ADAPTIVE BEHAVIORSCALES CLASSROOMEDITION

1 , , : ABOUTTHETEACHER:Name SexName SexHomeAddress GradeorsubjectareaSchoolBEFORECOMPLETING THISQUESTIONNAIRE, :Forreferencewhencomputingthescores, ()GradeSchoolDATAFROMOTHERTESTS:Presentc lassificationordiagnosisIntelligenceRace (ifpertinent)Socioeconomicbackground(ifp ertinent)AchievementOtherpertinentinform ationAdaptivebehaviorAGE:YEARMONTHDAYQ uestionnairedateOtherBirthdateChronologi calageREASONFORTHEQUESTIONNAIRE:ITEMSCOR ES2-Yes,usually1-Sometimesorpartially0-N o, (Forexample,thechildsays"buh-buh,""ma-ma ,"or"wa-wa."Ifthechildsayswords, "yes,"..no,"and"Iwant." ,vocallyorbygesture,whenofferedachoice(f orexample,"Wouldyouliketogoto thestoreorwatchTV?"). ,ortwonouns(forexample,"Sallygo"or"Mikec hair'"). (Correctgrammarandarticulationarenotrequ iredtoscore2.) , (forexample,"We'regoingtotheplayground") . (Thechildmayusesinglewordsorsimplephrase s,suchas"cook,""doggy,"and"playball"tosc ore2.) (Theamountofdetail,notgrammarorarticulat ion,isimportant.))

2 , pleasedeterminethatyourecordeda "no"(forexample,stopsanongoingactivityor indicatesknowledgethatitshouldstop). "yes"or"okay"(forexample,smilesorproceed swithanactivity). atleast10words(forexample,picksupabookwh enasked,"Where'syourbook?'"). atleastonemajorbodypartwhenasked.(Exampl esarehead,face,eyes,nose,mouth,arms,andl egs.) (Thechildpointstohead,face,eyes,nose,mou th,arms,legs,hands,feet,fingers,elbows,t eeth,ears,tongue,neck,knees,toes,stomach ,andhair.) (Ifthechildattendsonlyto"interesting"lec tures,score1.) (Examplesare"Getyourbook"and"Findyoursho e.") "if-then"form.(Thewordthenmaybeinferred, asin "ifyouarecold,getasweater.")FORPERSONSCO RINGANDINTERPRETINGONLY:Sumof2s,1s,OsREC EPTIVERAWSCORE(Totalobservedandestimated sums) "what,""where,""who,""why,"and"when."(Th echildmustuseallofthesewords.) ,friends,or peers, (Theareacodeisnotrequiredforascoreof 2.) ,includingcityandstate,whenasked.(Thezip codeisnotrequiredforascoreof 2.) ,fairytale,lengthyjoke, (Forexample,thechildanswerscorrectlywhen asked,"Whichisbigger,acatoramouse?)

3 ") "a"and"the"inphrasesorsentences.(Example sare"adog"and"theball."Ifthechilduseseit her"a"or"the"appropriately,butnotboth,sc ore1.) "behind"or"between"asa prepositioninaphrase(forexample,"behindt hedesk"or"betweenthetableandthewindow"). "around"as a prepositioninaphrase(forexample,"aroundt hecorner'"). "but"and"or."(Examplesare"MikeorSue"and" Iwanttogo, butJanewantstostayhere."Score1ifthechild useseither"but"or"or"butnotboth.)Observe dPerformanceITEMSCORES2-Yes,usually1-Som etimesorpartially0-No, (forexample,"geese,""mice,"and"women"),w hichrequireachangeinformotherthanaddinga ns to thesingular.(Ifthechildusesmostirregular pluralscorrectly,score2.) ,withoutsoundsubstitutions.(Examplesofso undsubstitutionsare"frow" "for ,score1.) ,withoutassistance.(Forexample,thechilds ays,"She'saniceperson.. Imeancheerful,happy,friendly.") (forexample,givesdirectionstoaplacesomed istanceaway). (Ifthechildmakesonlyisolatedcommentssuch as"Iwanttobeateacher,"withnofollow-uponh owthiswouldbeachieved,score0.

