C. Keith Conners, Ph.D.

PARENT | SINGLE-RATER REPORT

Name/ID: Will Test/123

CHILD

Birth Date:
Age: 11
Grade:
Gender: Male

Parent’s/Guardian’s Name/ID: Mary Rater/456

RATER

Relationship to Child: Biological parent

Administration Date: November 2, 2022

OTHER

Examiner: Dr. Brown

Data Entered By: Dr. Brown
Assessment Language: English
OPTIONS
NORM

Principal Reference Sample: Normative Sample–Combined Gender

Additional Reference Normative Sample Gender Specific–Males
Sample(s): ADHD Reference Sample–Combined Gender

This computerized report is an interpretive aid intended for use by qualified professionals only. It should not be used as the sole criterion for clinical
diagnosis or intervention. Conners 4 results should be combined with information gathered from other psychometric measures, interviews, observations,
and review of available records. This report is based on algorithms that produce the most common interpretations for the scores that have been obtained.
The rater’s responses to specific items should be reviewed to ensure that these typical interpretations apply to the youth being described. This report is
intended for use by qualified individuals. Parts of this report contain copyrighted material, including test items. If it is necessary to provide a
copy of this report to anyone other than the examiner, sections containing copyrighted material must be removed .

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 Parent Single-Rater Report for Will Test/123
Principal Reference Sample: 11-year-olds (Normative) | Admin Date: November 2, 2022

OVERVIEW ! Critical » Follow-Up ? Could Not Be Scored

Response Style Analysis
Negative
» 9 Impression Index
Raw Score
2 Inconsistency Index
Raw Score 1 Omitted Items

Critical & Indicator items

Severe Conduct • Stealing while confronting someone • Breaking and entering

! Critical Items • Setting fires to cause damage • Forcing sexual activity

Self-Harm Critical • Talking about, planning, or attempting

! Items
suicide

Sleep Problems • Appearing tired

» Indicator

Conners 4 Scales

Note. *Symptom Count(s) may be underestimated due to omitted item(s). 🗨 DSM Symptom Count. Inattention/Executive Dysfunction (INA/EDF), Hyperactivity (HYP), Impulsivity (IMP),
Emotional Dysregulation (EM DYS), Depressed Mood (DEP), Anxious Thoughts (ANX), Schoolwork (SCHOOL), Peer Interactions (PEER), Family Life (FAMILY), DSM ADHD Inattentive
Symptoms (ADHD-I), DSM ADHD Hyperactive/Impulsive Symptoms (ADHD-HI), DSM Total ADHD Symptoms (ADHD-TOT), DSM Oppositional Defiant Disorder Symptoms (ODD), DSM
Conduct Disorder Symptoms (CD). Although not sufficient for a diagnosis, the DSM requires a Symptom Count of at least 6/9 for both ADHD-I and ADHD-HI, a Symptom Count of at least
4/8 for ODD, and a Symptom Count of at least 3/15 for CD. For ADHD Combined, a Symptom Count of at least 6/9 is required for both ADHD-I and ADHD-HI.

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 Parent Single-Rater Report for Will Test/123
Principal Reference Sample: 11-year-olds (Normative) | Admin Date: November 2, 2022

RESPONSE STYLE ANALYSIS

Negative Impression
» Index
The Negative Impression Index score (raw score = 9) indicates that the parent may have provided
an unrealistic or exaggerated presentation of the youth’s problems.
9 Raw Score

Inconsistency Index
Based on the Inconsistency Index (raw score = 2), there was no indication of inconsistent
responding.
2 Raw Score

Omitted Items
The parent omitted 1 item(s); as a result, prorated scores have been provided for 3 scale(s).
1

Critical & Indicator items

! Severe Conduct Critical Items
! Stealing while confronting someone – Just a little true (Occasionally)
One or more of the Severe Conduct Critical Items ! Setting fires to cause damage – Completely true (Very often/Always)
were endorsed by the parent. Immediate follow- ! Breaking and entering – Completely true (Very often/Always)
up is strongly recommended. Cruelty to animals – Not true at all (Never/Rarely)
Using a weapon – Not true at all (Never/Rarely)
! Forcing sexual activity – Completely true (Very often/Always)

