[left]Hill Inventory 13
I - Attention Deficit
Not
Present
0
Very
Mild
1
Mild
2
Moderate
3
Severe
4
Very
Severe
5
Does not seem to listen when spoken to
Makes careless errors in schoolwork
Avoids or dislikes tasks requiring sustained attention
Short attention span
Disorganized
Loses things
Trouble keeping up with personal property
Easily distracted
Forgetful in daily activity
Difficulty completing tasks
Gets bored easily
Stares into space/daydreaming
Low energy, sluggish or drowsy
Apathetic or unmotivated
Frequently switches from one activity to another
Trouble concentrating
Falls asleep doing work
Failure to hand in work
Trouble doing homework
Trouble following directions
Excited in the beginning but doesn’t finish
Difficulty learning
II - Hyperactivity
Fidgets with hands and feet
Squirms in seat
Frequently leaves seat inappropriately
Runs, climbs or moves excessively
Difficulty working or playing quietly
On the go
Driven
Talks excessively
Can’t sustain eye contact
Needs a lot of supervision
Pays attention to everything
Frequently “rocks”
Excitability
Lacks patience
In trouble frequently
Restless
III - Impulsivity
Cannot see consequences of behavior
Blurts out answers or comments
Difficulty waiting turn
Frequently interrupts
Butts into others conversation
Engages in physically dangerous activity
Acts before thinking
Frequently takes risks
Takes all dares
Frustrated easily
Hill Inventory 13
IV - Immaturity
Not
Present
0
Very
Mild
1
Mild
2
Moderate
3
Severe
4
Very
Severe
5
Delayed physical development
Prefers to play with younger children
Plays with toys below age level
Behavior resembles younger children
Immature responses to situations
Talks “baby talk”
Whining and clinging like younger person
Inappropriately messy
Difficulty understanding age appropriate directions
V – Oppositional Behavioral
Oppositional and disrespectful toward authority
Often loses temper
Argumentative
Often defies rules
Frequently refuses adult request
Deliberately does things that annoy others
Blames others for his mistakes or behavior
Touchy or easily annoyed by others
Angry and resentful
Spiteful or vindictive
Swears or uses obscene language
Shows excessive stubbornness
Lies frequently
Must have his own way
Plays tricks on or teases others
Doesn’t keep promises
Resists being disciplined
Cannot take teasing
Refuses to take suggestions
Has an “I don’t care” attitude
Runs away from home
Often truant from school
Stays out all night against parent rules
VI – Anxiety
Panic attack type symptoms
Frequently nervous
Often upset
Is fearful of many things
Fearful of being alone
Fearful of a specific object
Jumpy, hypervigilance
Timid
Worries Excessively
Persistent thoughts
Repetitive behaviors (hand washing, counting)
Exaggerated startled response
Shaking, trembling
Tearful
Fear of death or dying
Tense muscles
Always on edge
Hill Inventory 13
VII – Aggressive/Sadistic Behavior
Not
Present
0
Very
Mild
1
Mild
2
Moderate
3
Severe
4
Very
Severe
5
Bullies, threatens or intimidates others
Often initiates fights
Has used a weapon that could harm others
Has been physically cruel to others
Has been physically cruel to animals
Has stolen while confronting victim
Has forced someone into sexual activity
Deliberate fire setting
Broken into the property of others
Lies to obtain goods or favors
Stolen without confronting victim
Does not respect anyone
Bosses others around
Makes derogatory remarks about others
Seems to enjoy being in trouble “a hero”
Delights in failure of others
Pushes or shoves others
Cheats at games
Preoccupied with death, guns, killing
VIII – Depression
Seems sad, does not smile very much
Seems unusually quiet
Poor sense of humor
Grouchy, irritable
Sullen
Looks flat
Withdrawal from family/activities
Tearful
Frequently seems lonely
Moodiness, unpredictable mood swings
A loner, with drawn
Depressed
No interest
Problems with sleep
Thinks about death or dying
Suicidal
IX – Low Self Esteem
Doesn’t trust themselves
Frequently put themselves down
