Copeland ADHD

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source
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Start at the dot and trace the image below with your keypad/mouse.* This field is required.So we know you're not a bot! 🤖
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INSTRUCTIONS

Approximate time:15 minutes to respond to 63 questions

Please answer the questions according to what is true for you.

All responses are confidential.
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I-1. A short attention span, especially for low-interest activities.* This field is required.
Not at All
Sometimes
Often
Very Often
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I-2. Difficulty competing tasks.* This field is required.
Not at All
Sometimes
Often
Very Often
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I-3. Daydreaming.* This field is required.
Not at All
Sometimes
Often
Very Often
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I-4. Easily distracted.* This field is required.
Not at all
Just a little
Pretty much
Very much
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I-5. Nicknames such as: "spacey" or "dreamer".* This field is required.
Not at all
Just a little
Pretty much
Very much
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I-6. Engages in much activity but accomplishes little.* This field is required.
Not at all
Just a little
Pretty much
Very much
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I-7. Enthusiastic beginnings but poor endings.* This field is required.
Not at all
Just a little
Pretty much
Very much
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II-1. Excitability.* This field is required.
Not at all
Just a little
Pretty much
Very much
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II-2. Low frustration tolerance.* This field is required.
Not at all
Just a little
Pretty much
Very much
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II-3. Acts before thinking.* This field is required.
Not at all
Just a little
Pretty much
Very much
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II-4. Disorganization.* This field is required.
Not at all
Just a little
Pretty much
Very much
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II-5. Poor planning ability.* This field is required.
Not at all
Just a little
Pretty much
Very much
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II-6. Excessively shifts from one activity to another.* This field is required.
Not at all
Just a little
Pretty much
Very much
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II-7. Difficulty in group situations which require patience and taking turns.* This field is required.
Not at all
Just a little
Pretty much
Very much
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II-8. Interrupts frequently.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-A1. Restlessness - either fidgeting or being constantly on the go.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-A2. Diminished need for sleep.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-A3. Excessive talking.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-A4. Difficulty listening.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-A5. Restlessness during sleep. Kicks covers off - moves constantly.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-A6. Dislike of situations which require attention and being still.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-B1. Lethargic* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-B2. Daydreaming, spiciness.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-B3. Failure to complete tasks.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-B4. Inattention.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-B5. Lacking in leadership.* This field is required.
Not at all
Just a little
Pretty much
Very much
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III-B6. Difficulty in getting things done.* This field is required.
Not at all
Just a little
Pretty much
Very much
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IV-1. Does not cooperate. Determined to do things own way.* This field is required.
Not at all
Just a little
Pretty much
Very much
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IV-2. Argumentative.* This field is required.
Not at all
Just a little
Pretty much
Very much
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IV-3. Disregards socially accepted behavioral expectations.* This field is required.
Not at all
Just a little
Pretty much
Very much
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IV-4. "Forgets" unintentionally.* This field is required.
Not at all
Just a little
Pretty much
Very much
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IV-5. "Forgets" as an excuse (intentionally).* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-1. Underachievement in relation to ability.* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-2. Frequent job changes.* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-3. Loses things - keys, wallet, lists, belongings, etc.* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-4. Auditory memory and auditory processing problems.* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-5. Learning disabilities or learning problems.* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-6. Poor handwriting.* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-7. "Messy" or "sloppy" work.* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-8. Work assignments are often not completed satisfactorily.* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-9. Work assignments are often not completed satisfactorily.* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-10. Works too slowly* This field is required.
Not at all
Just a little
Pretty much
Very much
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V-11. Procrastinates. Bills, taxes, etc., put off until the last minute.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VI-1. Frequent and unpredictable mood swings.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VI-2. Irritability.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VI-3. Underreaction to pain / insensitive to danger.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VI-4. Easily overstimulated. Hard to stop once "revved" up.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VI-5. Low frustration tolerance. Excessive emotional reaction.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VI-6. Angry outbursts.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VI-7. Moodiness / lack of energy.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VI-8. Low self-esteem* This field is required.
Not at all
Just a little
Pretty much
Very much
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VI-9. Immaturity.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VII-1. Difficulty following the rules of social interactions.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VII-2. Rejected or avoided by peers.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VII-3. Avoids group activity. A loner.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VII-4. "Bosses" other people. Wants to be a leader.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VII-5. Critical of others.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VIII-1. Easily frustrated with spouse or children. Overreacts. May punish children too severely.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VIII-2. Sees things from own point of view. Does not negotiate differences well.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VIII-3. Underdeveloped sense of responsibility.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VIII-4. Poor manager of money.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VIII-5. Unreasonable; demanding.* This field is required.
Not at all
Just a little
Pretty much
Very much
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VIII-6. Spends excessive amount of time at work because of inefficiency, leaving little time for family.* This field is required.
Not at all
Just a little
Pretty much
Very much
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Your I. INATTENTION / DISTRACTIBILITY Score Is:
68
Your II. IMPULSIVITY Score Is:
69
Your III. ACTIVITY LEVEL PROBLEMS A+B:
70
Your IV. NONCOMPLIANCE Score Is:
71
Your V. UNDERACHIEVEMENT / DISORGANIZATION / LEARNING PROBLEMS Score Is:
72
Your VI. EMOTIONAL DIFFICULTIES Score Is:
73
Your VII. POOR PEER RELATIONS Score Is:
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Your VIII. IMPAIRED FAMILY RELATIONS Score Is:
75
Note: This test does NOT produce a total or overall score.

