NADEAU EDUCATIONAL CENTER
11060 Artesia Blvd #D
CERRITOS, CALIFORNIA 90703
1 (562) 924 - 9565
1 (800) 462 - 7323

Patient/Guardian Information

Behavior Profile For Attention Deficit Disorder

Test 1: Spinning (Nystagmus Testing) (c) 2000

To execute this Test, you will need a swivel chair that can Spin around and around 12 to 15 Fast Rotations.  You will also need a stopwatch to measure the number of seconds the Child's Eyes move from Side to Side after he/she Stops Spinning.  For accuracy wait 3 or 4 minutes then Repeat this Nystagmus Eye Movement testing.

Test Instructions:

Have the child sit in the Swivel Chair with his feet off the floor. The parent should sit on the floor in front of the child while Spinning the Child Rapidly to the Right 12-15 Rotations It is very important to spin fast enough for the Child to get dizzy. Stop the Swivel Chair Abruptly after 12 to 15 Fast Rotations. Then, make sure the child is looking at a wall 8 to 10 feet away, slightly to the side of his shoulder. Have the Child focus on the wall until he is no longer dizzy and Until the eye movement has stopped. Start the stopwatch (for counting the number of seconds) as soon as you stop spinning the child. You must watch the child's eyes as they Rapidly Move from Side to Side and you MUST Record the Number of Seconds until the Eyes Stop. As he/she is dizzy and focusing on the wall in front of him, the Eyes will Move Side to Side in a Jerking fashion. This is called Nystagmus. When the eyes stop moving, Stop the stopwatch and Record How Many Seconds the side-to-side movement lasted.

Repeat this entire process going 12 to 15 Rotations to the LEFT. It is important to spin fast enough for the child to get dizzy. For accuracy wait 3 or 4 minutes then repeat this Nystagmus Eye Movement testing to the RIGHT and to the LEFT again and record the number of SECONDS...

Record the number of seconds for the duration of the eye movements. This gives you the Nystagmus Scores.

Test 2: Eye Tracking Tests (c) 1992

PART 1:  Object Must Be  in  Child's Hand

Have the Child hold a pencil at arm's length, about 16-18 inches in front of his/her eyes at Eye Level. It is important to tell the child to hold his/her head and body still and keep their Eyes focused on the movements of the pencil. Have the child move the pencil side to side (Horizontally), then Up and Down (Vertically), then Circularly and Diagonally. The Parent should Observe the child's Eyes to see if they Smoothly Follow the pencil in all four (4) directions and if the head and body do Not Move. Remember, as the eyes track the moving target the HEAD and BODY must NOT turn to follow the target. Only the eyes are allowed to move and follow the target.

PART 2: Object Must Be in Parent's Hand

The Parent is to hold a pencil at arm's length, about 24 inches from the Child's eyes. The Child is to focus on the pencil and keep his/her Head and Body Still. The Parent Will Move the pencil Side to Side, 10-12 times Horizontally, Vertically, Circularly, and Diagonally. The Parent should observe the child's eyes to see if they follow the pencil's movement Smoothly and if the Head and Body Remain Still. Some children's eyes are unable to follow a moving target.

These two (2) Tests of Eye Tracking allows a parent to observe how well the child's central nervous system is working. These tests provide valuable information concerning your child. Dr. Nadeau needs accurate Information from these Tests.

Choose PASS or FAIL for each.

PART 1:
Object in Child's Hand

PART 2:
Object in Parent's Hand

Test 3: Eye Convergence Testing (c) 1992

Test Instructions:

The Parent should hold a pencil straight out in front of the child's eyes, at about 24 inches from the child's nose. The Parent Slowly moves the pencil in Toward the child's Nose. The child should focus on the pencil the entire time. The parent should observe the movement of the child's eyes as the pencil comes in toward the nose. The child's eyes should gradually Cross as the pencil gets closer and closer to the child's Nose. The parent should watch for any small jerking movement of either Eye. The parent must also watch to see if both eyes gradually move in until they cross or notice if one eye fails to cross. Some children's eyes simply cannot cross, but remain looking straight out.

Explanation: When we read a book or do desk work 16 inches from our eyes, the eyes must converge or cross for us to be able to focus correctly and clearly. Children whose eyes cannot Cross may lose their place when reading or they may skip over small words. This lack of proper convergence causes poor Reading Comprehension.

Score by CLICKING  ONE of the following after administering this test

Test 4: Neurological Creeping Tests (c) 2000

Test Instructions:

Have the child Creep on the floor barefooted (like a baby on Hands and Knees).  Observe the Position of the Hands.  Are they flat on the floor and pointing forward.  Or are they Turned Out to the side, or are the fingers curled under in a fist, etc.?  Observe the feet; do they drag on the floor or flop up and down?  Observe the position of the back; is it level or Arched Up or down?  Observe the movement of the knees and hands; do  they move in a Cross Pattern (opposite hand & knee) or same side Hand and Knee at the same time?

Explanation of Test:

Forward Creeping is a Reflex Test used by doctors to check for signs of  Symmetric Tonic Neck Reflex Immaturity.

Watch for Forward movement of One Hand followed by  the knee on the opposite side.  As the Right Hand and  Left Knee move;  then left hand, right knee moves forward..  In the reciprocal pattern, the Opposite Hand and Knee are moved Simultaneously or nearly so.  Doctors consider this creeping  test as a neurological test that checks the development and maturity of the Mid-Brain area of the central nervous system. (Bender-Purdue Reflex Test)

Have the Child crawl 20 feet or so, several times on the floor barefooted (like a 10 month old baby would Creep). Observe and Record the position of his/her hands. Are the hands flat on the floor, fingers pointing forward? This is the correct way. Not with hands and fingers turned out, 90 degrees or more, to the side or with fingers curled under like in a fist.

Next, observe the elbows.
- Elbows should be straight and not markedly Bent.
- Observing The Head is also important. The head should be held up with the Child Looking Straight Ahead or only slightly looking down.

Next observe the Trunk, Hips and Knees.
- Look for free movement of the hips and knees.
- Look for shortened steps that limit hip and knee movement.

Lack of mid-brain development is also indicated when With Body Trunk Slant the body is shifted back over the legs.  When the child creeps with a marked Body Trunk slant with shoulders high and hips low or  elbows bent and the entire trunk lowered.  This is a strong indication of poor development of the Child's Mid-Brain.

Next, observe the Child's Ankles and Feet.
The feet and ankles are to be relaxed so the ankles, insteps, and the toes are flat against the floor.

Lastly, observe the Child's creeping Pattern and Rhythm.
Cross pattern creeping with smooth rhythm is the correct way.  Any other pattern may indicate a neurological deficit.

To score, select the closest position observed in your child.

