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Adult ADHD QUESTIONNAIRE
Please answer the questions below, rating yourself on each of the criteria. As you answer each question, select the single choice that best describes how you have felt and conducted yourself over the past 6 months. This form can be be submitted and can be discussed during your next appointment with Dr. Flett
54Questions
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    Pick a Date
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    4. Speeding: b Highway
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    5. Anxiety: b city
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    6. Experiences Panic:b highway
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    6. Experiences Panic:b highway
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    7. Concentration on Road: a Highway
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    7. Concentration on Road: a city
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    7. Concentration on Road: a city
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    8. Alert to sudden changes in driving conditions: a city
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    8. Alert to sudden changes in driving conditions: b highway
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    9. Easily distracted by sights or sounds in the car or off to the side of the road:a City
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    9. Easily distracted by sights or sounds in the car or off to the side of the road:b highway
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    10. Daydreaming: a highway
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    10. Daydreaming: b city
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    11. Drowsiness: a city
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    11. Drowsiness: b city
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    12. Anticipating potential dangers from other cars or pedestrians (looking ahead): a city
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    12. Anticipating potential dangers from other cars or pedestrians (looking ahead): b highway
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