Children's Paediatrics - SNAP-IV | Kent Community Health NHS Foundation Trust

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Community Paediatrics - SNAP-IV

Patient details

Child's firstname(Required)

Child's surname(Required)

Child's date of birth(Required)

School(Required)

Other, please specify(Required)

Year group(Required)

Form completed by(Required)

Name of person completing form(Required)

Client ID(Required)

This is a seven digit number, which you will find in the subject line of the email received from the service.

SNAP-IV questions

For each item, please select which best describes this child/adolescent:

1. Often fails to give close attention to details or makes careless mistakes in schoolwork or tasks(Required)

2. Often has difficulty sustaining attention in tasks or play activities(Required)

3. Often does not seem to listen when spoken to directly(Required)

4. Often does not follow through on instructions and fails to finish schoolwork, chores, or duties(Required)

5. Often has difficulty organizing tasks and activities(Required)

6. Often avoids, dislikes, or reluctantly engages in tasks requiring sustained mental effort(Required)

7. Often loses things necessary for activities (such as toys, school assignments, pencils or books)(Required)

8. Often is distracted by extraneous stimuli(Required)

9. Often is forgetful in daily activities(Required)

10. Often fidgets with hands or feet or squirms in seat(Required)

11. Often leaves seat in classroom or in other situations in which remaining seated is expected(Required)

12. Often runs about or climbs excessively in situations in which it is inappropriate(Required)

13. Often has difficulty playing or engaging in leisure activities quietly(Required)

14. Often is on the go or often acts as if driven by a motor(Required)

15. Often talks excessively(Required)

16. Often blurts out answers before questions have been completed(Required)

17. Often has difficulty awaiting turn(Required)

18. Often interrupts or intrudes on others (such as butts into conversations/ games)(Required)

19. Often loses temper(Required)

20. Often argues with adults(Required)

21. Often actively defies or refuses adult requests or rules(Required)

22. Often deliberately does things that annoy other people(Required)

23. Often blames others for his or her mistakes or misbehaviour(Required)

24. Often is touchy or easily annoyed by others(Required)

25. Often is angry and resentful(Required)

26. Often is spiteful or vindictive(Required)

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Children’s Paediatrics – SNAP-IV

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Community Paediatrics - SNAP-IV

Patient details

SNAP-IV questions