4 FORPERSONSCORINGANDINTERPRETINGONLY:Sumo f2s,1s,OsEXPRESSIVERAWSCORE(Totalobserve dandestimatedsums) ,pleasedeterminethatyourecordeda ( "ABCsong"butdoesnotsaythealphabet,score1 .) , (ExamplesareIn,Push,Restrooms, ,score1 .) (forexample,TheCatintheHatorLittleBear) (Interestandspontaneousselectionof abookareimportant.) atleastsecond-gradelevelsilentlyoraloud. (Abilityismoreimportantthaninterest.) atleastfourth-gradelevelsilentlyoraloud. (Abilityismoreimportantthaninterest.) (Thechildmusthavereadandunderstoodatleas ttwonewspaperstoriestoscore2.) , (Thechildmusthaveindependentlyarrangedin dexcardsorotheritemsalphabetically,orhav ealphabetizedalistofwords,atleasttwiceto score2.) (Ifhelpisneededinspellingawordinordertof indtheentry, ) (Thechildmusthaveusedatableofcontentsind ependentlyatleasttwicetoscore2.) (Thechildmusthaveusedanindexindependentl yatleasttwicetoscore2.) fourwords.(Perfectgrammarspellingisnotne cessary.) (Thechildmusthaveindependentlywrittenatl eastthreenotesormessagestoscore2andoneno tetoscore1.)

5 (Ifthechildwritesonlyhisor hernameincursive,score0.) (Thechildmusthavewrittenandmailedatleast twolettersofatleastthreesentenceseach.) (Thechildmusthavewrittenandmailed,onowni nitiative,atleastfivelettersof atleast10sentenceseachtoscore2,andatleas tthreesuchletterstoscore1 .) (Thechildmusthaveindependentlywrittenand mailedatleasttwobusinessletters.)DONOTSC ORE1 . ( ,score1 .) (Thechildmusthavewrittenatleasttworeport sorcompositionsof atleastonepageeach.) :ITEMSCORES2-Yes,usually1-Sometimesorpar tially0-No,neversimplesentencesoforSumof 2s,1s,OsWRITTENRAWSCORE(Totalobservedand estimatedsums) , (forexample,zwiebackorgrahamcrackers;som eoneelsemayholdthefood). (Examplesarecookedvegetables,choppedmeat , ,butthefoodneednotbedifficulttochew.) (Somespillingwhiledrinkingmayoccur.) (Ifthechildisnotgivenstraws,score0.) (Thechildmaybeassistedingettingaglassfro ma highcupboard,andmaystandon a chairtoreachthefaucet.) (Somespillingmayoccur.) (Thechildneednotholdthespooncorrectlytos core2.)

6 (Somespillingmayoccur.) ,fork, ,vocalizing(otherthancrying), (Ifthechildhasonlypartialbladdercontrol, score1.) potty-chair.(Ifthechildhasonlypartialbow elcontrol,score1 .) , ,usually1-Sometimesorpartially0-No, ( ,score0.) ,includingflushingtoiletandwashinghands, , ,anddriesface, , . (Ifthechildisnotawarethatnoseisbeingwipe d,score0.) ,dry,andcomborbrushhair,butmayhavehelpin parting,styling, ,keepingnailscleanandtrimmedwithnailclip per,scissors, ,tissue, ,withoutbeingreminded.(Ifthechildallowsc ontactwithpersonswithcolds,butavoidsthos ewithmoreseriouscontagiousillnesses, theissueofcontagion,score0.)Thenextitemi son , ,withoutassistance.(Thechildmustavoidcon tactwithpersonsknownto beill,careforcutsandburns,takemedicinean duseathermometerproperly,andknowhowtorea cha , ,score0.) ,sweater,orshirtwithoutassistance.(Thech ildmaybeassistedinunbuttoningorunzipping thegarment.) (Thechildneednottieorbuckleshoestoscore2 .) "pull-up"garmentscorrectlywithoutassista nce.

7 (Forexample,thechildputsonpantswithelast icwaistbands,underpants,ortights-rightsi deout,frontinfront.) ,exceptfortyiligshoelaces.(Thechildmustp utonunderwearandclothescorrectly,includi ngfasteningallfasteners,toscore2.) ,includingzippers, , ,withoutbeingreminded.(Forexample,thechi ldtakesanumbrellaorraincoatifrainislikel y.)FORPERSONSCORINGANDINTERPRETINGONLY:S umof2s,1 s,OsPERSONALRAWSCORE(Totalobservedandest imatedsums) (forexample,changinglightbulbs,replacing batteries,uncloggingdrains) (Mostofthesettingmustbedonecorrectlybyth echildtoscore2.) , ,whenasked.(Thechildmustalsotakethetable warefromthestorageplace.) (forexample,cakemixesorinstantmashedpota toes). , (forexample,brownies,pancakes,scramblede ggs), (Themealsmustusuallyincludemaincourse,ve getable, suchmeals, ,orreceivesassistanceinplanningbutnotpre paration,score1.) ,snaps,orhooksonclotheswhenasked.(Thechi ldmayneedassistanceinthreadingtheneedlea ndknottingthethread.) ,drying,ironing, :8 Sumof2s,1 s,OsDOMESTICRAWSCORE(Totalobservedandest imatedsums)ObservedPerformance2102102111 02111022111021110211102002110 ITEMSCORES2-Yes,usually1-Sometimesorpart iallyO-No,never ,food,ormoneyfromstrangers.

