Child ADHD Screening

Instructions: Below is a list of behaviors that are characteristic of children. Please indicate the degree to which each behavior is true for your child by circling the appropriate number.

1. Often fails to give close attention to details or makes careless mistakes in schoolwork or other activities.*

Not at all
Just a little
Quite a bit
Very much

2. Often has difficulty sustaining attention in tasks or play activities.*

Not at all
Just a little
Quite a bit
Very much

3. Often does not seem to listen when spoken to directly.*

Not at all
Just a little
Quite a bit
Very much

4. Often does not follow through on instructions and fails to finish schoolwork*

Not at all
Just a little
Quite a bit
Very much

5. Often has difficulty organizing tasks and activities.*

Not at all
Just a little
Quite a bit
Very much

6. Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort.*

Not at all
Just a little
Quite a bit
Very much

7. Often loses things necessary for tasks or activities.*

Not at all
Just a little
Quite a bit
Very much

8. Is often easily distracted by extraneous stimuli.*

Not at all
Just a little
Quite a bit
Very much

9. Is often forgetful in daily activities.*

Not at all
Just a little
Quite a bit
Very much

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