|
Template Name
|
Version
|
Publisher/ Author
|
Scoring
|
Description
|
| 7-Day Diet Diary |
7_Day_Diet_Diary
|
CADDRE |
No |
|
| ABC Summary Scores M032 |
ABC_Summary_Scores
|
Slosson Publishing |
No |
Aberrant Behavior Checklist |
| Aberrant Behavior Checklist - Community |
ABC in Sequence
ABC Parent
Scoring Sheet
Scoring Sheet-vs1
|
Slosson Publishing |
No |
The ABC-Community rating scale is designed to be used with clients living in the community. Please note that the term client is used throughout to refer to the person being rated. This may be a child of school age, an adolescent, or an adult |
| Adolescent-Adult Sensory Profile |
AASen02
|
|
No |
Self questionnaire with 60 items divided into 6 sections. Answers are bases on a 5-point scale. |
| ADOS Module 1: Pre-Verbal/Single Words |
ADOS (2001 or later)
ADOS (2001-later)-DS
ADOS (2001-later)-DS-Manual
ADOS-G (2000 or earlier)
ADOS-G (2000-earlier) DS
|
Western Psychological Services |
Yes |
This semi-structured assessment consists of various activities that allow you to observe social and communciation behaviors related to the diagnosis of pervasive developmental disorders. |
| ADOS Module 2: Phrase Speech |
ADOS (2001 or later)
ADOS (2001-later)-DS
ADOS (2001-later)-DS-Manual
ADOS-G (2000 or earlier)
ADOS-G (2000-earlier) DS
|
Western Psychological Services |
Yes |
This semi-structured assessment consists of various activities that allow you to observe social and communciation behaviors related to the diagnosis of pervasive developmental disorders. |
| ADOS Module 3: Fluent Speech Child/Adolescent |
ADOS (2001 or later)
ADOS (2001-later)-DS
ADOS (2001-later)-DS-Manual
ADOS-G (2000 or earlier)
ADOS-G (2000-earlier) DS
ADOS-G (2000-earlier)-New
|
Western Psychological Services |
Yes |
This semi-structured assessment consists of various activities that allow you to observe social and communciation behaviors related to the diagnosis of pervasive developmental disorders. |
| ADOS Module 4: Fluent Speech Adolescent/Adult |
ADOS (2001 or later)
ADOS (2001-later) DS
ADOS (2001-later) DS-Manual
ADOS-G (2000 or earlier)
ADOS-G (2000-earlier) DS
|
Western Psychological Services |
Yes |
This semi-structured assessment consists of various activities that allow you to observe social and communciation behaviors related to the diagnosis of pervasive developmental disorders. |
| Adverse Event Form ATN M920 |
Adverse Event Form 1.0
|
Autism Treatment Network |
No |
|
| AGRE Family Survey |
2001
|
AGRE |
No |
Designed to assess the computer resources of families and their attitude towards further assessment |
| AGRE Handedness |
2001
|
AGRE |
Yes |
Tests the degree to which a respondent is stronger in one hand or the other. |
| AGRE Medical History: Affected Child |
AGREMedHist_AffChild_2001
AGREMedHist_AffChild_2004
AGREMedHist_AffChild2004b
|
AGRE |
No |
Collects information on the birth and medical history of affected children. |
| AGRE Medical History: Father |
AGREMedHist_Fathr_2001
AGREMedHist_Fathr_2004
|
AGRE |
No |
Collects information on the medical history of a father of an affected child. |
| AGRE Medical History: Mother |
AGREMedHist_Mother_2001
AGREMedHist_Mother_2004
|
AGRE |
No |
Collects information on the medical history of a mother of an affected child. |
| AGRE Medical History: Unaffected Child |
AGREMedHist_Unaff_2001
|
AGRE |
No |
Collects information on the birth and medical history of unaffected children. |
| AGRE Physical Examination Form |
Neuro_Eval_2002
Neuro_Eval_2005
|
AGRE |
No |
Comprehensive Neurogenetic Evaluation |
| Alabama Parenting Questionnaire - Parent Version |
APQ_Parent_Version_2005
|
|
No |
|
| Animal Naming Test |
2003
|
|
No |
|
| Anxiety Depression and Mood Screen |
ADAMS_6-12-02