Refuses to try new things
Poor performance even when they have the ability
Always takes a back-seat position
Timid and reserved
Often shy around others
Trouble answering questions in front of others
Sees the worst in self
Hangs around with less capable friends
Easily embarrassed
Seems satisfied with poor school performance
Does not compete with others
Gives up easily
Shows not self confidence
Hill Inventory 13
X – Tic Disorders
Motor Tics (sudden jerky type motions)
Not
Present
0
Very
Mild
1
Mild
2
Moderate
3
Severe
4
Very
Severe
5
Facial tic: eye blinking, eye rolls, squinting, grimacing, lip
licking, biting tongue, grinding teeth
Head and Neck: hair out of the eyes, neck jerking, tossing head
around, shoulder shrugging
Arms and hands: Flailing arms, extending arms, biting nails,
finger signs, flexing fingers, picking skin, popping knuckles
Diaphragm: unusual inhale, exhale, gasping for breath
Legs: kicking, hopping, skipping, jumping, bending, stooping,
stepping backward
Feet: tapping, shaking, toe curling, tripping, turning feet
Others: blowing, smelling, twirling hair, jerking, kissing,
hitting self, chewing, scratching, shivering, pulling
Vocal Tics
Throat clearing, coughing
Grunting, snorting, animal noises
Yelling, screaming
Sniffing, burping
Barking, honking
Motor or jet noise
Spitting
Squeaking, “huh”
Humming
Stuttering
Deep breath, sucking in breath
Repetitive cursing, “fu”, “sh”
XI – Developmental & Learning Disorder(s)
Mental retardation
Reading disorder
Mathematics disorder
Disorder of written expression
Developmental coordination disorder
Expressive language disorder
Mixed receptive/expressive language disorder
Phonological disorder (articulation)
Stuttering
Autistic disorder
Retts disorder
Childhood disintegrative disorder
Aspergers disorder
XII – Sleep
Difficulty going to bed
Difficulty going to sleep
Wakes up frequently
Early awakening
Restless sleep
Talking in sleep
Walking in sleep
Wakes up in terror
Restless legs
Bed wetting or soiling
Nightmares[justify][center]
I - Attention Deficit
Not
Present
0
Very
Mild
1
Mild
2
Moderate
3
Severe
4
Very
Severe
5
Does not seem to listen when spoken to
Makes careless errors in schoolwork
Avoids or dislikes tasks requiring sustained attention
Short attention span
Disorganized
Loses things
Trouble keeping up with personal property
Easily distracted
Forgetful in daily activity
Difficulty completing tasks
Gets bored easily
Stares into space/daydreaming
Low energy, sluggish or drowsy
Apathetic or unmotivated
Frequently switches from one activity to another
Trouble concentrating
Falls asleep doing work
Failure to hand in work
Trouble doing homework
Trouble following directions
Excited in the beginning but doesn’t finish
Difficulty learning
II - Hyperactivity
Fidgets with hands and feet
Squirms in seat
Frequently leaves seat inappropriately
Runs, climbs or moves excessively
Difficulty working or playing quietly
On the go
Driven
Talks excessively
Can’t sustain eye contact
Needs a lot of supervision
Pays attention to everything
Frequently “rocks”
Excitability
Lacks patience
In trouble frequently
Restless
III - Impulsivity
Cannot see consequences of behavior
Blurts out answers or comments
Difficulty waiting turn
Frequently interrupts
Butts into others conversation
Engages in physically dangerous activity
Acts before thinking
Frequently takes risks
Takes all dares
Frustrated easily
Hill Inventory 13
IV - Immaturity
Not
Present
0
Very
Mild
1
Mild
2
Moderate
3
Severe
4
Very
Severe
5
Delayed physical development
Prefers to play with younger children
Plays with toys below age level
Behavior resembles younger children
Immature responses to situations
Talks “baby talk”
Whining and clinging like younger person
Inappropriately messy
Difficulty understanding age appropriate directions
V – Oppositional Behavioral
Oppositional and disrespectful toward authority
Often loses temper
Argumentative
Often defies rules
Frequently refuses adult request
Deliberately does things that annoy others
