ADHD Questionnaire
Please answer the following questions based on your experience over the past six months. Mark the most appropriate answer for each question.
- How often do you have trouble organizing tasks and activities? a. Never or rarely b. Occasionally c. Often d. Very often
- How often do you have difficulty staying focused on tasks or activities? a. Never or rarely b. Occasionally c. Often d. Very often
- How often do you avoid or delay tasks that require sustained mental effort? a. Never or rarely b. Occasionally c. Often d. Very often
- How often do you lose things that are necessary for tasks or activities? a. Never or rarely b. Occasionally c. Often d. Very often
- How often do you forget to do daily tasks, such as paying bills or running errands? a. Never or rarely b. Occasionally c. Often d. Very often
- How often do you feel restless or fidgety? a. Never or rarely b. Occasionally c. Often d. Very often
- How often do you interrupt others while they are speaking or doing something? a. Never or rarely b. Occasionally c. Often d. Very often
- How often do you blurt out answers before a question has been completed? a. Never or rarely b. Occasionally c. Often d. Very often
- How often do you have difficulty waiting your turn? a. Never or rarely b. Occasionally c. Often d. Very often
- How often do you talk excessively or feel like you have to keep talking? a. Never or rarely b. Occasionally c. Often d. Very often
Scoring Card:
For each question, give yourself the following score: a. Never or rarely = 0 b. Occasionally = 1 c. Often = 2 d. Very often = 3
Add up your scores for all 10 questions to get your total score.
Interpretation:
0-7: No significant symptoms of ADHD 8-15: Mild symptoms of ADHD 16-23: Moderate symptoms of ADHD 24-30: Severe symptoms of ADHD
Note: This questionnaire is not intended to be a substitute for a professional diagnosis. If you have concerns about ADHD, please consult a licensed healthcare provider.