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First Name: * required
Last Name: * required
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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 !!

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