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Brain Ware Cognitive Rating Scale (Ages 9-12)

The purpose of this rating scale is to enable a parent or teacher to evaluate a child on behaviors that typically relate to cognitive development in key areas. Please read each of the statements and rate the child according to the following scale. After you have rated the child on all statements, we will calculate a score for this child in each area. After you complete the form and click “SUBMIT,” you will get an email with a summary of your ratings and results by cognitive area.

  • Person Performing the Evaluation

  • Person Being Evaluated

  • Please enter a number from 9 to 12.
  • MM slash DD slash YYYY
  • Significantly Below AverageBelow AverageAverageAbove AverageSignificantly Above Average
    1. Can sustain attention for approriate periods of time in routine home and school situations
    2. Can maintain proper attention even when distractions are present
    3. Pays attention to details
    4. Listens carefully and maintains eye contact when being spoken to
    5. Is organized (schoolwork, bedroom, etc.)
    6. Can shift attention smoothly when moving from one activity to another
  • Significantly Below AverageBelow AverageAverageAbove AverageSignificantly Above Average
    7. Can remember his or her address and phone number, dates, names and other basic facts
    8. Can remember information learned for tests
    9. Remembers to do things he or she was asked to do
    10. Once he or she learns to do a task, remembers how to do it days or weeks later
    11. Can remember the details of a story he or she just read
    12. Can remember the details of instructions given and carries out the instructions correctly
  • Significantly Below AverageBelow AverageAverageAbove AverageSignificantly Above Average
    13. Can follow a map
    14. Does not make a lot of careless errors
    15. Can work on schoolwork independently without much help
    16. Understands and does not get confused when instuctions are given
    17. Can handle complex tasks requiring significant mental effort, without getting frustrated
    18. Completes homework or other tasks that require mental effort in the appropriate amount of time
  • Significantly Below AverageBelow AverageAverageAbove AverageSignificantly Above Average
    19. Learns from mistakes
    20. Plans ahead and uses forethought
    21. Uses good judgment
    22. Is good at finding solutions to problems
    23. Can predict the outcome of situations or stories
    24. Uses imagination and creativity
  • Significantly Below AverageBelow AverageAverageAbove AverageSignificantly Above Average
    25. Manages time effectively
    26. Does not procrastinate
    27. Completes assignments and tasks on time
    28. Establishes proper priorities
    29. Is able to see things from multiple perspectives
    30. Plans how to accomplish short- and long-term goals
  • Significantly Below AverageBelow AverageAverageAbove AverageSignificantly Above Average
    31. Has confidence in his or her learning ability
    32. Enjoys taking on challenging tasks
    33. He or she feels well-liked
    34. Bounces back from failures or setbacks quickly
    35. Does not need a lot of reassurance in most areas of life
    36. Exhibits good motivation and effort towards learning and school

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