! Self-Harm Critical Items

One or more of the Self-Harm Critical Items were

endorsed by the parent. Immediate follow-up is
Harming self deliberately – Not true at all (Never/Rarely)
strongly recommended. ! Talking about, planning, or attempting suicide – Pretty much true (Often/Quite a
bit)

» Sleep Problems Indicator

Based on the parent’s responses to the Sleep

Problems Indicator items, a more in-depth » Having trouble sleeping – Just a little true (Occasionally)
assessment of sleep problems is recommended.
» Appearing tired – Completely true (Very often/Always)

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 Parent Single-Rater Report for Will Test/123
Principal Reference Sample: 11-year-olds (Normative) | Admin Date: November 2, 2022

CONNERS 4 SCALES
CONTENT SCALES

Within-Profile Comparisons
Raw
T-score 90% CI Percentile Guideline Difference from the Significant difference
Score
youth’s average (T = 65.3) (p < .05)
Inattention/Executive
Dysfunction 35 66 63–69 92nd Elevated + 0.7 Not Significant

Hyperactivity** 12 58 54–62 84th Average - 7.3 Lower

Very
Impulsivity 17 72 67–77 98th Elevated + 6.7 Higher

Emotional Dysregulation 12 65 61–69 95th Elevated - 0.3 Not Significant

Very
Depressed Mood 8 75 70–80 97th Elevated n/a n/a
Very
Anxious Thoughts 11 86 81–91 99th Elevated n/a n/a

IMPAIRMENT & FUNCTIONAL OUTCOME SCALES

Within-Profile Comparisons
Raw
T-score 90% CI Percentile Guideline Difference from the Significant difference
Score
youth’s average (T = 63.7) (p < .05)
Slightly
Schoolwork 9 62 57–67 88th Elevated - 1.7 Not Significant

Peer Interactions 8 67 62–72 92nd Elevated + 3.3 Not Significant

Slightly
Family Life 7 62 58–66 92nd Elevated - 1.7 Not Significant

DSM SYMPTOM SCALES

Raw
T-score 90% CI Percentile Guideline Symptom Count
Score
ADHD Inattentive Slightly
Symptoms 16 61 57–65 87th 5/9 [DSM requires ≥ 6/9 symptoms]
Elevated
ADHD Hyperactive/Impulsive
Symptoms** 18 65 61–69 93rd Elevated 4*/9 [DSM requires ≥ 6/9 symptoms]

Slightly
Total ADHD Symptoms** 34 64 60–68 90th n/a
Elevated
Oppositional Defiant Very
Disorder Symptoms 17 73 69–77 98th 5/8 [DSM requires ≥ 4/8 symptoms]
Elevated
Conduct Disorder Very
Symptoms 25 100 97–103 99th 10/15 [DSM requires ≥ 3/15 symptoms]
Elevated
CONNERS 4–ADHD INDEX

Raw Score Probability Score Guideline

ADHD Index 22 96% Very High

Note(s).
CI = Confidence Interval
**Item(s) were omitted from this scale. Scores have been prorated.
*Item(s) were omitted from this scale. Symptom Count(s) may be underestimated as responses were not provided for all symptoms.
n/a = not applicable. The Depressed Mood and Anxious Thoughts scales are not included in the Within-Profile Comparisons. Additionally, Symptom
Counts are not applicable to DSM Total ADHD Symptoms. Please refer to the Conners 4 Manual for details.
A Symptom Count of at least 6/9 on both DSM ADHD Inattentive Symptoms and Hyperactive/Impulsive Symptoms is required to meet DSM Criteria for
ADHD Combined.
Because both Criterion A8 (fire setting) and A9 (destruction of property) on the DSM Conduct Disorder Symptoms scale were endorsed, to assess
Criterion A9, the assessor must confirm that property was destroyed other than by fire setting.
ⓘ Symptom Count scores for all DSM Symptom Scales contribute to diagnostic assessment but are not sufficient for determining a diagnosis. Please
refer to the Conners 4 Manual for interpretive considerations.

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 Parent Single-Rater Report for Will Test/123
Principal Reference Sample: 11-year-olds (Normative) | Admin Date: November 2, 2022

INTERPRETIVE SUMMARY
Response Style Analysis

The Response Style Analysis (Negative Impression Index, Inconsistency Index, and Omitted Items) provides an
evaluation of how the parent approached completing the Conners 4.

