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NICHQ Vanderbilt Assessment Scale—TEACHER Informant
Teacher’s Name: _______________________________ Class Time: ___________________ Class Name/Period: ________________
Today’s Date: ___________ Child’s Name: _______________________________ Grade Level: _______________________________
Directions: Each rating should be considered in the context of what is appropriate for the age of the child you are rating
and should reflect that child’s behavior since the beginning of the school year. Pleas
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