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For each of the following statements, please select the point on the scale that you feel is most appropriate in describing the assessed individual.
Often fails to give close attention to details or makes careless mistakes in schoolwork or tasks
Often has difficulty sustaining attention in tasks or play activities.
Often does not seem to listen when spoken to directly.
Often does not follow through on instructions and fails to finish schoolwork, chores, or duties.
Often has difficulty organizing tasks and activities.
Often avoids, dislikes, or reluctantly engages in tasks requiring sustained mental effort
Often loses things necessary for activities (e.g., toys, school assignments, pencils or books)
Often is distracted by extraneous stimuli.
Often is forgetful in daily activities.
Often fidgets with hands or feet or squirms in seat.
Often leaves seat in classroom or in other situations in which remaining seated is expected
Often runs about or climbs excessively in situations in which it is inappropriate.
Often has difficulty playing or engaging in leisure activities quietly.
Often is “on the go” or often acts as if “driven by a motor.”
Often talks excessively.
Often blurts out answers before questions have been completed.
Often has difficulty awaiting their turn.
Often interrupts or intrudes on others (e.g., butts into conversations/games).
Often loses temper.
Often argues with adults
Often actively defies or refuses adult requests or rules.
Often deliberately does things that annoy other people.
Often blames others for his or her mistakes or misbehavior.
Often is touchy or easily annoyed by others.
Often is angry and resentful.
Often is spiteful or vindictive.
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❗ This tool shouldn't be used as a substitute for clinical knowledge and/or consultation with a medical specialist. Always consult your doctor.
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