▪ Negative Impression Index: The Negative Impression Index score (raw score = 9) indicates that the parent
may have provided an unrealistic or exaggerated presentation of Will’s problems. This index includes items for
which high endorsement is either unlikely to be true or is extremely uncommon even for youth with a confirmed
diagnosis of ADHD. These items are likely to be endorsed in an attempt to present a less favorable impression
of the youth. The score on this index can be elevated due to a number of reasons; for example, the parent may
be highly motivated to describe Will in a negative manner in order for them to receive accommodations or
services.

▪ Inconsistency Index: Based on the Inconsistency Index score (raw score = 2), there was no indication of
inconsistent responding.

▪ Omitted Items: The parent omitted 1 item; as a result, prorated scores have been provided for 3 scale(s). You
may wish to review the omitted item.

Critical & Indicator Items

The Critical & Indicator Items provide a quick screening of harm to self or others, violent or destructive behaviors,
and problems with sleep. Information from these items should be examined in combination with responses from
other informants and a comprehensive assessment including interviews, observations, and a review of records.
Please see chapter 4 of the Conners 4 Manual for more information.

▪ Severe Conduct Critical Items: The parent endorsed the following Severe Conduct Critical Item(s) for which
immediate follow-up is recommended: stealing while confronting someone, setting fires to cause damage,
breaking and entering, and forcing sexual activity.

▪ Self-Harm Critical Items: The parent endorsed the following Self-Harm Critical Item for which immediate
follow-up is recommended: talking about, planning, or attempting suicide.

▪ Sleep Problems Indicator: The parent’s endorsement of the appearing tired item was higher than typically
reported by parents of 11-year-olds. A more in-depth assessment of sleep difficulties is recommended as such
difficulties can mimic or aggravate other symptoms assessed on the Conners 4.

Content Scales

This section summarizes Will’s Conners 4 Content Scale results, including: (a) a normative sample comparison of
their results to parent ratings of 11-year-olds, and (b) a within-profile comparison of Will’s results to their own
average score.

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 Parent Single-Rater Report for Will Test/123
Principal Reference Sample: 11-year-olds (Normative) | Admin Date: November 2, 2022

Normative Sample Comparisons:

Each of Will’s Content Scale raw scores was compared with what is typically reported by parents of 11-year-olds to
obtain T-scores and percentiles. Higher T-scores and percentiles on the Conners 4 Content Scales indicate more
frequent or severe problems in the domain covered by that scale.

▪ Inattention/Executive Dysfunction (T-score = 66 [90% CI = 63–69]; Percentile = 92nd): The

Inattention/Executive Dysfunction T-score is in the Elevated range. This scale includes items related to having
trouble paying attention and sustaining attention, as well as difficulty with other areas of executive functioning
such as planning, organizing, and time management. The parent reported that Will exhibits more difficulty in
these areas than is typically reported by parents of 11-year-olds. A total of 13/20 items on this scale had
elevated ratings.

▪ Hyperactivity (T-score = 58 [90% CI = 54–62]; Percentile = 84th): The Hyperactivity T-score is in the Average
range. This scale includes items about restlessness, difficulty staying seated or sitting still, needing to move
around, getting overly excited, and talking too much. The parent reported that Will exhibits no more features of
hyperactivity than are typically reported by parents of 11-year-olds. Scores were prorated due to an omitted item.
Although the scale T-score was in the Average range, it may be informative to review the 3/11 items that had
elevated ratings.

▪ Impulsivity (T-score = 72 [90% CI = 67–77]; Percentile = 98th): The Impulsivity T-score is in the Very Elevated
range. This scale includes items about interrupting others, blurting out answers, acting before thinking, and
having trouble waiting for one’s turn. The parent reported that Will displays much more impulsivity than is
typically reported by parents of 11-year-olds. A total of 6/9 items on this scale had elevated ratings.

▪ Emotional Dysregulation (T-score = 65 [90% CI = 61–69]; Percentile = 95th): The Emotional Dysregulation T-
score is in the Elevated range. This scale includes items about overreacting, losing temper, and having trouble
calming down. The parent reported that Will exhibits more difficulty controlling and managing emotions than is
typically reported by parents of 11-year-olds. A total of 4/8 items on this scale had elevated ratings.

