ADHD Questionnaire

Disorders and Conditions

News and Resources

Questions about a Disorder?

ADHD Questionnaire

Get a personalized review of your results by a trained mental health professional for a fee. A comprehensive report will be delivered to you analyzing your reported symptoms and making recommendations to help you get back on track. Let our qualified staff assess your current state of mind and get you started on the road to recovery! Contact us via Concierge Services.

Answer questions 1 - 18 based on your child's behavior in the past 6 months and based on what is appropriate for his/her age group.

1. My child does not pay attention to details or makes careless mistakes with homework.

Never Sometimes Often Very Often

2. My child has difficulty focussing on what needs to be done.

Never Sometimes Often Very Often

3. My child does not seem to listen when spoken to directly.

Never Sometimes Often Very Often

4. My child does not follow through on directions and fails to finish activities even though they understand the instructions.

Never Sometimes Often Very Often

5. My child has difficulty organizing tasks and activities.

Never Sometimes Often Very Often

6. My child avoids or dislikes tasks that require ongoing mental effort.

Never Sometimes Often Very Often

7. My child loses things they need for tasks or activities (toys, books, pencils, etc).

Never Sometimes Often Very Often

8. My child is easily distracted by noise or other stimuli around them.

Never Sometimes Often Very Often

9. My child is forgetful in daily activities.

Never Sometimes Often Very Often

10. My child fidgets with their hands or feet or squirms in their seat.

Never Sometimes Often Very Often

11. My child does not remain seated even when that is expected of them.

Never Sometimes Often Very Often

12. My child runs around or climbs about shen they should remain seated.

Never Sometimes Often Very Often

13. My child has difficulty playing quietly or starting quiet play activities.

Never Sometimes Often Very Often

14. My child is 'on the go' or acts as if they were driven by a motor.

Never Sometimes Often Very Often

15. My child talks too much.

Never Sometimes Often Very Often

16. My child blurts out answers before the questions are completed.

Never Sometimes Often Very Often

17. My child has difficulty waiting their turn.

Never Sometimes Often Very Often

18. My child interrupts or intrudes on other people's conversations or activities.

Never Sometimes Often Very Often

Rate the following areas of your child's performance as either excellent, above average, average, some problems or lots of problems.

Child's Gender:

Male Female

Child's Age: