJust A LittleQuite A BitVery Much35. Often acts “smart” Not At AllJust A LittleQuite A BitVery Much36. Often is restless or overactiveNot At AllJust A LittleQuite A BitVery Much37. Often disturbs other childrenNot At AllJust A LittleQuite A BitVery Much38. Often changes mood quickly and drastically Not At AllJust A LittleQuite A BitVery Much39. Often easily frustrated if demand are not met immediatelyNot At AllJust A LittleQuite A BitVery Much40. Often teases other children and interferes with their activitiesNot At AllJust A LittleQuite A BitVery Much41. Often is aggressive to other children (e.g., picks fights or bullies)Not At AllJust A LittleQuite A BitVery Much42. Often is destructive with property of others (e.g., vandalism)Not At AllJust A LittleQuite A BitVery Much43. Often is deceitful (e.g., steals, lies, forges, copies the work of others, or “cons” others)Not At AllJust A LittleQuite A BitVery Much44. Often and seriously violates rules (e.g., is truant, runs away, or completely ignores class rules)Not At AllJust A LittleQuite A BitVery Much45. Has persistent pattern of violating the basic rights of others or major societal normsNot At AllJust A LittleQuite A BitVery Much46. Has episodes of failure to resist aggressive impulses (to assault others or to destroy property)Not At AllJust A LittleQuite A BitVery Much47. Has motor or verbal tics (sudden, rapid, recurrent, nonrhythmic motor or verbal activity)Not At AllJust A LittleQuite A BitVery Much48. Has repetitive motor behavior (e.g., hand waving, body rocking, or picking at skin)Not At AllJust A LittleQuite A BitVery Much49. Has obsessions (persistent and intrusive inappropriate ideas, thoughts, or impulses) Not At AllJust A LittleQuite A BitVery Much50. Has compulsions (repetitive behaviors or mental acts to reduce anxiety or distress)Not At AllJust A LittleQuite A BitVery Much51. Often is restless or seems keyed up or on edgeNot At AllJust A LittleQuite A BitVery Much52. Often is easily fatiguedNot At AllJust A LittleQuite A BitVery Much53. Often has difficulty concentrating (mind goes blank) Not At AllJust A LittleQuite A BitVery Much54. Often is irritable Not At AllJust A LittleQuite A BitVery Much55. Often has muscle tension Not At AllJust A LittleQuite A BitVery Much56. Often has excessive anxiety and worry (e.g., apprehensive expectation) Not At AllJust A LittleQuite A BitVery Much57. Often has daytime sleepiness (unintended sleeping in inappropriate situations) Not At AllJust A LittleQuite A BitVery Much51. Often is restless or seems keyed up or on edge (copy) (copy)Not At AllJust A LittleQuite A BitVery Much58. Often has excessive emotionality and attention-seeking behavior Not At AllJust A LittleQuite A BitVery Much59. Often has need for undue admiration, grandiose behavior, or lack of empathy Not At AllJust A LittleQuite A BitVery Much60. Often has instability in relationships with others, reactive mood, and impulsivity Not At AllJust A LittleQuite A BitVery Much61 Sometimes for at least a week has inflated self esteem or grandiosity Not At AllJust A LittleQuite A BitVery Much62. Sometimes for at least a week is more talkative than usual or seems pressured to keep talking Not At AllJust A LittleQuite A BitVery Much63. Sometimes for at least a week has flight of ideas or says that thoughts are racing Not At AllJust A LittleQuite A BitVery Much64. Sometimes for at least a week has elevated, expansive or euphoric mood Not At AllJust A LittleQuite A BitVery Much65. Sometimes for at least a week is excessively involved in pleasurable but risky activities Not At AllJust A LittleQuite A BitVery Much66. Sometimes for at least 2 weeks has depressed mood (sad, hopeless, discouraged) Not At AllJust A LittleQuite A BitVery Much67. Sometimes for at least 2 weeks has irritable or cranky mood (not just when frustrated) Not At AllJust A LittleQuite A BitVery Much68. Sometimes for at least 2 weeks has markedly diminished interest or pleasure in most activities Not At AllJust A LittleQuite A BitVery Much69. Sometimes for at least 2 weeks has psychomotor agitation (even more active than usual) Not At AllJust A LittleQuite A BitVery Much70. Sometimes for at least 2 weeks has psychomotor retardation (slowed down in most activities) Not At AllJust A LittleQuite A BitVery