▪ Depressed Mood (T-score = 75 [90% CI = 70–80]; Percentile = 97th): The Depressed Mood T-score is in the
Very Elevated range. This scale includes items related to feeling sad, lacking enjoyment in things that used to be
enjoyed, and feeling hopeless about the future. The parent reported that Will seems to experience many more
features of depressed mood than are typically reported by parents of 11-year-olds. A total of 3/6 items on this
scale had elevated ratings.

▪ Anxious Thoughts (T-score = 86 [90% CI = 81–91]; Percentile = 99th): The Anxious Thoughts T-score is in the
Very Elevated range. This scale includes items about youths' experience of—or difficulty with—regulating fears
or worries, including appearing tense or nervous, and worrying too much about different things. The parent
reported that Will appears to experience much more anxiety than is typically reported by parents of 11-year-olds.
A total of 5/5 items on this scale had elevated ratings.

Within-Profile Comparisons:
Within-profile comparisons were conducted on the following scales: Inattention/Executive Dysfunction,
Hyperactivity, Impulsivity, and Emotional Dysregulation. Each scale’s T-score was compared to Will’s average T-
score of 65.3 on these scales. Based on the parent’s ratings, Will's Impulsivity T-score was significantly higher than
their average T-score, suggesting relatively more difficulties in this area. Their Inattention/Executive Dysfunction
and Emotional Dysregulation T-scores were consistent with their average T-score. Their Hyperactivity T-score was
significantly lower than their average T-score, suggesting relatively fewer difficulties in this area.

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 Parent Single-Rater Report for Will Test/123
Principal Reference Sample: 11-year-olds (Normative) | Admin Date: November 2, 2022

Impairment & Functional Outcome Scales

This section summarizes Will’s Conners 4 Impairment & Functional Outcome Scale results, including: (a) a
normative sample comparison of their results to parent ratings of 11-year-olds, and (b) a within-profile comparison
of Will’s results to their own average score.
Normative Sample Comparisons:
Each of Will's Impairment & Functional Outcome Scale raw scores was compared with what is typically reported by
parents of 11-year-olds to obtain T-scores and percentiles. Higher T-scores and percentiles on the Conners 4
Impairment & Functional Outcome Scales indicate more frequent or severe impairment in the domain covered by
that scale.

▪ Schoolwork (T-score = 62 [90% CI = 57–67]; Percentile = 88th): The Schoolwork T-score is in the Slightly
Elevated range. This scale includes items related to turning in late or incomplete work, losing homework, and not
checking their work for mistakes. The parent reported that Will exhibits slightly more impairment in schoolwork
than is typically reported by parents of 11-year-olds. A total of 3/6 items on this scale had elevated ratings.

▪ Peer Interactions (T-score = 67 [90% CI = 62–72]; Percentile = 92nd): The Peer Interactions T-score is in the
Elevated range. This scale includes items related to the youth annoying their peers, not being invited by others to
play or go out, and others not wanting to be friends with them. The parent reported that Will exhibits more
impairment when interacting with peers than is typically reported by parents of 11-year-olds. A total of 4/6 items
on this scale had elevated ratings.

▪ Family Life (T-score = 62 [90% CI = 58–66]; Percentile = 92nd): The Family Life T-score is in the Slightly
Elevated range. The items on this scale reflect family disruptions caused by the youth, such as creating stress
and chaos among family members, as well as causing the family to be late for appointments. The parent
reported that Will exhibits slightly more impairment when interacting and getting along with family members than
is typically reported by parents of 11-year-olds. A total of 3/7 items on this scale had elevated ratings.

Within-Profile Comparisons:
Within-profile comparisons were conducted on the Conners 4 Impairment & Functional Outcome Scales. Each
scale’s T-score was compared to Will’s average T-score of 63.7 on these scales. None of these comparisons were
statistically significant, meaning that based on the parent’s ratings, Will’s T-scores on all Impairment & Functional
Outcome Scales were consistent with their average T-score on these scales.

