Please answer the questions below, rating yourself on each of the criteria shown
using the scale below.
0 = Never | 1 = Rarely | 2 = Sometimes | 3 = Often | 4 = Very Often
Part One
| 1. |
How often do you make careless mistakes when you have to work on a boring project? |
| 2. |
How often do you have difficulty keeping your attention when you are doing boring work? |
| 3. |
How often do you have difficulty focusing on what people say to you? |
| 4. |
How often do you have trouble wrapping up the final details of a project? |
| 5. |
How often do you have difficulty getting things in order? |
| 6. |
When you have a task that requires a lot of thought, how often do you procrastinate starting? |
| 7. |
How often do you have difficulty finding things at home or at work? |
| 8. |
How often are you distracted by activity or noise? |
| 9. |
How often do you have problems remembering appointments? |
Part Two
| 10. |
How often you fidget or squirm with your hands or feet when you have to sit down for a while? |
| 11. |
How often do you leave your seat in meetings? |
| 12. |
How often do you feel restless? |
| 13. |
How often do you hdave difficulty relaxing? |
| 14. |
How often do you feel overly active and compelled to do things? |
| 15. |
How often do you find yourself talking too much? |
| 16. |
How often do you find yourself finishing the sentences of the people you are talking to, before they can finish themselves? |
| 17. |
How often do you have difficulty waiting your turn? |
| 18. |
How often do you interrupt others? |
Add your scores for Part 1 and Part 2 separately. Check your scores using the table below.
| Score |
Evaluation |
| 0-16 |
Unlikely to have Adult ADD/ADHD. |
| 17-23 |
Likely to have Adult ADD/ADHD. |
| 24 or greater |
Highly likely to have Adult ADD/ADHD. |
If you scored a 17 or higher on either Part 1 or Part 2, you might
be suffering from Adult ADD/ADHD. We can help.
Call (908) 988-0587.
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