8 (Verbalizationofunderstandingissufficien t;thechildneednothaveactualexperiencewit hstrangerstoscore2.) road, ' , , (Thenumbermaybe suppliedbyanotherperson.) ( ,butmustanswercorrectlywhenasked,"Whatnu mberwouldyoucallinanemergency?") ,withoutassistance.( ,score1.) , ,042110 ITEMSCORES2-Yes,usually1-Sometimesorpart ially0-No,never (includingmaindish,saladorvegetable,andb everage)inrestaurant.(Ifthechildcannotre adthemenu,score0.) (Ifthechildcountsto10butnotto20, ,score0.) ,onebyone.(Ifthechildcounts5ormoreobject sbutnot10, ,score0.) (Ifthechildrecognizesallnumeralsthrough1 0andsome,butnotall,ofnumerals11through19 ,score1.) (Onlyoneofthenumeralsneedhavetwodigitsto score2,forexample,75+8.) (Onlyonenumeralneedhavetwodigitstoscore2 ,forexample,75-8.) ,tapemeasure, :+, -,X,=.(Ifthechilddemonstratesunderstandi ngofonlytwoorthreeofthesigns,score1.)The nextitemisonthe , pleasedeterminethatyourecordeda (incents)ofpenny,nickel,dime,andquarter. (Ifthechildstatesthevalueof one,two,or threeofthesecoins,score1.)

9 (forexample,abicycleorelectronicgame). , (forexample,food,entertainment,andlaundr y). (forexample,utilitiesandrent). ,payingallownexpensesexceptroomandboard. (Ifthechildmanagesmoneyresponsiblybutman yexpensesare paidby thecaregiver,score1.) (Ifthechildhasasavingsaccountonly,score0 .) ,eitherstandardordigital.(Forexample,the childlooksat aclockandasks,"Whattimeisit?") (notdigital)clock.(Forexample,thechildsa ys,"It'sfivetoone"or"It'stwentyaftersix. ") (dayoftheweek,month,date,andyear) ,3,anda.(Ifthechilddemonstratesunderstan dingof onlyoneortwoofthefractions,score1.) thefollowingsymbols:$,=,%,and[decimalpoi nt].(Ifthechilddemonstratesunderstanding ofonlytwoorthreeof thesymbols,score1.) emultiplicationtablesthrough9.(Ifthechil ddemonstratesknowledgeofthemultiplicatio ntablesthroughsomenumberbetween1and9,sco re1 .)FORPERSONSCORINGANDINTERPRETINGONLY:10 Sumof2s,1s,OsCOMMUNITYRAWSCORE(Totalobse rvedandestimatedsums)ObservedPerformance 2111020 ITEMSCORES2-Yes,usually1-Sometimesorpart iallyO-No,never (forexample,givesagiftorperformsahelpful task).

10 ,sadness,fear,andangerinself(forexample, says,"I'msad"). ,suchasclappinghandsorwavinggood-bye,inr esponseto (Forexample,thechildimitatessweeping,ham meringnails, ) (Forexample,thechildhasonedollcalltoanot her,"Honey,I'mhome.") (forexample,"Mommy,""Daddy,"afirstname,o ranickname). characteristicsotherthanname,whenasked(f orexample,says,"That'sTony'ssister") (Thechildmustunderstandwhatisbeingsaid,n otsimplyrespondtothetoneofvoice,toscore2 .) (Forexample,thechildcongratulatesafriend whoreceivesanaward.) (Ifthechilddoesso onlywhenthetopicisalsoofinteresttothechi ld,score0.) , pleasedeterminethatyourecordeda ,usually1-Sometimesorpartially0-No, (forexample,pots,spoons,orcardboardboxes ). (forexample,peekabooorshakinghands). (forexample,tug-of-warorball). ,aloneorwithothers(forexample,playingsch ool,orotheractivitieswithmorethanonerole andmorethanonestep). (forexample,Rummy,Monopoly,checkers,orel ectronicgamesrequiringskill). , (forexample,asportshero,historicalera,or speciesof animal).