Cogmed Training Evaluation (4-17 yo)

  • As part of the evaluation of training with Cogmed Working Memory Training, we would like to request that you reply to the 18 statements below. The first nine statements deal with inattention and the last nine with hyperactivity and impulsivity. Choose to what extent each statement applies to the child's behaviour over the past week. As with all other information related to the child, the rating scale will be treated confidentially.
  • Circle the figure that best describes the child's behaviour over the past week.

  • Does not apply at allApplies to a slight extentApplies fairly closelyVery much applies
    1. Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities.
    2. Often has trouble keeping attention on tasks or play activities.
    3. Often does not seem to listen when spoken to directly.
    4. Often does not follow instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behaviour or failure to understand instructions).
    5. Often has trouble organising activities.
    6. Often avoids, dislikes, or doesn't want to do things that take a lot of mental effort for a long period of time (such as schoolwork or homework).
    7. Often loses things needed for tasks and activities (e.g., toys, school assignments, pencils, books, or tools).
    8. Is often easily distracted.
    9. Is often forgetful in daily activities.
  • Does not apply at allApplies to a slight extentApplies fairly closelyVery much applies
    10. Often fidgets with hands or feet or squirms in seat.
    11. Often gets up from seat when remaining in seat is expected.
    12. Often runs about or climbs when and where it is not appropriate (adolescents or adults may feel very restless).
    13. Often has trouble playing or enjoying leisure activities quietly.
    14. Is often "on the go" or often acts as if "driven by a motor.”
    15. Talks excessively.
  • Does not apply at allApplies to a slight extentApplies fairly closelyVery much applies
    16. Often blurts out answers before questions have been finished.
    17. Often has trouble waiting one's turn.
    18. Often interrupts or intrudes on others (e.g., butts into conversations or games).