ADAMS_6-12-02-New
ADAMS_6-12-02-New
ADAMS_6-12-02-New
ADAMS_6-12-02-New
|
|
No |
|
| Anxiety Depression and Mood Screen Kaward |
ADAMS_6-24-08-Kaw
|
|
No |
|
| Asperger Syndrome Diagnostic Scale (ASDS) |
ASDS_Summary_Form_2001
|
PRO-ED, Inc |
No |
|
| Autism Diagnostic Interview - Regression Addendum |
2006 CATS ADI-R
|
|
No |
This questionnaire is based on the ADI-R and it is used by the CATS project only. |
| Autism Diagnostic Interview-R (ADI-R) |
1995 (111 item)
1995 (111 item): DS
2003 (93 Item): DS
2003 (93 Item): DS Manual
2003: Short 4yo+
2003: Short 2-4yo
|
Western Psychological Services |
Yes |
The ADI-R is a semi-structured diagnostic interview appropriate for use with children and adults suspected of having a pervasive developmental disorder. It was developed for research purposes but can also be used for clinical diagnoses. |
| Autoimmune Disease Survey |
Autoimmune_Introduction
Autoimmune_Table
|
CADDRE |
No |
|
| Autoimmune History |
Autoimm_Sept2003
|
|
No |
A brief form to capture whether the probane or any relatives has had any autoimmune diseases. |
| Bayley Scales of Infant and Toddler Develpment |
Bayley_3rd_Edition_2006
|
PsychCorp |
No |
|
| BEARS Sleep Screen Form ATN M051 |
ATN_BEARS_Sleep_Screen_Form
|
Autism Treatment Network |
No |
|
| Beck Depression Inventory |
BDI_2005
|
American Psychiatric Press, Inc |
No |
|
| Beck_Anxiety |
Beck_Anxiety_2008
|
MIND |
No |
|
| Behavior Assessment System for Children |
BASC PRS-A(12-18)
BASC PRS-A(12-18)-New
BASC PRS-C (6-11)
BASC PRS-C (6-11)-New
BASC: PRS-P (2 1/2-5)
BASC: PRS-P (2 1/2-5)-New
BASC:PRS-A Only Scores
BASC:PRS-C Only Scores
BASC:PRS-P Only Scores
PRS-A Only Scores 2005
PRS-C Only Scores 2005
PRS-P Only Scores 2005
TRS-A Only Scores 2005
TRS-C Only Scores 2005
TRS-P Only Scores 2005
|
American Guidance Service, Inc. |
No |
Designed to aid in the identification and differential diagnosis of emotional/behavior disorders in children and adolescents. |
| Behavior Problems Inventory |
BPI_2001_BPI-01
BPI_2001_BPI-01-ATN
|
|
No |
|
| Behavioral Dyscontrol Scale |
BDS
BDS - 2
|
MIND |
No |
|
| Behavioral Rating Scale FXTAS |
FX Behavioral 2003
|
|
No |
Full Name is "Action Tremor and Cognitive Function in Male Carriers of Fragile X: BEHAVIORAL RATING SCALE"
A 19 item behavioral scale used male carriers of Fragile X. |
| Big Five Inventory |
BFI_2005
|
|
No |
|
| Boston Diagnostic Aphasia Exam |
BDAE:Subtests
|
PRO-ED, Inc |
No |
Complete form consists of more than 40 subtests. Rates severity of a patient's aphasia can be on a scale from one to seven based on speech and language characteristics as well as auditory comprehension |
| Boston Naming Test Long Form |
BNT_Long_Form_2005
|
PRO-ED, Inc |
No |
|
| Boston Naming Test-short form |
BNT short:only score
|
PRO-ED, Inc |
No |
The Boston Naming Test is commonly used to evaluate nominal dysphasia. |
| BRIEF |
BRIEF_Form_SS_Chld_Adules
BRIEF_P_Preschool
|
Psychological Assessment Resources, Inc |
Yes |
Behavior Rating Inventory of Executive Function Summary Form - Summary Scores. Built for ATN. |
| Brief Psychiatric Rating Scale for Children |
Past
Present
|
|
No |
The BPRS-C was adapted from the adult version of this form. In includes 22 questions which are broken down into 7 categories--behavioral problems, depression, thinking disturbance, psychomotor excitation, withdrawal-retardation, anxiety and organicity. |
| CAARS-Self Report: Short Version (CAARS-S:S) |
CAARS-S:S_2008
|
|
No |
|
| Caregiver Background and Demographic Information |
CBDI_2006
|
|
No |
|
| Carey Infant Temperament Questionnaire |
Infant Temperament Questionnaire 4 to 11 mos
|
Behavioral-developmental Initiatives |
No |
|
| Carey Toddler Temperament Scale |
