Profile for Females: Conners' Parent Rating Scale—Revised (S)

Child's ID: Gender: M F

(Circle One)

Birthdate: Age: School Grade:

Month Day Year

Parent's ID: Today's Date:

Month Day Year

B. Cognitive Problems/ D. Conners'

ADHD Index

T 1
A. Oppositional

2 3 4 5 1
Inattention

2 3 4 5 1
C. Hyperactivity

2 3 4 5 1 2 3 4 5
Note:
—
90
89 .
.
16
17 16 17
12 15
16
.
.
16 .
15 .
9
27
.
33
32
30 .
28 -
.
29
For age-groups:
88 15 . 16 , . • 26 . 29 27 28
87 14 . 16 15 16 . . 15 12 14 6 . 31 28
86 15 . 14 . . . 25 30 . 26 27 ' Column 1: ages 3 to 5
85 . . . . . 11 14 . 15 . . . . . 27 . .
84 13 . 15 14 15 . 14 . . 13 8 24 29 26 25 26
82 14 . 13 . . 14 11 . . 28 . 24 25
82 13 . . . . 2.3 25 . . Column 2: ages 6 to 8
81 . . 14 13 14 10 . . 13 . . 12 22 27 24 23 24
80 12 13 . 12 . . 13 . . 5 5 26 . 23
79
78 . . 13 12 13
.
.
12
12
. .
.
10
11
. 7 21
. 25
23 22
.
.
22
Column 3: ages 9 to 11
77 11 12 . 9 11 . . 12 20 24 22 21 .
76 . 12 . 12 11 9 23 21 20 21
75
74
.
.
.
11
.
.
11 .
8
.
10
.
.
11
.
.
11
10
.
.
6
19
. 22 20 19
20
.
Column 4: ages 12 to 14 —

73 10 . 11 . 11 . 10 4 4 . 18 21 19 . 19
72 1.0 . . . 18
71 10 . 10 . 10 17 20 18 17 18 Column 5: ages 15 to 17 —
70 9 . 10 . 10 7 9 9 . . 19 . . 17
69 . . 9 8 5 16 . 17 16 • .
68 9 9 8 . 7 15 18 16 16
67 9 9 8 8 . . . 17 . 15 . Please see back of scoring
66 8 . 6 8 7 . 3 3 14 . 15 14 15
65 8 7 16 14 . 14 sheet for Scale Descriptions —
64 . 8 8 . 8 . . 7 7 6 4 . 13 15 . 13 .
63 7 . . 5 . . . 7 . 6 . . . . . 13 . 13
62
61 . 7 7
7
. 7
6
6 6 . ....
12
.
14
13
.
12
12 12
11 .
Please see reverse for
60
59 6 6 . 4 5 5
.
.
6
.
5
.
5 3
.
.
2
.
2
11
.
.
12
11
.
.
10
11
. 1 CPRS—R Male Profile
58 6 6 6 5 5 ... 10 11 10 . 10
57 4 . 9 9 9
56 5 . . 5 4 4 4 4 9 10 8 .
55 5 5 . 5 3 . . . 4 2 8 9 8 .
54 • - • - - • . . . . ..... . 8 . 7
53 . . 4 . . 3 3 3 3 3 . . . 7 . 7 . 7
52 4 4 4 . 4 3 1 1 . 7 6 6 6
51 2 .
50 3 3 2 2 2 2 1 5 .
49 3 3 . 3 . . 2 2 5 5 4 4
48 . . . . . 1 . . . . .. 4
47 . . 2 2 . . 1 1 1 1 . 1 4 3 3 3
46 2 2 0 . 3 2 .
45 2 1 0 0 3 2 2 .
44 1 0 0 0 0 0 0 . . 1 1 1
43 1 . 1 1 . . . . . . 2 1
42 1 . . • . . . . . 0 . . . . 1 0 0 0 0
41
40
39 • ... - - •
38 0
' ... . • • •

MMHS Copyright tt) 1997, Multi-Health Systems Inc. All rights reserved. In the United States, P.O. Box 950, North Tonawanda, NY 14120-0950, 1-800-456-3003.
In Canada, 3770 Victoria Park Ave., Toronto, ON M2H 3M6, 1-800-268-6011, 1-416-492-2627, Fax 1-416-492-3343.
 Profile for Males: Conners' Parent Rating Scale—Revised (S)

Child's ID: Gender: M F

(Circle One)