Flat facing forward

Part II: Head Control / Arm Control / Trunk Control / Leg Control

PART III: FEET & ANKLES

Test 5: Dominance Testing (c) 2000

Test 6: Posturography Testing: (c) 2000

Part 1: Have the Child Stand Barefooted on the floor as still as possible with his/her Eyes Open, while his feet are 2-3 inches apart and his/her Arms Hanging to the side. The child should stand still for 30 seconds if possible. (Parent is to observe the child for any Body Movement.Very Slight Movement from ankles, or Slight Movement in Hips or Whole Body is considered Normal [PASS]. Extreme Movement from ankles, or Extreme Movements in hips or whole body is considered Abnormal [FAIL]. Score Pass or Fail on the Posturography Test Chart under Number ONE .) Part 2:  Repeat the above, only this time, the child's Eyes are Closed for 30 seconds. The child is to stand still for 30 seconds if possible. (Parent is to observe the child for any movement . Slight Movement from ankles, or Slight Movement in Hips or whole body is considered Normal [PASS]. Extreme Movement from ankles, or Extreme movements in hips or whole body is considered Abnormal [FAIL]. Score Pass or Fail on the Posturography Test Chart under Number TWO.) Part 3: Have the child Stand Barefooted on the floor with Eyes Open, feet 2 - 3 inches apart while the child pulls a Large Department Store Paper Shopping Bag over his Head and Shoulders for 30 seconds. On the Inside of the bag, Draw a 2 inch Red Circle for the child to Focus on while performing this test. The child must hold the bag, not the parent, and Look at the 2-3 inch Red Circle while Balancing and Standing as Still as Possible. This may be very difficult for the child to stand still for the 30 seconds. (Parent is to observe the child for any movement. Slight Movement from ankles, or larger movement in hips or whole body is considered Normal [PASS]. Extreme Movement from ankles, or Extreme Movements in hips or whole body is considered Abnormal [FAIL]. Score Pass or Fail on the Posturography Test Chart under Number THREE.) Part 4: Have the child stand barefooted on a Thick Firm Cushion from your couch (Sofa cushions work best). This time, the child's Eyes are Open. The child's feet are 2 - 3 inches apart, arms to the side. The child is to stand as still as possible for 30 seconds. (Parent is to observe the child for any movement - Slight movement from ankles, or Slight Movement in hips or whole body is considered Normal [PASS]. Extreme Movement from ankles, or Extreme movements in hips or whole body is considered Abnormal [FAIL]. Score Pass or Fail on the Posturography Test Chart under Number FOUR.) Part 5: Repeat Test # 4, only this time the child's Eyes are Closed for 30 seconds. The child should stand on a Thick Firm Cushion, as still as possible. (Parent is to observe the child for any movement - Slight Movement from ankles, or Slight Movement in hips or whole body is considered Normal [PASS]. Extreme movement from ankles, or Extreme movements in hips or whole body is considered Abnormal [ FAIL]. Score Pass or Fail on the Posturography Test Chart under Number FIVE. ) Part 6: Have the child Stand Barefooted on a THICK FIRM CUSHION with Eyes Open , feet 2 - 3 inches apart while the child pulls a Large Department Store Paper Shopping Bag over his Head and Shoulders for 30 seconds. On the inside of the bag, make a 2 inch red circle for the child to Focus on while performing this test. The child must hold the bag, not the parent, and look at the 2 inch red circle while balancing and standing as still as possible. Balancing on the cushion may be very difficult for the child to do for 30 seconds so be cautious. (Parent is to observe the child for any movement - slight movement from ankles, or larger movement in hips or whole body is considered Normal [PASS]. Extreme movement from ankles, or Extreme movements in hips or whole body is considered Abnormal [FAIL ]. Score Pass or Fail on the Posturography Test Chart under Number SIX.)
Six sensory conditions for organization posturography tests. Instructions: (For more specific instructions refer to Individual Parts above). Place feet 2 - 3 inches apart. Stand for 30 seconds.
Score  PASS or FAIL for each Test.
Part 1 NV Pass Fail N/A	Part 2 NV Pass Fail N/A	Part 3 NV Pass Fail N/A	Part 4 NV Pass Fail N/A	Part5 NV Pass Fail N/A	Part 6 NV Pass Fail N/A

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Test 7: Reading   Test: (c) 2000

Directions for Administering this Reading Test Each paragraph must be timed in seconds as the person is reading.  CIRCLE all the words that are pronounced Incorrectly.  When 6 HARD WORDS or MORE are Missed in ONE Paragraph, or when the student takes  60 Seconds or longer to read a paragraph, he can stop reading when he/she finishes the Next Paragraph.  Write the NUMBER of SECONDS and NUMBER of MISTAKES in the appropriate spaces below for Each Paragraph.

CHECK THIS BOX IF PERSON TESTING CANNOT READ

1 Look at the big red dog," said Bob.  "I like the big red dog.  Can I play with it?"   "Yes," said Mother.  "But do not play with it in the house."  The red dog ran into the woods.  Bob ran after the dog.  He wanted the dog to come home.

	Seconds
	Mistakes

	2 I have a picture of my rabbit.  You can look at her four feet.  She is brown and white and can run round and  round the pen.  The little cat is her friend.  But she does not like the dog.  I am happy to have my rabbit.

	Seconds
	Mistakes

	3 One day I took a trip to the zoo.  I saw a green turtle who liked to swim. He and the other turtles walked in the  snow to the water.  I think the water was cold.  I saw a red fox in a house.  She looked out at me.  I think the house was warm.

	Seconds
	Mistakes

	4 I remember the house by the lake.  We went there every summer after my birthday.  The kitchen had a big black  table where we ate breakfast, lunch and dinner.  All eight of use got together to swim in the clear water.  We liked to pretend we were princes and princesses.  Life was great.

