Conduct Disorder Scale Summary/Response Form Section |. Identifying Information Subpet's Name — Address School Year Month Day Date of CDS Rating = __ Subject’s Date of Sith = Section Ill, Interpretation Guide Conduct me, | coe, [ents 85-99 Moderave | Probable 70-84 Mild | Ukely =69 {Not Apotcable) | Unlikely Subject’s Age Parents ‘/Guardians' Names Examiner’ Name Examiner’ Tite at Raters Name —. ee Raw ‘Subscales Score SS “%ile SEM ‘Aggressive Conduct —_— — — '! Hostility. - 1 —-—— '! % Deceitfulness/Theft % a] soe defers sane a wfelele 6 ele zf-e oe af eto]. + slo sum of Standard Scores ee. yo Nee tle Conduct Disorder Quotlent —_> — 3 frat “Adéitional copies of this form (#10357) may be purchase 10-£0, PRO, 8700 Shoal rec hd, Austin, TK 7751 89 (© 2002 by PRO-ED, Inc. et '200\897-3202, Fax 800/297-7633, ww prec 3456 21 Scanned with CamScannerDirections: Rate each item according to the frequency of occurrence, Use the following guidelines Section V. Response Form t 0 Never Observed—you have never seen the Person behave in this manner, 1. Seldom Observed—Ferson behaves in this manner 1 10 2 times per Fehour period. 2 Sometimes Observed—Person behaves in this manner 3 to 4 times per 6-hour pe‘iod 3. Frequently Observed—Person behaves in this manner atleast 5 times per E-hour period. Cirde the number that best describes your observations of the person's. typical behavior under ordinary circumstances ‘most places, with people he or she is familiar with, and in usual daity activites), Remember to rate een item. f you iy ee ~ncertain about how to rate an item, delay the rating and cbserve the person fora 6-hour period to determine your r@ ing ‘The person: 1. argues with adults. 2. actively defies or refuses to comply with adults’ requests or rules, 3. deliberately annoys people. 4. acts in a spiteful or vindictive manner, 5. is verbally abusive, 6. creates disturbances, 7. ignores adults’ warnings or reprimands, B, starts fights. 9. is physically crue! to others. 10. makes demands rather than requests. 11. attempts to physically hurt others. 12. deliberately destroys others’ property. 13. is explosive. Z 14, loses temper. 15. is angry and resentful. 16. shows litle or no shame or guilt after being caught doing something wrong, “ 17. litates teachers and other students. 18, cruelly teases or makes fun of others. 19. is insensitive to the feelings of ethers. 20. displays a negative attitude, | 5 21, says authority figures do not have the right to touch him or her. 22, says he or she doesn't care about how others feel, 23, isunconcerned about others’ rights. 24, rejects moral statements about what is nght or wrong. 25, associates with antisocial students. 26, makes sexually abusive comments, 27. says he or she doesn’t care what happens to him or her. 28. blames others for his or her mistakes or misbehavior. 29, lies to obtain goods or favors or to avoid obligations. 30. steals while confronting 3 victim. 31, steals without confronting a victim. 7 32. uses other people's property without permission. 33, cheats on assignments, tests, or games. cos 4G fo your ratings oO 1 2 3 o 1 2 3 0 1 2 3 o 1 2 3 0 1 2 3 o 1 2 3 0 1 2 3 oO 1 2 3 oO 1 2 3 o 1 2 3 oO 1 2 3 oO ' 2 3 i 0 1 2 3 + + = 0 1 2 3 0 1 2 3 ° 1 2 3 0 1 2 3 ° 1 2 3 oO 1 2 3 Oo 1 2 3 0 1 2 3 o 1 2 3 0 1 2 3 oO 1 2 3 0 1 2 3 5 0 1 2 3 ey 0 1 2 3 aw Score +(+fOo- ° 1 2 3 oO 1 2 3 0 i 203 0 1 2 3 0 1 2 3 | ° 1 +CO+--+Co- Scanned with CamScannerSg 88 FH Se pouchy or easily annoyed by others. 0 1 2 3 fringes on the rights of others. ° 1 2 3 36. Is uncooperative, ° 1 2 3 37. is disobedient (breaks known rules). 0 1 2 3 38. responds poorly to discipline. 0 1 2 3 39. bullies, threatens, or intimidates others. 0 1 2 3 i 10. has difficulty waiting for things. 0 1 2 30 mow + + + =L_] Section VI. Key Questions nswer each question by circling either Yes or No and writing a description of the behavior in question. Because the time eriod in which the behavior occurred is important, bé sure to record the date when the behavioral episode occurred. jas the person ever: 1. harmed sorneone or threatened to harm someone using a weapon (e.g., bat, brick, broken bottle, knife, er gun)? Yes No 2. been physically cruel to people or animals? Yes ~ No 3. engaged in stealing directly from a victim (e.9., mugging, purse snatching, extortion, or armed robbery)? Yes No 4, forced someone into sexual activity? Yes No §. engaged in physical violence (e.g. rape, assault, or homicide)? Yes Wo 6. deliberately destroyed someone's property (e.g., deliberate fire setting with the intention of causing serious damdge)? Yes No 7. delibere © destroyed someone's property in other ways (e.g., smashing , he car windows ut school vandals)? es 8, engaged in deceituness or theft such as breaking into someone else's ves we house, bullding, or car? tions? Yes No 9. lied or manipulated someone to obtain goods or favors or to avoid obligat cus Scanned with CamScanner