Much71. Sometimes for at least 2 weeks is fatigued or has loss of energy Not At AllJust A LittleQuite A BitVery Much72. Sometimes for at least 2 weeks has feelings of worthlessness or excessive, inappropriate guilt Not At AllJust A LittleQuite A BitVery Much73. Sometimes for at least 2 weeks has diminished ability to think or concentrate Not At AllJust A LittleQuite A BitVery Much74. Chronic low self-esteem most of the time for at least a year Not At AllJust A LittleQuite A BitVery Much75. Chronic poor concentration or difficulty making decisions most of the time for at least a year Not At AllJust A LittleQuite A BitVery Much76. Chronic feelings of hopelessness most of the time for at least a year Not At AllJust A LittleQuite A BitVery Much77. Currently is hypervigilant (overly watchful or alert) or has exaggerated startle response Not At AllJust A LittleQuite A BitVery Much78. Currently is irritable, has anger outbursts, or has difficulty concentrating Not At AllJust A LittleQuite A BitVery Much79. Currently has an emotional (e.g., nervous, worried, hopeless, tearful) response to stress Not At AllJust A LittleQuite A BitVery Much80. Currently has a behavioral (e.g., fighting, vandalism, truancy) response to stress Not At AllJust A LittleQuite A BitVery Much81. Has difficulty getting started on classroom assignments Not At AllJust A LittleQuite A BitVery Much82. Has difficulty staying on task for an entire classroom period Not At AllJust A LittleQuite A BitVery Much83. Has problems in completion of work on classroom assignments Not At AllJust A LittleQuite A BitVery Much84. Has problems in accuracy or neatness of written work in the classroom Not At AllJust A LittleQuite A BitVery Much85. Has difficulty attending to a group classroom activity or discussion Not At AllJust A LittleQuite A BitVery Much86. Has difficulty making transitions to the next topic or classroom period Not At AllJust A LittleQuite A BitVery Much87. Has problems in interactions with peers in the classroom Not At AllJust A LittleQuite A BitVery Much88. Has problems in interactions with staff (teacher or aide) Not At AllJust A LittleQuite A BitVery Much89. Has difficulty remaining quiet according to classroom rules Not At AllJust A LittleQuite A BitVery Much90. Has difficulty staying seated according to classroom rules Not At AllJust A LittleQuite A BitVery MuchSubmit SNAP-IV Teacher and Parent Rating Scale Home SNAP-IV Teacher and Parent Rating Scale Please enable JavaScript in your browser to complete this form.Email *NameGenderAgeGradeEthnicity (select one which applies best):African-AmericanAsianCaucasianHispanicOtherCompleted byType of classClass size:For each item, check the column which best describes this child1. Often fails to give close attention to details or makes careless mistakes in schoolwork or tasks Not At AllJust A LittleQuite A BitVery Much2. Often has difficulty sustaining attention in tasks or play activities Not At AllJust A LittleQuite A BitVery Much3. Often does not seem to listen when spoken to directly Not At AllJust A LittleQuite A BitVery Much4. Often does not follow through on instructions and fails to finish schoolwork, chores, or duties Not At AllJust A LittleQuite A BitVery Much5. Often has difficulty organizing tasks and activities Not At AllJust A LittleQuite A BitVery Much6. Often avoids, dislikes, or reluctantly engages in tasks requiring sustained mental effortNot At AllJust A LittleQuite A BitVery Much7. Often loses things necessary for activities (e.g., toys, school assignments, pencils, or books) Not At AllJust A LittleQuite A BitVery Much8. Often is distracted by extraneous stimuli Not At AllJust A LittleQuite A BitVery Much9. Often is forgetful in daily activities Not At AllJust A LittleQuite A BitVery Much10. Often has difficulty maintaining alertness, orienting to requests, or executing directionsNot At AllJust A LittleQuite A BitVery Much11. Often fidgets with hands or feet or squirms in seatNot At AllJust A LittleQuite A BitVery Much12. Often leaves seat in classroom or in other situations in which remaining seated is expectedNot At AllJust A LittleQuite A BitVery Much13. Often runs about or climbs excessively in situations in which it is inappropriateNot At AllJust A LittleQuite A BitVery Much14. Often