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Check the box which best applies to each question:
Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often has difficulty sustaining attention in tasks or play activities. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often does not seem to listen when spoken to directly. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often does not follow through on instructions and fails to finish schoolwork,chores or duties in the workplace (not due to oppositional behavior or failure to understand instructions). Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often has difficulty organizing tasks and activities. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often avoids, dislikes, or has difficulties engaging in tasks. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often loses things necessary for tasks or activities (e.g., toys, school assignments, pencils, books, or tools). Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Is often easily distracted by extraneous stimuli. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often forgetful in daily activities. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often fidgets with hands or feet or squirms in seat. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often leaves seat in classroom or in other situations in which remaining seated is expected. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often runs about or climbs excessively in situations where it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness). Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often has difficulty playing or engaging in leisure activities quietly. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Is always "on the go" or often acts if "driven by a motor". Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often talks excessively. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often blurts out answers to questions before the questions have been completed. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often has difficulty awaiting turn. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often interrupts or intrudes on others (e.g. butts into conversations or games). Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often stares into space and reports daydreaming. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often appears to be low in energy level, sluggish, or drowsy. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often appears to be apathetic or unmotivated to engage in goal directed activities. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often engages in physically dangerous activities without considering possible consequences. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often shifts from one uncompleted activity to another. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often fails to finish things he or she starts. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Has difficulty concentrating on school work or other tasks requiring sustained attention. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Has difficulty sticking to a play activity. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Frequently calls out in class or in other situations when silence is expected. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Needs a lot of supervision. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Moves about excessively (e.g., even during sleep at home or during quiet time at school) Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often acts before thinking. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often loses temper. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often argues with adults. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often actively defies or refuses adult requests or rules. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often deliberately does things that annoy other people. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often blames others for his or her mistakes or misbehavior. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often touchy or easily annoyed by others. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Is often angry and resentful. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Is often spiteful or vindictive. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often swears or uses obscene language. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often manifests provocative behavior. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!
Often shows excessive stubbornness. Never!
Well, a bit
Yes, some
Oh! Yes!
ALL THE TIME !!

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