Toddler_Temperament_1_2_yo
|
Behavioral-developmental Initiatives |
No |
|
| CASP Summary Score Sheet |
CASP_SSS_2005
|
|
No |
|
| CHARGE Gastrointestinal (GI) History |
GIHIST2003
GIHIST2005
|
CHARGE |
No |
A brief questionnaire on the gastrointestinal history of the patient. |
| CHARGE Sleep History |
Sleep2003
|
|
No |
Documents the patients level of appropriate sleep patterns. |
| Charlson Comorbidity Index |
Charlson: Only Score
|
|
No |
Uses 19 categories of comorbid conditions to determine the cumulative increased likelihood of one year mortality. |
| Child Behavior Checklist |
CBCL:6-18
|
ASEBA Achenbach& L. Rescoria |
No |
Designed to assess "social competence" and "behavior problems" in children |
| Child Behavior Checklist (1 1/2 - 5) |
Child_Behav_Chk_1_5-WICT
Child_Behav_Chklist_1_5_2005
|
ASEBA Achenbach& L. Rescoria |
No |
|
| Child Behavior Checklist ATN (CBCL) |
CBCL_SS_1_5
CBCL_SS_6_18
|
ASEBA Achenbach& L. Rescoria |
No |
|
| Child Behavior Checklist for Ages 1 1/2 - 5 |
CBCL_LDS-WICT_2007
|
|
No |
|
| Child Development Questionnaire |
CDQ2003
CDQ2004
|
|
No |
Brief questionnaire to help assess a childs development history, including speech regression. |
| Child Dysmorphology Physical Exam |
Child_Dysmrph_PE_2005
|
CADDRE |
No |
|
| Child Eyes Task |
Child_Eyes_Task_2006
|
Behavioral-developmental Initiatives |
No |
|
| Child Intervention History |
CIH_2004
CIH_2006
|
|
No |
|
| Child Sleep Habits Questionnaire (CSHQ) ATN M052 |
CSHQ 1.0
|
Autism Treatment Network |
No |
|
| Childhood Autism Rating Scale (CARS) |
CARS_2006
|
Western Psychological Services |
No |
|
| Childrens Behavior Questionnaire |
CBQ_SFrm_v1
|
|
No |
|
| Childs Sleep Habits Questionnaire |
CSHQ_2000
CSHQ_Modified 2006
|
|
Yes |
|
| CHOP RAC Study Participation Form |
CHOP_RAC_Study_Participation_Form
|
CHOP |
No |
|
| Clinical Evaluation of Language Fundamentals: Preschool |
Only Standard Score
|
American Psychiatric Press, Inc |
No |
Measures a broad range of receptive and expressive language skills in pre-school aged children |
| Clinical Global Impressions Scale |
CGI IndepEval Initial
CGI IndepEval Post
|
Heinemann |
No |
A two-question form designed to assess overall clinical well-being. |
| Communication and Symbolic Behavior Scales Developmental Profile |
CSBS_DP_2002
|
|
No |
|
| Conners Rating Scale |
CGI-P
Conners Parent Long
|
Western Psychological Services |
No |
Constructed to assess psychopathology and problem behaviors |
| Controlled Oral Word Association Test |
COWAT 2003
COWAT2003OLD
|
|
No |
|
| CSBS DP Caregiver Questionnaire |
CSBS_DP_Caregiver_Questionnair
|
Brooks Publishing 2002 |
No |
|
| CSBS DP Caregiver Questionnaire - No Questions |
CSBS_Careg_No_Questions
|
|
No |
|
| CSBS DP Infant-Toddler Checklist |
CSBS_DP_Infant_Toddler_Checklist
|
Brooks Publishing 2002 |
No |
|
| D-KEFS |
D_KEFS_2001
|
American Psychiatric Press, Inc |
No |
|
| DBPIQ Version 1 |
DBPIQ_V_1_0
|
CHOP |
No |
|
| DBPIQ Version 2.0 |
DBPIQ_V_2_0
|
CHOP |
No |
Developmental and Behavioral Pediatrics Intake Questionnaire |
| DBPIQ Version 2.1 |
DBPIQ_V_2_1
|
|
No |
|
| Demographic Sheet |
Demo Sheet 2005
|
|
No |
Demographic form for MIND Institute studies |
| Developmental and Medical Hx Form Part 1 ATN M012 |
Med Hx Part 1 1.0
|
Autism Treatment Network |
No |
First part of the Medical History Form for the ATN project consisting of Sections A-J or pages 1-24 out of 48. |
| Developmental and Medical Hx Form Part 2 ATN M012 |
Med Hx Part 2 1.0
|
Autism Treatment Network |
No |
Sections K-N of the ATN Medical History Form. This 2nd part consists of pages 25-48 out of total 48 pages. |
| Developmental Test of Visual-Motor Integration |
Only Standard Score
|
Western Psychological Services |