	Seconds
	Mistakes

	5 I saw the signal on the shore.  My friend Mark, a poor boy from the village, had kept his word.  He had hung  his lantern in the old stone tower by the ocean.  The light told me I could row ashore and begin my dangerous treasure hunt.  The weather was good, but as I hid my boat in the seaweed, I felt a chill.

	Seconds
	Mistakes

	6 When I first saw the pinto, it pawed the ground gingerly and drank from the stream.  People who lived on the prairie  thought he was a special horse, bold and clever.  Their words made me curious so I had ventured miles in my old model automobile to see him.  I stared at him, anxious not to alarm him.  In my judgment, he was an  absolute champion.

	Seconds
	Mistakes

7 I found the photograph and diary among the dusty debris in Chamberlain's laboratory.  Chamberlain had been a  professor and a famous scholar, known for his study of fossils.  The diary reported that he had taken the photograph while on an expedition. The scene was of a primitive ceremony.  In an apparent dungeon, a  magnificent looking man with a flowing mane of hair faced a cylinder shaped stone.

	Seconds
	Mistakes

8 James belonged to a unique society of amateur divers called the Dolphins.  They were interested in salvaging an  incredible treasure deposited many fathoms below the surface of the Pacific.  With a computer, they analyzed a mass of research and established the location of the treasure ship when it fell prey to a hurricane.  They  bought a vessel and took aboard needed apparatus such as a diving capsule and yards of strong cord.

	Seconds
	Mistakes

9 I can only describe the medieval tournament as a silly phenomenon.  Maybe I'm crazy but the idea of haughty men in  cumbersome suits of armor battling each other strikes me as extremely funny.  I've seen pictures of them on their horses, hurtling along with shields raised and lances pointed.  When they suffer the misfortune to be  dumped on the ground, they flail away at each other with frenzied strokes of the sword.

	Seconds
	Mistakes

10 Chang, an inscrutable old man, sat in an alcove by the fire.  When he was young he was one of the most formidable  warriors in China.  He was famous for leading the Chinese peasants on a grueling march over the mountains. When he reached the plains, Chang arrayed his ramshackle volunteers into battle formations.  There they shared  meager rations and waited for the oppressive emperor's imperial army to attack.

	Seconds
	Mistakes

11 The entomologist had contemplated the hazards of working with this lethal strain of honeybee.  Imported from  Africa, these bees were high-strung and aggressive, quick to incite the entire colony when antagonized.  Their excitability often provoked them to mass attacks that resulted in fatalities.  Yet they produced  extravagant quantities of honey, sometimes double that of their more docile European cousins.

	Seconds
	Mistakes

12 A legend is a traditional oral narrative regarded as true by its teller and the society in which it circulates.   Like other genres of folklore, legends frequently become embellished with exaggerated or supernatural elements that make them highly implausible.  However, unlike myths, which are laid in ancient or prehistoric times and  concern deities and other sacred beings, legends deal with persons, places, and events that evoke a semblance of actuality.

	Seconds
	Mistakes

Test 8: Developmental Testing (c) 1992

Administer this test ONLY IF you suspect your child may be Developmentally Delayed.  For this Test, the child must be at least 4 years old.

Part 1: Score two (2) points for each of  the following items answered correctly. Score Zero (0) for each incorrect answer.  Twelve (12) points are possible.  (Do  NOT help the child in any way.  Don't give clues of any kind.  To help the child invalidates the test.)

	NV 0 2	What is ice when it melts? (The child should answer "water")
	NV 0 2	What makes a cloudy day bright? (The child should answer "sun")
	NV 0 2	If today is Sunday, what day is tomorrow? (The child should answer "Monday")
	NV 0 2	What makes day warmer than night? (The child should answer "Sun")
	NV 0 2	How do we hear? (The child should answer "With our ears")
	NV 0 2	What are eyes for? (The child should answer "To see" or "To look")

Total

Part 2: Score Eight (8) points for each item completed successfully.  Score Zero (0) if answered incorrectly. 32 Points are possible in this test.