has difficulty playing or engaging in leisure activities quietly Not At AllJust A LittleQuite A BitVery Much15. Often is “on the go” or often acts as if “driven by a motor” Not At AllJust A LittleQuite A BitVery Much16. Often talks excessively Not At AllJust A LittleQuite A BitVery Much17. Often blurts out answers before questions have been completeNot At AllJust A LittleQuite A BitVery Much18. Often has difficulty awaiting turnNot At AllJust A LittleQuite A BitVery Much19. Often interrupts or intrudes on others (e.g., butts into conversations/games)Not At AllJust A LittleQuite A BitVery Much20. Often has difficulty sitting still, being quiet, or inhibiting impulses in the classroom or at homeNot At AllJust A LittleQuite A BitVery Much21. Often loses temperNot At AllJust A LittleQuite A BitVery Much22. Often argues with adultsNot At AllJust A LittleQuite A BitVery Much23. Often actively defies or refuses adult requests or rulesNot At AllJust A LittleQuite A BitVery Much24. Often deliberately does things that annoy other peopleNot At AllJust A LittleQuite A BitVery Much25. Often blames others for his or her mistakes or misbehavior Not At AllJust A LittleQuite A BitVery Much26. Often touchy or easily annoyed by othersNot At AllJust A LittleQuite A BitVery Much27 Often is angry and resentfulNot At AllJust A LittleQuite A BitVery Much28. Often is spiteful or vindictiveNot At AllJust A LittleQuite A BitVery Much29. Often is quarrelsomeNot At AllJust A LittleQuite A BitVery Much30. Often is negative, defiant, disobedient, or hostile toward authority figuresNot At AllJust A LittleQuite A BitVery Much31. Often makes noises (e.g., humming or odd sounds) ______ ______ ______ ______Not At AllJust A LittleQuite A BitVery Much32. Often is excitable, impulsiveNot At AllJust A LittleQuite A BitVery Much33. Often cries easilyNot At AllJust A LittleQuite A BitVery Much34. Often is uncooperativeNot At AllJust A LittleQuite A BitVery Much35. Often acts “smart” Not At AllJust A LittleQuite A BitVery Much36. Often is restless or overactiveNot At AllJust A LittleQuite A BitVery Much37. Often disturbs other childrenNot At AllJust A LittleQuite A BitVery Much38. Often changes mood quickly and drastically Not At AllJust A LittleQuite A BitVery Much39. Often easily frustrated if demand are not met immediatelyNot At AllJust A LittleQuite A BitVery Much40. Often teases other children and interferes with their activitiesNot At AllJust A LittleQuite A BitVery Much41. Often is aggressive to other children (e.g., picks fights or bullies)Not At AllJust A LittleQuite A BitVery Much42. Often is destructive with property of others (e.g., vandalism)Not At AllJust A LittleQuite A BitVery Much43. Often is deceitful (e.g., steals, lies, forges, copies the work of others, or “cons” others)Not At AllJust A LittleQuite A BitVery Much44. Often and seriously violates rules (e.g., is truant, runs away, or completely ignores class rules)Not At AllJust A LittleQuite A BitVery Much45. Has persistent pattern of violating the basic rights of others or major societal normsNot At AllJust A LittleQuite A BitVery Much46. Has episodes of failure to resist aggressive impulses (to assault others or to destroy property)Not At AllJust A LittleQuite A BitVery Much47. Has motor or verbal tics (sudden, rapid, recurrent, nonrhythmic motor or verbal activity)Not At AllJust A LittleQuite A BitVery Much48. Has repetitive motor behavior (e.g., hand waving, body rocking, or picking at skin)Not At AllJust A LittleQuite A BitVery Much49. Has obsessions (persistent and intrusive inappropriate ideas, thoughts, or impulses) Not At AllJust A LittleQuite A BitVery Much50. Has compulsions (repetitive behaviors or mental acts to reduce anxiety or distress)Not At AllJust A LittleQuite A BitVery Much51. Often is restless or seems keyed up or on edgeNot At AllJust A LittleQuite A BitVery Much52. Often is easily fatiguedNot At AllJust A LittleQuite A BitVery Much53. Often has difficulty concentrating (mind goes blank) Not At AllJust A LittleQuite A BitVery Much54. Often is irritable Not At AllJust A LittleQuite A BitVery Much55. Often has muscle tension Not At AllJust A LittleQuite A BitVery Much56. Often has excessive anxiety and worry (e.g., apprehensive expectation) Not At AllJust A LittleQuite A