No |
Designed to assess the extent to which individuals can integrate their visual and motor abilities |
| Differential Ability Scales (DAS) |
DAS_Summary_Page_1990
|
The Psychological Corporation |
No |
|
| DSM-IV Checklist Summary M004 |
DSM-IV 1.0
|
Autism Treatment Network |
No |
|
| DSM-IV TR Criteria for Autism Spectrum Disorders (ASDs) |
DSM-IV GAF
DSM-IV TR
|
American Psychiatric Press, Inc |
No |
This form comes from the Diagnostic and Statistical Manual version IV TR |
| DSM-IV-RT 299.80 Aspergers |
DSM_IV_RT_Aspergers
|
American Psychiatric Press, Inc |
No |
|
| DYBOCS |
DYBOCS_2008
|
MIND |
No |
|
| Early Development Questionaire |
EDQ_c2000
|
|
Yes |
|
| Early Development Questionaire (TR) - 2000 |
EDQ_TR_2000
|
|
No |
|
| Early Development Questionnaire - Sleep |
EDQ_Sleep_2006
|
|
No |
|
| Eligibility and Enrollment Form ATN M01B |
Eligibility 1.0
|
Autism Treatment Network |
No |
|
| ERROR:Child's Sleep Habits (Preschool and School-Aged) |
ERROR_CSHQ
|
CADDRE |
Yes |
Child's sleep habits and possible difficulties with sleep. |
| Expressive One-Word Picture Vocabulary Test |
EOWPVT_2000
|
|
No |
|
| Eyes Task |
Eyes_Task_Adult
|
|
No |
|
| Family Characteristics Questionnaire |
FCQSept2003
|
|
No |
|
| Family Environment Scale |
FES_1974_2002-formR
|
Mind Garden, Inc. |
No |
|
| Finger Tapping Test |
2003
|
|
No |
|
| Fragile X Premutation Tremor/Ataxia Study Videotape Review |
Fragile X Video 2004
|
|
No |
|
| Friendship Qualities Scale |
FQS 1998
|
|
No |
Designed to assess quality of a friendship. The FQS consists of 23 questions answered according to a five-point scale. Scores are given in 5 subcategories. |
| Friendships Survey |
2003
|
|
No |
|
| FSSC-II (Fear Survey Schedule, What Makes Children Scared) |
FSSC_2003
|
Educational and Industrial Training Service |
No |
Whate Makes Children Scared |
| Functional Autonomy Scale |
Funct Autonomy 1992
|
|
No |
A 14 item scale that assesses the functional autonomy of individuals. Responses to each item are rated from 0 to 3. |
| FXTAS Stage |
FXTAS_Stage_2006
|
|
No |
|
| Genotype-Phenotype Patient Profile |
2003
|
|
No |
General intake form for MIND |
| GENOTYPE_PHENOTYPE FRAGILE X DATA SHEET |
GP Data Sheet 2004
OLD 2003
|
MIND |
No |
3 Page assessment of development, behavior, psychologic history, medical history, neurological history, medications, clinical findings, dysmorphology measurements and neurological exam. |
| GI Symptom Inventory Questionnaire M060 |
GI 1.0
|
Autism Treatment Network |
No |
|
| Hand Preference Task |
HPT_2006
|
|
No |
|
| Head Circumference |
Head_Circumference_2005
|
CATS Project |
No |
|
| Individual Master Sheet |
IMS_2006
|
|
No |
|
| Infant Sib Imitative Sequences |
ISIS_LC
|
|
No |
|
| IVA Continuous Performance Test |
IVA_Continuous_Performance_Tes_2008
|
MIND |
No |
|
| Language Questionnaire |
Father Language
Mother Language
Unaffected Sib Lang
|
AGRE |
No |
A seven item questionnaire assessing the language development of parents and unaffected siblings of autistic individuals. |
| Leiter |
Leiter_Subtest_Comp
|
|
No |
|
| MacArthur-Bates CDI: Words and Gestures |
Words_and_Gestures
|
NCS Pearsons (Trans-Optic) |
No |
|
| MacArthur-Bates CDI: Words and Sentences |
Words_and_Sentences
|
NCS Pearsons (Trans-Optic) |
No |
|
| MacArthur-Bates Communicative Development Inventory (MCDI) |
Words_Gestures
|
NCS Pearsons (Trans-Optic) |
No |
|
| Magnetic Resonance Imaging volumes |
2004 MRI Volumes
|
|
No |
Form allows for recording of MRI volumes of selected areas of the brain |
| Magnetic Resonance Spectroscopy |
2004 MRS Brain
|
|
No |
Magnetic Resonance Spectropscopy values |
| MASC |
MASC1997,1999
MASC97,99Score
|
American Psychiatric Press, Inc |
No |
