ADHD Assessment Name First Last Email PhoneDate Date Format: MM slash DD slash YYYY 1) How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?*NeverRarelySometimesOftenVery Often2) How often do you have difficulty getting things in order when you have to do a task that requires organization?*NeverRarelySometimesOftenVery Often3) How often do you have problems remembering appointments or obligations?*NeverRarelySometimesOftenVery Often4) When you have a task that requires a lot of thought, how often do you avoid or delay getting started?*NeverRarelySometimesOftenVery Often5) How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?*NeverRarelySometimesOftenVery Often6) How often do you feel overly active and compelled to do things, like you were driven by a motor?*NeverRarelySometimesOftenVery Often7) How often do you make careless mistakes when you have to work on a boring or difficult project?*NeverRarelySometimesOftenVery Often8) How often do you have difficulty keeping your attention when you are doing boring or repetitive work?*NeverRarelySometimesOftenVery Often9) How often do you have difficulty concentrating on what people say to you even when they are speaking to you directly?*NeverRarelySometimesOftenVery Often10) How often do you misplace or have difficulty finding things at home or at work?*NeverRarelySometimesOftenVery Often11) How often are you distracted by activity or noise around you?*NeverRarelySometimesOftenVery Often12) How often do you leave your seat in meetings or other situations in which you are expected to remain seated?*NeverRarelySometimesOftenVery Often13) How often do you feel restless or fidgety?*NeverRarelySometimesOftenVery Often14) How often do you have difficulty unwinding and relaxing when you have time to yourself?*NeverRarelySometimesOftenVery Often15) How often do you find yourself talking too much when you are in social situations?*NeverRarelySometimesOftenVery Often16) When you are in a conversation, how often do you find yourself finishing the sentences of the people you are talking to, before they can finish them themselves?*NeverRarelySometimesOftenVery Often17) How often do you have difficulty waiting your turn in situations when turn talking is required?*NeverRarelySometimesOftenVery Often18) How often do you interrupt others when they are busy?*NeverRarelySometimesOftenVery Often