ADHD Screening Questionnaire (SNAP-IV) - Teacher Version

James M Swanson, Ph.D, University of California, Irvine, CA92715

Required
Required
Required
Required
Required
Required
Required
Required

For each item, check the column which best describes this child/adolescent

1. Often fails to give close attention to details or makes careless mistakes in schoolwork or tasks Required
2. Often has difficulty sustaining attention in tasks or play activities Required
3. Often does not seem to listen when spoken to directly Required
4. Often does not follow through on instructions and fails to finish schoolwork, chores, or duties Required
5. Often has difficulty organizing tasks and activities Required
6. Often avoids, dislikes, or reluctantly engages in tasks requiring sustained mental effort Required
7. Often loses things necessary for activities (e.g. toys, school assignments, pencils or books) Required
8. Often is distracted by extraneous stimuli Required
9. Often is forgetful in daily activities Required
10. Often fidgets with hands or feet or squirms in seat Required
11. Often leaves seat in classroom or in other situations in which remaining seated is expected Required
12. Often runs about or climbs excessively in situations in which it is inappropriate Required
13. Often has difficulty playing or engaging in leisure activities quietly Required
14. Often is “on the go” or often acts as if “driven by a motor” Required
15. Often talks excessively Required
16. Often blurts out answers before questions have been completed Required
17. Often has difficulty awaiting turn Required
18. Often interrupts or intrudes on others (e.g., butts into conversations/ games) Required
19. Often loses temper Required
20. Often argues with adults Required
21. Often actively defies or refuses adult requests or rule Required
22. Often deliberately does things that annoy other people Required
23. Often blames others for his or her mistakes or misbehaviour Required
24. Often is touchy or easily annoyed by others Required
25. Often is angry and resentful Required
26. Often is spiteful or vindictive Required

Thank you for taking the time to complete and return this questionnaire. This information will aide the ADHD assessment of the young person being referred. We understand you may not be able to answer all of the questions and some may be more difficult for you to answer. Please complete as much of the information as possible. If you’re able to offer some examples comparison with other children this would be helpful.

Please also include any views of other teachers and or professionals working with this child and not the view of the parents, a parent referral has been sent directly to parent/carer to complete.

Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Any current safeguarding concerns? Required
Required
Do you think the young person is aware of these difficulties? Required
Required
Required
Required
Required
Do you think they are happy in school Required
Do they participate in clubs or activities? Required
Required
Required
Required
Required
Required
Higher needs funding? Required
EHCP? Required
Homework, is this completed and returned? Required
Any involvement previously or currently with Educational Psychologist? Required
Required
Required
Required
Required
Required
Required
Required

Additional Supporting Information

If there is any additional relevant information which would support the assessment of ADHD please upload it here