UA ADHD Battery Scoring Program

Background Information
Name:
ID:
Age:
Gender:
Education:
Examiner:
Date of Evaluation:

Rey Auditory Verbal Learning Test (RAVLT)

Trial A1:
A1 Instrusions:

Trial A2:
A2 Intrusions:

Trial A3:
A3 Intrusions:

Trial A4:
A4 Intrusions:

Trial A5:
A5 Intrusions:

Trial B:
B Intrusions:

Trial A6 (Immediate Delay):
A6 Intrusions:

Trial A7 (Long Delay):
A7 Intrusions:

Recognition A:
Recognition B:

Trail Making Test (TMT)
Version A (time in seconds):
A Number of errors:

Version B (time in seconds):
B Number of errors:

Oral Trail Making Test (Oral TMT)
Version A (time in seconds):
A Number of errors:

Version B (time in seconds):
B Number of errors:

Golden Stroop
Word (45 seconds):
Word Errors:

Color (45 seconds):
Color Errors:

Color-Word (45 seconds):
Color-Word Errors:

Controlled Oral Word Association (COWA) - Version FAS
F unique words:
F Repeats:

A unique words:
A Repeats:

S unique words:
S Repeats:

Animal Naming (unique animals):
Animal Naming Repeats:

Barkley Adult ADHD Rating Scales - Self-Report
Current- Elevated symptoms of inattention:
Current- Elevated symptoms of hyperactivity/ impulsivity:

Childhood- Elevated symptoms of inattention:
Childhood- Elevated symptoms of hyperactivity/ impulsivity:
Compare to childhood norms for boys or girls.

Barkley Adult ADHD Rating Scales - Other-Report
Current- Informant:
Current- Elevated symptoms of inattention:
Current- Elevated symptoms of hyperactivity/ impulsivity:

Childhood- Informant:
Childhood- Elevated symptoms of inattention:
Childhood- Elevated symptoms of hyperactivity/ impulsivity:
Compare to childhood norms for boys or girls.