A 39 item questionnaire to assess recent thoughts, feelings and actions. Answers are a 4 point scale. |
| Maternal Medical History |
Maternal_Medical_History_2005
|
CADDRE |
No |
|
| Medication Control Sheet |
med_Control_Sheet_2008
|
JU |
No |
|
| Mini Mental Status Exam |
MMSE:Abbrev
|
Psychological Assessment Resources, Inc |
No |
Used to assess cognitive mental status |
| Missing Form Exception |
Missing Form 1.0
|
|
No |
|
| MMSE - Full |
MMSE_Full_2005
|
Psychological Assessment Resources, Inc |
No |
|
| Molecular Data Sheet |
Molec data 04
|
|
No |
Contains information regarding subject molecular DNA testing status |
| Movie for the Assessment of Social Cognition_Scoring Sheet |
Movie_SC_SS_2008
|
|
No |
|
| Mullen Scales of Early Learning |
Long Form
Long Form AGRE/CATS
Long Form-New
MSEL_c1995
MULLEN-SS
MULLEN-SS_ATN
|
American Guidance Service, Inc. |
No |
A developmentally integrated system that assesses language, motor, and perceptual abilities |
| Multiple Language Questionnaire |
ML2003
|
|
No |
A brief questionnaire to discover the level of multi-language capability within a family and for the specific patient |
| NEPSY |
NEPSY_1998
|
American Psychiatric Press, Inc |
No |
|
| NEPSY: A Developmental Neuropsychological Assessment |
NEPSY_3_4
|
American Psychiatric Press, Inc |
No |
|
| Neurological Form ATN M011 |
Neuro 1.0
|
Autism Treatment Network |
No |
|
| Neurology Examination |
2005 NeuroExam
2005 NeuroExam-Rev
|
|
No |
Record of physician conducted neurological examination of individual |
| Neuropsychiatric Inventory |
2005 Neuropsych Inventory
|
|
No |
Multiple page inventory assessing state of neuropsychiatric health |
| Osteogenesis Imperfecta Registry Questionnaire |
OI Registry
OI Registry-New
|
|
No |
Designed to gather medical history information from people with Osteogenesis Imperfecta that may be relevant to health care providers and researchers in the field of OI. |
| Paediatric Pain Profile |
PPP_2003
|
|
No |
|
| Parent Defined Target Symptoms |
PDTS_Baseline_Initial
|
ATN |
No |
|
| Parent Interview for Autism (PIA-CV) |
PIA-CV_SS
|
|
No |
|
| Parent PDD Behavior Inventory-C |
Parent_PDD_BI-C_2005
|
|
No |
|
| Paternal Medical History |
Paternal_Medical_History_2005
|
CADDRE |
No |
|
| Patient History Questionnaire for Psychophysiology Study |
2004 Patient History Q
|
|
No |
Participant information questionnaire designed for Psychophysiology Study |
| Patients - Cabil |
Patients_Cabil_2006
|
|
No |
|
| PDD Behavior Inventory |
PDD_BI_SS
|
Psychological Assessment Resources, Inc |
Yes |
Built for ATN. Contains Score Summaries. |
| Peabody Picture Vocabulary Test Exam - Third Edition |
Only Standard Score
Score Summary
Score Summary 2004
Score Summary 2004_Record Form
|
American Guidance Service, Inc. |
No |
The Peabody Picture Vocabulary Test -Third Edition (PPVT-III) is an individually administered, norm-referenced assessment. The PPVT-III is an achievement test of receptive vocabulary for Standard English that measures listening comprehension for spoken words in children and adults. |
| Pediatric Daytime Sleepiness Scale |
PDSS_Child_2003
|
|
No |
|
| Pediatric Quality of Life Inventory 13-18 yo |
PedsQL_13_18
|
|
No |
|
| Pediatric Quality of Life Inventory 2-4 yo |
PedsQL_2_4
|
|
No |
|
| Pediatric Quality of Life Inventory 5-7 yo |
PedsQL_5_7
|
|
No |
|
| Pediatric Quality of Life Inventory 8-12 yo |
PedsQL_8_12
|
|
No |
|
| Pediatric Sleep Questionnaire Abbreviated M050 |
PSQ 1.0
|
ATN |
No |
|
| Pedigree Data for Subject |
PDS_2006
|
|
No |
|
| Physical Exam ATN M010 |
Physical 1.0
|
Autism Treatment Network |
No |
|
| Positive and Negative Syndrome Scale |
PANSS 2004 Past
PANSS 2004 Pres
|
Multi-Head Systems |
No |