Birthdate: / / Age: School Grade:

Month Day Year

Parent's ID: Today's Date:

Month Day Year

B. Cognitive Problems/ D. Conners'

A. Oppositional Inattention C. Hyperactivity ADHD Index
T 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
Note:
90
89 . 18
17 18 .
36
For age-groups:
88 17 . . 16 17 15 12 7 35
87 . 18 . 16
86
85
18
. 16
17 .
17
.
15 15 . 16 14 . 36
34
33
Column 1: ages 3 to 5
84 17 . . . 11 35 . 32
83 . . 16 . . . . . 36 . 36
82 . 15 .
.
16
,
14 14 18 . 15 13 . 6 34 35 36 35 31 Column 2: ages 6 to 8
81 16 . . . . . 18 . . 10 . 33 34 . 34 30
80 . . 15 . . . . . 18 . 14 . . 32 33 35 33 29
79 . 14 . 15 13 13 17 18 . . 12 . 31 34 . .
78 15 . 14 . . 17 17 . 32 33 32 28 Column 3: ages 9 to 11
77 . 13 . 14 . 16 17 18 . . 13 . 9 30 31 32 31 27
76 14 . . . 12 12 . . . 16 16 . 11 . 29 30 31 30 26
75
74
.
.
.
12
13
.
.
13 .
. 15 16 17
.
.
15 15 12 . .
. 5 28
.
29
28
30
.
29
28 25
Column 4: ages 12 to 14 —

73 13 . . 11 11 14 15 16 . . . 10 8 27 . 29 24
72 12 . . 14 14 11 . 26 27 28 27 23
71 11 12 10 14 15 . 25 26 27 26 . Column 5: ages 15 to 17 —
70 12 . . . 10 13 . . . . . 9 7 24 25 26 25 22
69 . 11 11 13 14 13 13 10 . 4 24 25 24 21
68 11 10 . . 9 12 . . . . . 23 23 24 23 .
67
66 .
. .
.
10
.
.
10 .
.
.
.
11
12 13 12 12 . 8 . . 22 . 23 22 20
19
Please see back of scoring
. . . . 9 . 6 21 22 .
65 10 9 . . . 8 . 11 12 11 11 . . 21 22 21 18 sheet for Scale Descriptions —
64 • . 9 9 8 . 10 . . . . 8 7 . 20 20 21 20 .
63 . . 10 11 10 . . . 5 3 19 19 20 19 17
62
61
9
.
8
.
.
8
.
8
7 9
. 9
. .
10
.
9
10
. 7
. .
6
.
.
18
17
18
.
19
18
18
17
16
15 Please see reverse for
8 . 17 . .
60
59 7 7 6 8 9
. .
8
9
.
.
5
.
4
. .
16
17
16 16 16 14 CPRS—R Female Profile
58 . . . 7 6 8 . 8 6 15 15 . 15 13
57 7 6 . . 7 . 8 7 . . 2 14 14 15 14 12
56 6 6 5 . 7 7 5 4 3 13 14 13 .
55 5 6 7 13 . 13 12 11
54 6 5 . . . 4 . 6 . 6 . . . . . 12 12 12 11 10
53 . . 5 5 . 5 6 6 4 3 . 11 11 11 . 9
52 5 . . . 4 . 5 5 2 . 10 10 10 10 .
51 4 3 . 5 5 1 9 9 8
50 4 4 4 4 4 3 2 9 9 8 7
49 4 3 4 4 8 8 8 7
48 3 3 3 . 2 3 3 3 3 . 2 . 1 7 7 7 6
47 3 1 6 6 6 5
46 2 2 2 2 2 3 . 5 5 4
45 2 2 2 1 1 0 0 5 4 4
44 2 1 1 1 1 2 0 . 4 3 3
43 1 1 3 3 . 2 2
42 . 1 1 0 . 0 0 0 1 0 2 2 1 1
41 1 . . . 0 . . 2 1 1 0
40 0 0 0 0 1
39 0 0 - 0 .
38 . . . . .

Copyright 1.0 1997, Multi-Health Systems Inc. All rights reserved. In the United States, P.O. Box 950, North Tonawanda, NY 14120-0950, 1-800-456-3003.
In Canada, 3770 Victoria Park Ave., Toronto, ON M2H 3M6, 1-800-268-6011, 1-416-492-2627, Fax 1-416-492-3343.