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The Conners 3 Rating Scales Template

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The Conners 3 Rating Scales are behavior rating scales designed to measure common indices
of Attention Deficit/Hyperactivity Disorder (inattention, hyperactivity and problem behaviors) in
children across the home and school environments.
The teacher rating scale is specifically designed to address behavior within the school setting
and the parent rating scale is designed to address behavior within the home. A Parent Rating
Scale was completed by __________ mother, on_______. A Teacher Rating Scale was
completed by _________ on ________.
Results are reported using T-scores with a mean of 50 and a standard deviation of 10. T-scores
indicate the clinical significance of problem behavior as compared to same age, same gender
peers.
T-Score
Description
>70
Very Elevated - significantly more concerns than typically reported
60-69
Elevated - more concerns than typically reported
40-59
Average - typical level of concern
<40
Low Score - fewer concerns than typically reported
The following scores were obtained:
According to parent report,
According to teacher report,
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