Designed to assist in the assessment of schizophrenia |
| PPVT - Third Edition |
PPVT_III_A
PPVT_III_B
|
American Guidance Service, Inc. |
No |
|
| PPVT III M023 |
PPVT_III_M023
|
American Guidance Service, Inc. |
No |
|
| Progression Questionnaire |
2005 Progression Q
|
|
No |
Records history and progression of neurological symptoms. |
| Protocol for Neuro. Clinical Eval. - Family History |
NeuroClinEvalFamHist2003
|
CHARGE |
No |
The Family History Part of the CHARGE Protocol for Neurogenetic Clinical Evaluation |
| Protocol for Neuro. Clinical Eval. - Family History New |
NeuroClinEvalFamHst_2004
|
CHARGE |
No |
The Family History Part of the CHARGE Protocol for Neurogenetic Clinical Evaluation. New format |
| Protocol for Neuro. Clinical Eval. - History |
NeuroClinEvalHist2003
NeuroClinEvalHist2007
|
CHARGE |
No |
The Health History Part of the CHARGE Protocol for Neurogenetic Clinical Evaluation |
| Protocol for Neuro. Clinical Eval. - Head circumference |
NeuroClinEvalHead2004v1
|
CHARGE |
No |
|
| Protocol for Neuro. Clinical Eval. - Physical Exam |
NeuroClinEvalPhysExam2003
|
CHARGE |
No |
The Physical Exam Part of the CHARGE Protocol for Neurogenetic Clinical Evaluation |
| PSI |
PSI_1995
|
Psychological Assessment Resources, Inc |
No |
|
| Purdue Pegboard |
Purdue Pegboard
|
Lafayette Instrument Co |
No |
Test that measures dexterity of gross movements of hands and "fingertip" dexterity. |
| Raven Colored Progressive Matrices |
Sets A, Ab, B only
Sets A, Ab, B only_2004
|
Western Psychological Services |
Yes |
The test measures one component of general intellectual ability, the eductive ability of the respondent, the ability to make sense of complex situations, to percieve clearly and form orderly judgements. |
| RBS-R |
RBS_R_2007
RBS_R_2007_NIH-Lam
|
|
No |
|
| REEL-3 |
REEL_3
|
PRO-ED, Inc |
No |
|
| REEL-3 No Questions |
REEL3_New
|
|
No |
This is exactly like the REEL-3, but without any item text |
| Repetitive Behavior Scale |
RBS
RBS_SS
|
|
Yes |
|
| Repetitive Behavior Scales |
Repetitive_Behavior_Scales_1999
|
Western Carolina Center Research Reports 1999 |
No |
|
| Rey Auditory Verbal Learning Test |
RAVLT: Only Scores
|
Western Psychological Services |
No |
Designed to measure verbal learning and memory |
| SA Score Form |
SA_SCORE_2004
|
|
No |
Successful Aging |
| SCID-I/NP (for DSM-IV-TR) |
SCID_I_NP_for_DSM_IV_TR_2008
|
MIND |
No |
|
| Screening Form ATN M01A |
Screening Form 1.0
|
Autism Treatment Network |
No |
|
| Self-Reported Functioning |
SRFunction:Caregiver
SRFunction:Subject
|
|
No |
Assesses daily living skills |
| Sensory Profile Infant |
Birth_to_6_Months
|
The Psychological Corporation |
No |
|
| Sensory Profile Short Form M035 |
Sensory_Profile_Short_Form
|
The Psychological Corporation |
No |
Built for ATN. Contains Scoring Sheet only. |
| Sensory Profile Summary of Scores |
Sensory_Profile_Age_3_4
|
The Psychological Corporation |
No |
|
| Sensory Profile Toddler |
Sensory_Profile_Toddler
|
The Psychological Corporation |
No |
|
| Short Sensory Profile |
SSP2002
|
PsychCorp |
No |
A one page questionnaire with 38 items divided into 7 sections. Answers are based on a 5-point scale. |
| Smarties Task |
Smarties_Task
|
CATS Project |
No |
|
| Social Communication Questionnaire (SCQ) |
2001Current
2001Lifetime
CADDE-Screener-04
CADDE-Screener-04-Old
|
Western Psychological Services |
No |
The Social Communication Questionnaire (SCQ; Rutter, Bailey, & Lord, 2003) uses 40 yes/no questions to obtain a brief parent or caretaker report on the communication skills and social functioning in children who may have autism or autism spectrum disorders. Subjects may be anyone over age 4.0 with a mental age 2.0 years or higher. There are two forms of the SCQ.
