Teacher Initial Assessment - UofL Physicians 2026

The document is a NICHQ Vanderbilt Assessment Scale designed for teachers to evaluate a child's behavior and performance in school. It includes a series of symptoms and performance metrics that the teacher rates based on the child's behavior since the beginning of the school year, considering whether the child was on medication. The assessment aims to identify attention-related issues and behavioral problems, providing a structured format for teachers to report their observations.

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Click ‘Get Form’ to open the Teacher Initial Assessment in the editor.
Begin by filling in your name, class time, and class name/period at the top of the form. This information is essential for identifying the assessment context.
Enter today’s date and the child’s name along with their grade level. This helps in tracking the assessment over time.
In the directions section, indicate how long you have been evaluating the child's behaviors. Select whether this evaluation is based on a time when the child was on medication, not on medication, or if you're unsure.
Proceed to rate each symptom listed under 'Symptoms' by selecting Never, Occasionally, Often, or Very Often. Be sure to consider what is appropriate for the child's age.
Continue filling out performance ratings for academic subjects and classroom behavior using a similar rating scale.
Add any additional comments in the designated section to provide further insights into your observations.
Finally, ensure all fields are completed before submitting the form via email or fax as indicated at the bottom.

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