ADD ADULT QUESTIONNAIRE Please provide the following:

Please fill in all required fields so your form is properly processed.
First Name:	*
Last Name:	*
Email:	*

Please indicate how much this characteristic describes you:

I am creative.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I am intuitive.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I am intelligent.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I am restless.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I am distractable.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I get lost a lot, I have a poor sense of direction.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I find it hard to start projects.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I can't finish projects.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I need constant mental stimulation.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I am easily bored.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I often tune out.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I find it hard to keep really tight concentration.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I have trouble readily learning a prescribed procedure.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I am impatient.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I don't tolerate frustration well.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I am impulsive.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I blurt out whatever comes to mind.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I worry and worry and worry.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I have a foreboding, a sense of impending doom.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
My moods are up and down.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I am depressed.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I tend to have to have my coffee, or my TV show, or . . .	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
I don't think much of myself, my self esteem is low.	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
Considering sons, daughters, brothers, sisters, nephews, neices, aunts, uncles, parents and grandparents -- one or more has: Attention Deficit Disorder	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
Considering sons, daughters, brothers, sisters, nephews, neices, aunts, uncles, parents and grandparents -- one or more has: Manic-depression (bipolar affective disorder)	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
Considering sons, daughters, brothers, sisters, nephews, neices, aunts, uncles, parents and grandparents -- one or more has: Depression	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!
Considering sons, daughters, brothers, sisters, nephews, neices, aunts, uncles, parents and grandparents -- one or more has: Substance Abuse	Never! Well, a bit Yes, some Oh! Yes! ALL THE TIME !!