DSM Symptom Scales

Results from the Conners 4 DSM Symptom Scales describe the parent's ratings of the youth on items that
correspond with DSM Criterion A for ADHD, Oppositional Defiant Disorder, and Conduct Disorder. Conners 4 DSM
T-scores and percentiles provide a relative comparison with the Principal Reference Sample (11-year-olds). Higher
T-scores and percentiles on the Conners 4 DSM Symptom Scales indicate more frequent or severe problems in the
domain covered by that scale. Note that the DSM T-scores are not sufficient for confirming or rejecting the presence
of the disorder; however, they can inform diagnostic decisions by illuminating the presence and severity of the
symptoms. Conners 4 DSM Symptom Counts are absolute counts, rather than norm-referenced values. Symptom
Counts can help identify features of DSM ADHD, Oppositional Defiant Disorder, or Conduct Disorder for diagnostic
consideration, but cannot definitively establish the persistent pattern of behavior that is required by Criterion A in the
DSM. The DSM necessitates an investigation of the following considerations to arrive at a diagnosis:

▪ ADHD: Symptoms cannot be solely due to oppositional behavior, defiance, hostility, or failure to understand
tasks or instructions.

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 Parent Single-Rater Report for Will Test/123
Principal Reference Sample: 11-year-olds (Normative) | Admin Date: November 2, 2022

▪ Oppositional Defiant Disorder: Behaviors must occur during interactions with at least one individual who is not a
sibling.
Additional symptom-specific requirements for Criterion A as well as other DSM criteria (e.g., age of onset,
inconsistency with developmental expectations, pervasiveness across settings, impairment) must also be
considered before assigning a diagnosis. Please refer to the DSM for full diagnostic criteria.

▪ DSM ADHD Inattentive Symptoms (T-score = 61 [90% CI = 57–65]; Percentile = 87th; Symptom Count = 5/9):
This scale includes items representing the DSM symptoms of ADHD Predominantly Inattentive Presentation.
The DSM ADHD Inattentive Symptoms T-score is in the Slightly Elevated range. The parent reported that Will
exhibits slightly more features of inattentiveness than are typically reported by parents of 11-year-olds. The DSM
ADHD Inattentive Symptom Count was 5 (the DSM threshold for children is 6 out of 9 symptoms). Because the
parent's ratings slightly exceeded what is typically reported by parents of similarly-aged youth and numerous
inattentive symptoms were endorsed, further investigation of ADHD Predominantly Inattentive Presentation is
recommended.

▪ DSM ADHD Hyperactive/Impulsive Symptoms (T-score = 65 [90% CI = 61–69]; Percentile = 93rd; Symptom
Count = 4/9): This scale includes items representing the DSM symptoms of ADHD Predominantly
Hyperactive/Impulsive Presentation. The DSM ADHD Hyperactive/Impulsive Symptoms T-score is in the
Elevated range. The parent reported that Will exhibits more features of hyperactivity/impulsivity than are typically
reported by parents of 11-year-olds. The parent’s omission of 1 item led to a prorated T-score. The DSM ADHD
Hyperactive/Impulsive Symptom Count was 4; however, this may be an underestimate due to the omitted item
(the DSM threshold for children is 6 out of 9 symptoms). Because the parent's ratings exceeded what is typically
reported by parents of similarly-aged youth and numerous hyperactive/impulsive symptoms were endorsed,
further investigation of ADHD Predominantly Hyperactive/Impulsive Presentation is recommended.

▪ DSM Total ADHD Symptoms (T-score = 64 [90 CI = 60–68]; Percentile = 90th): This scale includes all items
from the Conners 4 DSM ADHD Inattentive and Hyperactive/Impulsive Symptom scales. The DSM Total ADHD
Symptoms T-score is in the Slightly Elevated range. The parent reported that Will exhibits slightly more ADHD
symptoms than what is typically reported by parents of 11-year-olds. Scores were prorated due to an omitted
item.

▪ DSM Oppositional Defiant Disorder Symptoms (T-score = 73 [90% CI = 69–77]; Percentile = 98th; Symptom
Count = 5/8): This scale includes items representing the DSM symptoms of Oppositional Defiant Disorder. The
DSM Oppositional Defiant Disorder Symptoms T-score is in the Very Elevated range. The parent reported that
Will exhibits many more features of opposition and defiance than are typically reported by parents of 11-year-
olds. The DSM Oppositional Defiant Disorder Symptom Count was 5 (the DSM threshold is 4 out of 8
symptoms), including symptom(s) related to angry/irritable mood, argumentative/defiant behavior, and
vindictiveness. Because the parent's ratings far exceeded what is typically reported by parents of similarly-aged
youth and several symptoms were endorsed, clinically significant symptoms of Oppositional Defiant Disorder are
present.