BitVery Much57. Often has daytime sleepiness (unintended sleeping in inappropriate situations) Not At AllJust A LittleQuite A BitVery Much51. Often is restless or seems keyed up or on edge (copy) (copy)Not At AllJust A LittleQuite A BitVery Much58. Often has excessive emotionality and attention-seeking behavior Not At AllJust A LittleQuite A BitVery Much59. Often has need for undue admiration, grandiose behavior, or lack of empathy Not At AllJust A LittleQuite A BitVery Much60. Often has instability in relationships with others, reactive mood, and impulsivity Not At AllJust A LittleQuite A BitVery Much61 Sometimes for at least a week has inflated self esteem or grandiosity Not At AllJust A LittleQuite A BitVery Much62. Sometimes for at least a week is more talkative than usual or seems pressured to keep talking Not At AllJust A LittleQuite A BitVery Much63. Sometimes for at least a week has flight of ideas or says that thoughts are racing Not At AllJust A LittleQuite A BitVery Much64. Sometimes for at least a week has elevated, expansive or euphoric mood Not At AllJust A LittleQuite A BitVery Much65. Sometimes for at least a week is excessively involved in pleasurable but risky activities Not At AllJust A LittleQuite A BitVery Much66. Sometimes for at least 2 weeks has depressed mood (sad, hopeless, discouraged) Not At AllJust A LittleQuite A BitVery Much67. Sometimes for at least 2 weeks has irritable or cranky mood (not just when frustrated) Not At AllJust A LittleQuite A BitVery Much68. Sometimes for at least 2 weeks has markedly diminished interest or pleasure in most activities Not At AllJust A LittleQuite A BitVery Much69. Sometimes for at least 2 weeks has psychomotor agitation (even more active than usual) Not At AllJust A LittleQuite A BitVery Much70. Sometimes for at least 2 weeks has psychomotor retardation (slowed down in most activities) Not At AllJust A LittleQuite A BitVery Much71. Sometimes for at least 2 weeks is fatigued or has loss of energy Not At AllJust A LittleQuite A BitVery Much72. Sometimes for at least 2 weeks has feelings of worthlessness or excessive, inappropriate guilt Not At AllJust A LittleQuite A BitVery Much73. Sometimes for at least 2 weeks has diminished ability to think or concentrate Not At AllJust A LittleQuite A BitVery Much74. Chronic low self-esteem most of the time for at least a year Not At AllJust A LittleQuite A BitVery Much75. Chronic poor concentration or difficulty making decisions most of the time for at least a year Not At AllJust A LittleQuite A BitVery Much76. Chronic feelings of hopelessness most of the time for at least a year Not At AllJust A LittleQuite A BitVery Much77. Currently is hypervigilant (overly watchful or alert) or has exaggerated startle response Not At AllJust A LittleQuite A BitVery Much78. Currently is irritable, has anger outbursts, or has difficulty concentrating Not At AllJust A LittleQuite A BitVery Much79. Currently has an emotional (e.g., nervous, worried, hopeless, tearful) response to stress Not At AllJust A LittleQuite A BitVery Much80. Currently has a behavioral (e.g., fighting, vandalism, truancy) response to stress Not At AllJust A LittleQuite A BitVery Much81. Has difficulty getting started on classroom assignments Not At AllJust A LittleQuite A BitVery Much82. Has difficulty staying on task for an entire classroom period Not At AllJust A LittleQuite A BitVery Much83. Has problems in completion of work on classroom assignments Not At AllJust A LittleQuite A BitVery Much84. Has problems in accuracy or neatness of written work in the classroom Not At AllJust A LittleQuite A BitVery Much85. Has difficulty attending to a group classroom activity or discussion Not At AllJust A LittleQuite A BitVery Much86. Has difficulty making transitions to the next topic or classroom period Not At AllJust A LittleQuite A BitVery Much87. Has problems in interactions with peers in the classroom Not At AllJust A LittleQuite A BitVery Much88. Has problems in interactions with staff (teacher or aide) Not At AllJust A LittleQuite A BitVery Much89. Has difficulty remaining quiet according to classroom rules Not At AllJust A LittleQuite A BitVery Much90. Has difficulty staying seated according to classroom rules Not At AllJust A LittleQuite A BitVery MuchSubmit