	NV 0 8	Have the child count the circles above.
	NV 0 8	have the child fold a paper triangle.
	NV 0 8	Ask the child to repeat 4 digits after you say them (one success in three trials is eight points) (a) 3725 (b) 4531 (c) 8694
	NV 0 8	Ask the child to draw a square. (one success in 2 trials is eight points) (Parents can draw a square, then the child tries to draw one)

Total

Part 3: Score Two (2) points for any a, b, or c items answered correctly. If child misses all of the question, score Zero (0).  A total of 32 points is possible.  Parent may NOT help the  child answer or give any clues.

NV 0 2 4

What has: (Ask the child these questions. Do NOT help.)

		(a) Wings? (Any winged insect, bird, airplane, etc.)
		(b) 4 wheels? (Any 4-wheeled object, like a car, truck, etc.)

NV 0 2 4 6

Tell me the color of

		(a) Grass (Child must answer "green".)
		(b) A strawberry (Child must answer "red".)
		(c) A banana (Child must answer "yellow".)

NV 0 2 4 6

Which is larger,

		(a) A dog or a kitten?
		(b) A cow or a cat?
		(c) A man or a child?

NV 0 2 4

What time of the year

		(a) Do we swim? (Child should answer "summer".)
		(b) Does it snow? (Child should answer "winter".)

NV 0 2 4

Which is faster?

		(a) A car or a horse?
		(b) An airplane or a truck?

NV 0 2 4

How many wheels does

		(a) A motorcycle have? (Child should answer "two".)
		(b) A wheelbarrow have? (Child should answer "one".)

NV 0 2 4

When is

		(a) The 4th of July?
		(b) Christmas?
		(Suggest summer or winter for (a). Give no help for (b).)

Total

Part 4: Draw a man.  Ask the child to Draw a picture of Mommy or Daddy. Score Four (4) Points for any of the following items present in the Child's drawing.  Score Zero (0) for each of  the following that is not present. (There is a total of 60 points possible).

	NV 0 4	Head		NV 0 4	Hair
	NV 0 4	Legs		NV 0 4	Feet
	NV 0 4	Arms		NV 0 4	Fingers
	NV 0 4	Body		NV 0 4	Hands
	NV 0 4	Neck		NV 0 4	Thumb
	NV 0 4	Eyes		NV 0 4	Ears
	NV 0 4	Nose		NV 0 4	Eyebrows
	NV 0 4	Mouth

Total

Nadeau Educational Center Questionaire

Rate every statement by placing the most appropriate number from the list below into the blank next to the statement

0 = HAVE NOT noticed this behavior	2 = Noticed this behavior to a MEDIUM degree
1 = Noticed this bahavior to a LIGHT degree	3 = Noticed this behavior to a LARGE degree
	4 = Noticed this behavior to an EXTREME degree

NV 0 1 2 3 4 1. Does he/she have difficulty with balance or coordination tasks such as skipping, hopping, jumping rope, roller skating, or riding a bike?

NV 0 1 2 3 4 2. Is his/her handwriting messy, poorly spaced, irregular in size, infantile, or difficult to read?

NV 0 1 2 3 4 3. Is he/she clumsy, accident-prone, always bumping into things, tripping, or falling?

NV 0 1 2 3 4 4. Does he/she currently have any of the following" Stuttering, slurring of speech, stammering, slips of the tounge, saying the wrong word, or mispronouncing words?

NV 0 1 2 3 4 5. Does he/she have poor depth perception, limited peripheral vision, or tunnel vision?

NV 0 1 2 3 4 6. Does he/she tilt the head when doing desk work? Does he/she lose his/her place easily, skip over easy words, or skip lines while reading?

NV 0 1 2 3 4 7. Does he/she scramble words and sentences when reading or tend to confuse letters or numbers? (b & d) (14 & 41)(saw & was)(on & no), etc.?

NV 0 1 2 3 4 8. Does he/she experience any of the following while reading: Headaches, nausea, dizziness, blurred vision, or sleepiness?

NV 0 1 2 3 4 9. Do things not "sink in" the first time he/she hears them, forcing him/her to ask people to repeat directions and instructions?

NV 0 1 2 3 4 10. Does he/she have difficulty distinguishing left from right, or East from West?

NV 0 1 2 3 4 11. Does he/she easily get disoriented, lost, or confused in following directions?

NV 0 1 2 3 4 12. Does he/she have difficulty judging elapsed time or making time projections?