The Lifetime Form focuses on the child’s entire developmental history. Results identify individuals who may have autism and should be referred for a more complete evaluation‹with the Autism Diagnostic Interview, Revised (ADI-R) or the Autism Diagnostic Observation Schedule (ADOS). The SCQ content parallels that of the ADI-R. Relevant research is reviewed in the test manual.
The Current Behavior Form looks at the child’s behavior over the most recent 3-month period. Results are useful in treatment planning, educational intervention, and measurement of change over time.
The instrument was previously known as the Autism Screening Questionnaire (ASQ). Forms are available in Spanish as well as English. Contact Western Psychological Services to obtain information on all SCQ materials. |
| Social Communication Questionnaire - Current (2003) |
SCQ2003Current
|
Western Psychological Services |
No |
This version of the SCQ is using the same variable names as the 2001 Current version. |
| Social Communication Questionnaire 2000 CDC |
SCQ_CDC_2000
|
Western Carolina Center Research Reports 1999 |
No |
Social Communication Questionnaire for CADDRE |
| Social Communiction Questionnaire 2003 |
SCQ_2003_Lifetime
|
Western Psychological Services |
Yes |
|
| Social Reciprocity Scale (SRS) Adult FXTAS |
SRS_2008_FXTAS
|
|
No |
|
| Social Responsiveness Scale - Parent Report |
SRS_PR_2007
|
|
No |
|
| Social Worries Questionnaire (Parents) |
SWQ2003
|
|
No |
Used to assess worries in children |
| SPAI |
SPAI_2005
|
American Psychiatric Press, Inc |
No |
|
| SRS - Summary Scores |
SRS SS 2006 Adult
SRS-SS_2006
SRS-SS_2006-Sibling
|
|
No |
|
| SRS Child |
SRS 2002 CS
SRS 2002 CS-New
SRS_2002_MCS
|
Western Psychological Services |
Yes |
|
| SRS Parent Report 2005 |
SRS_Parent_Report_2005_ATN
SRS_Parent_Report_2005_NIH
|
Western Psychological Services |
No |
Child version, no full text, no scoring, contains demographic info |
| SRS Preschool |
SRS 2006
|
Western Psychological Services |
No |
Item fields, domain totals, no standard scores, no algorithm |
| SRS2002 Numbers Only |
SRS2002_Numbers_Only
|
Western Psychological Services |
No |
|
| Stanford Binet |
SB5 Abbreviated
SB5 Comprehensive
SB5 Comprehensive_Record Form
Stanford_Binet_2003
|
Riverside Publishing |
No |
|
| Stanford Binet Intelligence Scales (SB:V) |
SBIS_V
SBIS_V-SS
|
Western Psychological Services |
No |
|
| Stanford-Binet Intelligence Scale |
SB-IV Summary Scores
|
Riverside Publishing |
No |
Designed to measure cognitive abilities and provide an analysis of pattern as well as overall level of an individual's cognitive development |
| Stool Diary |
Stool_Diary_Introduction
Stool_Diary_Table
|
CADDRE |
No |
|
| Stress Survey Schedule |
Stress_2003
|
Groden Center |
Yes |
|
| STROOP Color and Word Test |
STROOP2002
|
Western Psychological Services |
No |
Designed "for the evaluation of brain dysfunction or for an evaluation of psychopathology in general" |
| Symbol Digit Modalities Test |
SymDMT 1973
|
Western Psychological Services |
No |
Requires examinees to match numbers to a series of different symbols presented randomly on a single test page, using a key found at the top. There are 120 matches to be made in total, and each subject has to make as many as possible, working in a consistent order, within a 90 second period. |
| Symptom Checklist-90-R |
SCL-90 Other-2002
SCL-90 Self-2002
|
NCS Pearsons (Trans-Optic) |
No |
Designed primarily to reflect the psychological symptom patterns of psychiatric and medical patients, as well as nonpatients. Has 90 simple questions all of which are one line of text or less. Items are reported on a five-point scale. |
| Tasks Complete |
Tasks_Complete_2006
|
|
No |
|
| Tennessee Self Consept Scale: 2 |