Blames others for his mistakes or behavior
Touchy or easily annoyed by others
Angry and resentful
Spiteful or vindictive
Swears or uses obscene language
Shows excessive stubbornness
Lies frequently
Must have his own way
Plays tricks on or teases others
Doesn’t keep promises
Resists being disciplined
Cannot take teasing
Refuses to take suggestions
Has an “I don’t care” attitude
Runs away from home
Often truant from school
Stays out all night against parent rules
VI – Anxiety
Panic attack type symptoms
Frequently nervous
Often upset
Is fearful of many things
Fearful of being alone
Fearful of a specific object
Jumpy, hypervigilance
Timid
Worries Excessively
Persistent thoughts
Repetitive behaviors (hand washing, counting)
Exaggerated startled response
Shaking, trembling
Tearful
Fear of death or dying
Tense muscles
Always on edge
Hill Inventory 13
VII – Aggressive/Sadistic Behavior
Not
Present
0
Very
Mild
1
Mild
2
Moderate
3
Severe
4
Very
Severe
5
Bullies, threatens or intimidates others
Often initiates fights
Has used a weapon that could harm others
Has been physically cruel to others
Has been physically cruel to animals
Has stolen while confronting victim
Has forced someone into sexual activity
Deliberate fire setting
Broken into the property of others
Lies to obtain goods or favors
Stolen without confronting victim
Does not respect anyone
Bosses others around
Makes derogatory remarks about others
Seems to enjoy being in trouble “a hero”
Delights in failure of others
Pushes or shoves others
Cheats at games
Preoccupied with death, guns, killing
VIII – Depression
Seems sad, does not smile very much
Seems unusually quiet
Poor sense of humor
Grouchy, irritable
Sullen
Looks flat
Withdrawal from family/activities
Tearful
Frequently seems lonely
Moodiness, unpredictable mood swings
A loner, with drawn
Depressed
No interest
Problems with sleep
Thinks about death or dying
Suicidal
IX – Low Self Esteem
Doesn’t trust themselves
Frequently put themselves down
Refuses to try new things
Poor performance even when they have the ability
Always takes a back-seat position
Timid and reserved
Often shy around others
Trouble answering questions in front of others
Sees the worst in self
Hangs around with less capable friends
Easily embarrassed
Seems satisfied with poor school performance
Does not compete with others
Gives up easily
Shows not self confidence
Hill Inventory 13
X – Tic Disorders
Motor Tics (sudden jerky type motions)
Not
Present
0
Very
Mild
1
Mild
2
Moderate
3
Severe
4
Very
Severe
5
Facial tic: eye blinking, eye rolls, squinting, grimacing, lip
licking, biting tongue, grinding teeth
Head and Neck: hair out of the eyes, neck jerking, tossing head
around, shoulder shrugging
Arms and hands: Flailing arms, extending arms, biting nails,
finger signs, flexing fingers, picking skin, popping knuckles
Diaphragm: unusual inhale, exhale, gasping for breath
Legs: kicking, hopping, skipping, jumping, bending, stooping,
stepping backward
Feet: tapping, shaking, toe curling, tripping, turning feet
Others: blowing, smelling, twirling hair, jerking, kissing,
hitting self, chewing, scratching, shivering, pulling
Vocal Tics
Throat clearing, coughing
Grunting, snorting, animal noises
Yelling, screaming
Sniffing, burping
Barking, honking
Motor or jet noise
Spitting
Squeaking, “huh”
Humming
Stuttering
Deep breath, sucking in breath
Repetitive cursing, “fu”, “sh”
XI – Developmental & Learning Disorder(s)
Mental retardation
Reading disorder
Mathematics disorder
Disorder of written expression
Developmental coordination disorder
Expressive language disorder
Mixed receptive/expressive language disorder
Phonological disorder (articulation)
Stuttering
Autistic disorder
Retts disorder
Childhood disintegrative disorder
Aspergers disorder
XII – Sleep
Difficulty going to bed
Difficulty going to sleep
Wakes up frequently
Early awakening
Restless sleep
Talking in sleep
Walking in sleep
Wakes up in terror
Restless legs
Bed wetting or soiling
Nightmares[justify][center]