Scores between 35-49% suggest mild to moderate difficulties.

Scores between 50-69% suggest moderate to severe difficulties.

Scores above 70% suggest major interference.

Your Scores are:

1. INATTENTION / DISTRACTIBILITY: {yourI}%

2. IMPULSIVITY: {yourI299}%

3. ACTIVITY LEVEL PROBLEMS: {yourIi}%

4. NONCOMPLIANCE: {yourIv}%

5. UNDERACHIEVEMENT / DISORGANIZATION / LEARNING PROBLEMS: {yourV306}%

6. EMOTIONAL DIFFICULTIES: {yourV303}%

7. POOR PEER RELATIONS: {yourVii}%

8. IMPAIRED FAMILY RELATIONS: {yourViii}%

What Your Scores Mean for You

This screener highlights potential ADHD-related challenges in different areas of life, but it does not provide a diagnosis. If your scores suggest moderate to severe difficulties, these struggles may be affecting your daily life, relationships, or work more than you realize.

The good news?

ADHD is manageable—and understanding your symptoms is the first step. A conversation with a neuro-informed clinician can help you determine your next steps, whether that includes strategies, coaching, or therapy.

👉 Want to make sense of your results? Schedule a consultation with one of our ADHD specialists today.

Don’t let ADHD control your life—take the next step toward clarity and support!
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What are you interested in?* This field is required.
Neurodiverse Couples Counseling.
Neuro-informed Individual Counseling.
An Assessment and Diagnosis (only available for residents of California).
Nothing, just send my scores to my therapist and me
Nothing, just send my scores please
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Select your therapist's name so we can send them your scores:Please note: We can only send your scores to therapists within our group.
Please Select
Please Select
Adela Stone
Amanda Buckman
Blaze Lazarony
Dan Chung
Danielle Grossman
Dre Meller
Colleen Kahn
Harry Motro
Heather Emerson-Young
Inna Kuchmenko
Jamison Haase
Jenny Pan
Jennifer Terrell
Joseph Kaiser
Jory Wilson
Lea Choi
Leila Pirnia
Lisa Marie Anzaldua
Liz McClanahan
Malori Evans
Maring Higa
Megan Mance
Monica Attia
Nancy Rushing
Rachel Wheeler
Robin Greenblat
Shea Davis
Stephen Robertson
Tamala Takahashi
Whitney Schneider
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The type of assessment that I am interested in (note only available in California):* This field is required.
Autism Assessment - $1,500
ADHD Assessment - $900
Dual Assessment (ASD and ADHD) - $1, 800
Sensory Assessment - $300 (as an add on to Autism or ADHD assessment)
Alexithymia Assessment - $300 (as an add on to Autism or ADHD assessment)
PDA Assessment (Pathological Demand Avoidance) - $300 (as an add on to the Autism or ADHD assessment)
Dyslexia Support
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Where do you live? (This impacts what services are available to you)* This field is required.
California
Not in California
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Session fees vary by experience and qualifications. Share what you can pay, and we’ll match you with the right professional.* This field is required.
$100 to $150 - considered "Sliding Scale". Appointments at this price are limited and may not be available.
$150 to $200
$200 to $250
$250 to $300
$300 and up
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My name is:* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number
Please enter a valid phone number.
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Please add any background/additional information you'd like to include:
Huge
Large
Normal
Small
Ok
Ok
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What's Next?

You will be sent a copy of your scores if you've provided your email address.

If you marked that you are interested in counseling services, our Client Care Coordinator will be in touch within 24 hours to connect you with one of our experts.

Please feel free to reach out to our Client Care Coordinator, Cassie Clayton, if you have any questions in the meantime!

Email : clientcare@newpathfamily.com

Text or Call: (408) 475-2746
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