STICK Progress Tracker

Use the STICK Progress Tracker to check your child's progress with Daytrana. You may want to print this page, so you can track your child's progress using the patch versus previous months when they didn't use the patch. You can also give a copy to your child's teacher. Try to fill it out the same time each week (i.e., before bed on Friday night) so it becomes part of your routine. On your next visit to your child's doctor, share the results with your doctor so he or she can see how Daytrana is helping your child.

 
Week 1 Week 2 Week 3 Week 4
1.  How well is your child able to stick with his/her homework? 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

2.  How well is your child able to focus on quiet/calm activities? 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

3.  How well is your child able to play with, or socialize with, other children? 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

4.  How well is your child able to cooperate and play with his/her family members? 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

5.  How well is your child able to control his emotions? 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

6.  How well is your child able to "think first" (about consequences), and "act second"? 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Add up this week's score (Totals) ________ ________ ________ ________

Add your totals at the bottom of each column so you can see at a glance the difference from week to week. Remember, significant change takes time. While you may see positive results in some areas right away, other areas may take longer.

Notes:
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