NV 0 1 2 3 4 13. As a young child, did he/she have trouble learning to tell time or making change at the store?

NV 0 1 2 3 4 14. Does he/she avoid spinning around in circles or dislike getting dizzy?

NV 0 1 2 3 4 15. Is he/she prone to becoming car sick more easily than others?

NV 0 1 2 3 4 16. Does he/she dislike or avoid Merry-go-rounds, or teacup type rides at amusement parks?

NV 0 1 2 3 4 17. Does he/she have difficulty remembering names, faces, dates, spelling easy words, directions, or proper sequence of events?

NV 0 1 2 3 4 18. Is he/she absent-minded, forgetful, or sometimes experience mental blanks?

NV 0 1 2 3 4 19. Does he/she sometimes have difficulty remembering simple addition, subtraction, or multiplication facts?

NV 0 1 2 3 4 20. Does he/she have difficulty conentrating and sometimes easily become distracted by the slightest noise or sounds?

NV 0 1 2 3 4 21. Do people sometimes accuse him/her of being spacey or a scatter brain?

NV 0 1 2 3 4 22. Does he/she tire easily or get foggy quickly when reading, writing, or studying?

NV 0 1 2 3 4 23. Does he/she have difficulty reading a book from cover to cover? Is reading dry and sometimes hard? Is reading for pleasure a rare experience?

NV 0 1 2 3 4 24. Does he/she tend to forget directions or have difficulty following instructions?

NV 0 1 2 3 4 25. Is he/she prone to temper outbursts? Does he/she lose temper often and easily?

NV 0 1 2 3 4 26. Will often talk excessively and interrupt others. Often gets into fights with others. Needs a lot of supervision at home or school? Can't seem to organize his/her work?

NV 0 1 2 3 4 27. Is a poor reader (below grade level) and has poor reading comprehension?

NV 0 1 2 3 4 28. Does he/she have trouble with reading, spelling, writing, grammar, or math?

NV 0 1 2 3 4 29. Does he/she often make dumb mistakes, even though he/she is very intelligent?

NV 0 1 2 3 4 30. Is he/she viewed as an underachiever or an overachiever; a latebloomer, or an academic puzzlement? Is he/she very intelligent but has trouble learning?

NV 0 1 2 3 4 31. Does he/she have school or avoid school and/or school-related activities?

NV 0 1 2 3 4 32. Has he/she ever been diagnosed as dyslexic or learning disabled?

NV 0 1 2 3 4 33. Does he/she tilt his/her head when reading or doing desk work?

NV 0 1 2 3 4 34. Does he/she have migraines, headaches, a nervous stomach, stomach or other psychosomatic symptoms? Does he/she have headaches often - like once or twice per week?

NV 0 1 2 3 4 35. Is he/she sometimes anzious over nothing, nervous or have chronic fatigue?

NV 0 1 2 3 4 36. Is he/she moody, depressed, stressed out or often frustrated?

NV 0 1 2 3 4 37. Does he/she have hypochondriacal worries, or is he/she prone to worrying about nothing? May appear sullen, moody, or quiet and is usually a loner?

NV 0 1 2 3 4 38. Does he/she suffer from sleep disorders such as insomnia, nightmares, or sleepwalking? Does he/she have a short temper or lots of anger inside?

NV 0 1 2 3 4 39. Does he/she procrastinate or have difficulty making decisions? Crying jags?

NV 0 1 2 3 4 40. Is he/she self-conscious about his/her intelligence, speech or appearance?

NV 0 1 2 3 4 41. Does he/she often feel inferior, stupid, ugly or clumsy?

NV 0 1 2 3 4 42. Does he/she sometimes experience phobias, irritability or difficulty managing stress?

NV 0 1 2 3 4 43. Is the child 5 years old or older and still a bed wetter?

Additional Comments

For any additional Comments or Questions that you may have, enter them here.

Payment and Submission

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1. FIRST, CLICK THE SUBMIT BUTTON TO SEND YOUR TEST RESULTS TO US.

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	After beginning your  home therapies,  you can e-mail or call the Nadeau Center and talk to Dr. Nadeau or his assistant with any  questions you may have.   Dr. Nadeau and the Nadeau Center are dedicated to helping you remediate any problems found by their testing.