Criteria- Within the past six months
never
Sometimes
Often
Frequently
1. Do you have trouble with attention to details?
2. Do you have difficulty sustaining attention?
3. Do others complain that you do not seem to listen?
4. Do you have difficulty organizing tasks?
5. Do you avoid sustained mental effort?
6. Do you loose or misplace things?
7. Are you easily distracted by outside stimuli?
8. Are you forgetful?
9. Do you fidget or squirm?
10. Do you have difficulty remaining seated?
11. Do you feel restless?
13. Are you loud when you are having fun?
14. Do you feel driven or on the go?
15. Do you talk too much?
16. Do you blurt out answers before the question?
17. Are you impatient to wait your turn?
18. Do you butt into conversations or activities?
19. Do problems with attention or hyperactivity interfere with family or work life?