TSCS2_2005
|
Western Psychological Services |
No |
|
| Test - Forms - All question types |
TestForm
|
|
No |
|
| Test of Problem Solving Adolescent |
TOPS Adol
|
LinguiSystems |
No |
Designed to test children's everyday reasoning and thinking skills |
| Test of Problem Solving Elementary |
TOPS Elem R 91
|
LinguiSystems |
No |
Designed to test children's everyday reasoning and thinking skills. |
| The Adult Autism Quotient |
Autism_Quotient_2008
|
|
No |
|
| Total Functional Capacity |
2005 Total Functional
|
|
No |
Short form assessing overall functional capacity |
| Tremor Questionnaire for Fragile X study |
2004 Tremor Question
|
|
No |
Designed to obtain patient history of tremors and other neurological conditions |
| Vineland |
Interview Edition
VINE Raw and Standard
VINE Sum. Scores
VINE Sum. Scores 2004
VINE_II_Sum_Scores
VINE_II_Sum_Scores ATN
VINE_II_Sum_Scores NIH Regression
VINE_Sum_Scores_2004_b
VINE_Sum_Scores_2004_CDC
|
American Guidance Service, Inc. |
No |
An instrument for assessing how many age-appropriate, socially adaptive behaviors a child engages in. |
| Vineland Adaptive Behavior Scales - II |
VABS-II_2005
|
American Guidance Service, Inc. |
No |
|
| Vineland II Sum Scores for CDC |
Vineland_II_Sum_Scores_CDC
|
American Guidance Service, Inc. |
No |
A modified version of the AGRE Sum Scores with some fields taken out for easier data entry |
| Vineland II Survey Interview Sum Scores |
Vineland_II_Sum_ScoresAGRE
|
American Guidance Service, Inc. |
No |
Vineland II Adaptive Behavior Scales Survey interview Form Sum Scores (2005) |
| Volumetric Data |
Volumetric_Data_2006
|
|
No |
|
| Wechsler Abbreviated Scale of Intelligence |
WASI 1999
|
American Psychiatric Press, Inc |
No |
Designed as a short and reliable measure of intelligence. |
| Wechsler Adult Intelligence Scale |
WAIS-III
|
American Psychiatric Press, Inc |
No |
Intelligence scale for adults |
| Wechsler Intelligence Scale for Children |
WISC-III
|
American Psychiatric Press, Inc |
No |
Intelligence scale for children. |
| Wechsler Intelligence Scale for Children Fourth Edition |
WISC-IV
WISC-IV_Record Form
|
American Psychiatric Press, Inc |
No |
Intelligence test for children and adolescents 6-16 years |
| Wechsler Memory Scale |
WMS-III: LogMem scores
|
American Psychiatric Press, Inc |
No |
Designed to survey auditory and visual immediate and delayed memory |
| Wechsler Preschool and Primary Scale of Intelligence |
WPPSI-III
WPPSI-III_2.0-3.11_Record Form
WPPSI-III_4.0-7.3_Record Form
|
American Psychiatric Press, Inc |
No |
Intelligence test for preschool and primary school aged children |
| WHAS II NEUROLOGIC SUPPLEMENT |
WHAS_Neuro_2005
|
American Psychiatric Press, Inc |
No |
The purpose of the neurologicical examination is to assess the severity of selected neurologic diseases in relation to concurrent disability.
Inclusion Criteria
WHAS II participants who score <24 on the MMSE or have ever reported a stroke.
Exclusion Criteria
WHAS II participants who score 24 or higher on the MMSE and those who have never reported a stroke. |
| What Children Think and Feel |
RCMAS 2003
|
Western Psychological Services |
No |
The Revised Children’s Manifest Anxiety Scale (RCMAS) helps pinpoint the problems in a child’s life. This brief self-report inventory measures the level and nature of anxiety in 6- to 19-year-olds. It provides scores for Total Anxiety and four subscales:
Worry/Oversensitivity
Physiological Anxiety
Social Concerns/Concentration
Lie Scale
Composed of 37 yes-or-no items, the scale is easy to read, even for younger elementary school children. Using the convenient new AutoScore Answer Form, it can be administered to individuals or groups and scored in less than 10 minutes. |
| WISC-IV Score Summ |
