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Attention Deficit Disorder/ADD Sub-Type Test Questionnaire

Please rate yourself (or the person you are evaluating) on each of the symptoms listed below using the scale provided. If possible, also have someone else rate you or the other person (such as a spouse, lover or parent). This is done to obtain a more complete picture of the situation. We gratefully acknowledge Dr. Amen for this valuable contribution to One ADD Place.

Questions

1 Easily distracted
Never Rarely Occasionally Frequently Very Frequently
2 Difficulty sustaining attention span for most tasks in play, school, or work
Never Rarely Occasionally Frequently Very Frequently
3 Trouble listening when others are talking
Never Rarely Occasionally Frequently Very Frequently
4 Difficulty following through (procrastination) on tasks or instructions
Never Rarely Occasionally Frequently Very Frequently
5 Difficulty keeping an organized area (room, desk, book bag, filing cabinet, locker, etc.)
Never Rarely Occasionally Frequently Very Frequently
6 Has trouble with time (for example, frequently late or hurried, tasks take longer than expected, projects or homework are “last minute” or turned in late)
Never Rarely Occasionally Frequently Very Frequently
7 Tendency to lose things
Never Rarely Occasionally Frequently Very Frequently
8 Makes careless mistakes, poor attention to detail
Never Rarely Occasionally Frequently Very Frequently
9 Forgetful
Never Rarely Occasionally Frequently Very Frequently
10 Excessive daydreaming
Never Rarely Occasionally Frequently Very Frequently
11 Complains of being bored
Never Rarely Occasionally Frequently Very Frequently
12 Appears apathetic or unmotivated
Never Rarely Occasionally Frequently Very Frequently
13 Tired, sluggish, or slow moving
Never Rarely Occasionally Frequently Very Frequently
14 Spacey or seems preoccupied
Never Rarely Occasionally Frequently Very Frequently
15 Restless or hyperactive
Never Rarely Occasionally Frequently Very Frequently
16 Trouble sitting still
Never Rarely Occasionally Frequently Very Frequently
17 Fidgety, constant motion (hands, feet, body)
Never Rarely Occasionally Frequently Very Frequently
18 Noisy, hard time being quiet
Never Rarely Occasionally Frequently Very Frequently
19 Acts as if “driven by a motor”
Never Rarely Occasionally Frequently Very Frequently
20 Talks excessively
Never Rarely Occasionally Frequently Very Frequently
21 Impulsive (doesn’t think through comments or actions before they are said or done)
Never Rarely Occasionally Frequently Very Frequently
22 Has difficulty awaiting turn
Never Rarely Occasionally Frequently Very Frequently
23 Interrupts or intrudes on others (e.g., butts into conversations or games)
Never Rarely Occasionally Frequently Very Frequently
24 Excessive or senseless worrying
Never Rarely Occasionally Frequently Very Frequently
25 Super-organized
Never Rarely Occasionally Frequently Very Frequently
26 Oppositional, argumentative
Never Rarely Occasionally Frequently Very Frequently
27 Strong tendency to get locked into negative thoughts, having the same thought over and over
Never Rarely Occasionally Frequently Very Frequently
28 Tendency toward compulsive behavior
Never Rarely Occasionally Frequently Very Frequently
29 Intense dislike for change
Never Rarely Occasionally Frequently Very Frequently
30 Tendency to hold grudges
Never Rarely Occasionally Frequently Very Frequently
31 Trouble shifting attention from subject to subject
Never Rarely Occasionally Frequently Very Frequently
32 Difficulties seeing options in situations
Never Rarely Occasionally Frequently Very Frequently
33 Tendency to hold onto own opinion and not listen to others
Never Rarely Occasionally Frequently Very Frequently
34 Tendency to get locked into a course of action, whether or not it is good for the person
Never Rarely Occasionally Frequently Very Frequently
35 Needing to have things done a certain way or becomes very upset
Never Rarely Occasionally Frequently Very Frequently
36 Others complain you worry too much
Never Rarely Occasionally Frequently Very Frequently
37 Periods of quick temper of rages with little provocation
Never Rarely Occasionally Frequently Very Frequently
38 Misinterprets comments as negative when they are not
Never Rarely Occasionally Frequently Very Frequently
39 Irritability tends to build, then explodes, then recedes, often tired after a rage
Never Rarely Occasionally Frequently Very Frequently
40 Periods of spaciness or confusion
Never Rarely Occasionally Frequently Very Frequently
41 Periods of panic and/or fear for no specific reason
Never Rarely Occasionally Frequently Very Frequently
42 Visual changes, such as seeing shadows or objects changing shape
Never Rarely Occasionally Frequently Very Frequently
43 Frequent periods of de ja vu (feelings of being somewhere before even though you never have)
Never Rarely Occasionally Frequently Very Frequently
44 Sensitivity or mild paranoia
Never Rarely Occasionally Frequently Very Frequently
45 Headaches or abdominal pain of uncertain origin
Never Rarely Occasionally Frequently Very Frequently
46 History of a head injury or family history of violence or explosiveness
Never Rarely Occasionally Frequently Very Frequently
47 Dark thoughts, may involve suicidal or homicidal thoughts
Never Rarely Occasionally Frequently Very Frequently
48 Periods of forgetfulness or memory problems
Never Rarely Occasionally Frequently Very Frequently
49 Short fuse or periods of extreme irritability
Never Rarely Occasionally Frequently Very Frequently
50 Moodiness
Never Rarely Occasionally Frequently Very Frequently
51 Negativity
Never Rarely Occasionally Frequently Very Frequently
52 Low energy
Never Rarely Occasionally Frequently Very Frequently
53 Frequent irritability
Never Rarely Occasionally Frequently Very Frequently
54 Tendency to be socially isolated
Never Rarely Occasionally Frequently Very Frequently
55 Frequent feelings of hopelessness, helplessness or excessive guilt
Never Rarely Occasionally Frequently Very Frequently
56 Lowered interest in things that are usually considered fun
Never Rarely Occasionally Frequently Very Frequently
57 Sleep changes (too much or too little)
Never Rarely Occasionally Frequently Very Frequently
58 Chronic lo self-esteem
Never Rarely Occasionally Frequently Very Frequently
59 Angry or aggressive
Never Rarely Occasionally Frequently Very Frequently
60 Sensitive to noise, light, clothes or touch
Never Rarely Occasionally Frequently Very Frequently
61 Frequent or cyclic mood changes (highs and lows)
Never Rarely Occasionally Frequently Very Frequently
62 Inflexible, rigid in thinking
Never Rarely Occasionally Frequently Very Frequently
63 Demands to have your way, even when told no multiple times
Never Rarely Occasionally Frequently Very Frequently
64 Periods of mean, nasty or insensitive behavior
Never Rarely Occasionally Frequently Very Frequently
65 Periods of increased talkativeness
Never Rarely Occasionally Frequently Very Frequently
66 Periods of increased impulsivity
Never Rarely Occasionally Frequently Very Frequently
67 Unpredictable behavior
Never Rarely Occasionally Frequently Very Frequently
68 Grandiose or “larger than life” thinking
Never Rarely Occasionally Frequently Very Frequently
69 Talks fast
Never Rarely Occasionally Frequently Very Frequently
70 Appears that thoughts go fast
Never Rarely Occasionally Frequently Very Frequently
71 Appears anxious or fearful
Never Rarely Occasionally Frequently Very Frequently
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