▪ DSM Conduct Disorder Symptoms (T-score = 100 [90% CI = 97–103]; Percentile = 99th; Symptom Count =
10/15): This scale includes items representing the DSM symptoms of Conduct Disorder. The DSM Conduct
Disorder Symptoms T-score is in the Very Elevated range. The DSM Conduct Disorder Symptom Count was 10
(the DSM threshold is 3 out of 15 symptoms), including symptoms related to aggression to people and animals,
destruction of property, deceitfulness or theft, and serious violations of rules (note that both Criterion A8, fire
setting, and Criterion A9, destruction of property, were endorsed; for Criterion A9 to contribute to the Symptom
Count on this scale, the assessor must confirm that property was destroyed by means other than by fire-setting).
Further investigation of Conduct Disorder is recommended given that several symptoms were endorsed. Note
that item(s) endorsed by the parent may require immediate attention due to the severity of the item content.

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 Parent Single-Rater Report for Will Test/123
Principal Reference Sample: 11-year-olds (Normative) | Admin Date: November 2, 2022

Conners 4–ADHD Index

The Conners 4–ADHD Index is composed of the 12 items that best differentiate youth with ADHD from those in the
general population. The ADHD Index Probability score denotes the probability that a given score came from a youth
with ADHD.

▪ Conners 4–ADHD Index (Probability Score = 96%): The parent’s ratings of Will produced a probability score in
the Very High range, indicating very high similarity with 11-year-olds who have ADHD. This ADHD Index score is
very dissimilar to scores from the general population.

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 Parent Single-Rater Report for Will Test/123
Principal Reference Sample: 11-year-olds (Normative) | Admin Date: November 2, 2022

ADDITIONAL QUESTIONS
The following section displays additional comments that the parent shared about Will’s problems, strengths, and skills.

Describe how these behaviors cause serious problems for your child at home, in school, at work, or with their friends.

1320

Do you have any other concerns about your child?

No response provided.

What strengths or skills does your child have?

No response provided.

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 Parent Single-Rater Report for Will Test/123
Principal Reference Sample: 11-year-olds (Normative) | Admin Date: November 2, 2022

ITEM RESPONSES
The parent entered the following responses for the items on the Conners 4 Parent form.

Item # Rating Item # Rating Item # Rating Item # Rating

1. 1 30. 1 59. 3 88. 0

2. 0 31. 2 60. 1 89. 3
3. ? 32. 0 61. 2 90. 2
4. 1 33. 3 62. 0 91. 1
5. 3 34. 2 63. 3 92. 0
6. 0 35. 1 64. 1 93. 3
7. 1 36. 0 65. 2 94. 2
8. 3 37. 3 66. 0 95. 1
9. 0 38. 2 67. 3 96. 0
10. 2 39. 1 68. 1 97. 3
11. 1 40. 0 69. 2 98. 2
12. 3 41. 3 70. 0 99. 1
13. 2 42. 2 71. 3 100. 0
14. 0 43. 1 72. 2 101. 3
15. 3 44. 3 73. 1 102. 2
16. 2 45. 0 74. 0 103. 1
17. 1 46. 2 75. 3 104. 3
18. 0 47. 1 76. 2 105. 0
19. 2 48. 3 77. 1 106. 2
20. 3 49. 0 78. 0 107. 1
21. 1 50. 2 79. 3 108. 3
22. 3 51. 1 80. 2 109. 2
23. 0 52. 3 81. 1 110. 0
24. 2 53. 2 82. 3 111. 1
25. 1 54. 0 83. 2 112. 3
26. 3 55. 1 84. 0 113. 2
27. 2 56. 3 85. 3 114. 0
28. 0 57. 2 86. 1
29. 3 58. 0 87. 2
Response Key:
0 = In the past month this was not true at all. It never (or rarely) happened.
1 = In the past month, this was just a little true. It happened occasionally.
2 = In the past month, this was pretty much true. It happened often (or quite a bit).
3 = In the past month, this was completely true. It happened very often (or always).
? = Omitted item

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 Parent Single-Rater Report for Will Test/123
Admin Date: November 2, 2022

CONNERS 4TH EDITION

FEEDBACK HANDOUT FOR PARENT RATINGS

Child’s Name/ID: Will Test/123

Child’s Age: 11
Parent’s Name: Mary Rater/456

Assessment Date: November 2, 2022

Examiner’s Name: Dr. Brown

This feedback handout provides an overview of the scores from the parent’s (or guardian’s) ratings of Will’s
behaviors and feelings as assessed by the Conners 4th Edition (Conners 4) Parent form. Throughout this report,
“parent or guardian” will be referred to as “parent.”

What is the Conners 4 and why do parents complete it?

The Conners 4 is a set of rating scales that are used to gather information about symptoms of Attention-
Deficit/Hyperactivity Disorder (ADHD) and other related conditions, as well as difficulties experienced by the youth
in several domains. The Conners 4 forms are used all over the world and have been through extensive research,
development, and validation processes. Results from the Conners 4 can help to better understand a youth who is
having difficulty, and to determine how to help. Information from parents about their child’s behavior and feelings is
extremely important, as the parents generally know their child better than anyone else and can provide information
about their child’s behavior in a number of settings.

Results from the Conners 4 Parent form

The professional who asked for this form to be completed will help explain these results and answer any questions.
These scores were calculated based on a comparison of Will to youth of the same age. The results from parent
ratings on the Conners 4 should be combined with other important information, such as interviews with Will and
their parent(s), other test results, school records, and observations. All of the combined information is used to
determine if Will needs help in a certain area and what kind of help is needed. Please keep in mind that not all
areas assessed on the Conners 4 are reflected in this handout. The professional who is working with you may wish
to communicate with you regarding other areas of concern, and in some cases may recommend further evaluation
or follow-up. As you review the results, it may be helpful for you to share any additional insights that you might
have, make notes, and freely discuss the results with the professional. If you have difficulty understanding this
information, you should seek clarity from the professional.

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 Parent Single-Rater Report for Will Test/123
Admin Date: November 2, 2022

DOES THE YOUTH EXHIBIT ANY SYMPTOMS OF ADHD?

The following results are based on the parent’s report of Will’s behavior related to ADHD symptoms, compared to what is
typically reported by parents of 11-year-olds.

Displays more difficulty with Does not engage in more Displays more impulsivity Exhibits more difficulty
attention and executive hyperactive behavior than than typically reported, such regulating emotions than
functioning than typically typically reported. as: typically reported, such as:
reported, such as:
• avoiding effortful tasks • intruding on others • saying or doing things they
don’t mean when angry
• having trouble listening • acting before thinking • getting really angry

• having trouble getting back • talking out of turn • overreacting when upset
on task

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 Parent Single-Rater Report for Will Test/123
Admin Date: November 2, 2022

DOES THE YOUTH EXHIBIT ANY OTHER SYMPTOMS MEASURED BY THE

CONNERS 4?

The following results are based on the parent’s report of Will’s behavior related to other symptoms measured by the
Conners 4, compared to what is typically reported by parents of 11-year-olds.

Seems to experience more Appears to experience more Displays more anger, defiance,
features of depressed mood than anxiety than typically reported, and/or vindictiveness than typically
typically reported, such as: such as: reported, such as:
• appearing sad, gloomy, or irritable • having trouble controlling their • feeling angry and resentful
worries
• appearing tired • fearing they'll be embarrassed • annoying people on purpose

• not enjoying things they used to • worrying so much they get tired • upsetting others
enjoy doing
Note. The parent reported behaviors related to aggression to people and animals, destruction of property, deceitfulness or
theft, and serious violations of rules. It is important to review this information with the professional who is working with you.

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 Parent Single-Rater Report for Will Test/123
Admin Date: November 2, 2022

IN WHAT SETTINGS DOES THE YOUTH EXPERIENCE DIFFICULTIES?

The following results are based on the parent’s report of Will’s difficulties with schoolwork, when interacting with peers,
and when interacting with family, compared to what is typically reported by parents of 11-year-olds.

Exhibits slightly more difficulty with Displays more difficulty interacting with Displays slightly more difficulty
schoolwork than typically reported, peers than typically reported, such as: interacting with family than typically
such as: reported, such as:
• having trouble completing work • being annoying to peers • making it difficult for the family to
have fun
• checking work for mistakes • not getting invited to play or go out • disrupting family activities

• not knowing where or what their • having peers complain about them • causing the family to be late
homework is

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