ADHD Screening test

ADHD Screening Test
Your Details

Please provide your full name, email address and telephone number so we can send you the results of this screening and discuss the outcome.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number

What is the reason for this screening*

I'm unsure if I might have ADHDI need a formal diagnosis letterI’m looking to restart my ADHD treatment with a new healthcare providerI’m looking to begin ongoing ADHD treatment with a trustworthy healthcare providerOther

How frequently have you experienced a lack of interest or pleasure in things you usually enjoy? (over the last 14 days) Please check only one answer per question*

Nearly every dayMost daysSeveral daysNot at all

How frequently do you experience feelings of sadness, depression, or hopelessness? (over the last 14 days)*

Nearly every dayMost daysSeveral daysNot at all

How often do you have trouble falling asleep, staying asleep, or sleeping too much?*

Nearly every dayMost daysSeveral daysNot at all

How frequently do you struggle with feeling fatigued or lacking energy?*

Nearly every dayMost daysSeveral daysNot at all

How frequently have you been bothered by eating too little or overeating?*

Nearly every dayMost daysSeveral daysNot at all

How frequently do you struggle with feelings of failure or disappointment in yourself?*

Nearly every dayMost daysSeveral daysNot at all

How often do you have trouble concentrating on activities like reading the newspaper or watching TV?*

Nearly every dayMost daysSeveral daysNot at all

How often have you been bothered by moving or speaking so slowly that other people could have noticed? Or the opposite – being so fidgety or restless that you have been moving around a lot more than usual.*

Nearly every dayMost daysSeveral daysNot at all

How frequently have you been troubled by thoughts of harming yourself or wishing you were dead?*

Nearly every dayMost daysSeveral daysNot at all

How challenging have these issues made daily tasks like working, managing your home, or getting along with people?*

Extremely difficultVery difficultSomewhat difficultNot difficult at all

How often do you experience feeling on edge, anxious, or overly nervous?*

Nearly every dayMost daysSeveral daysNot at all

How often have you struggled to stop or control your worrying?*

Nearly every dayMost daysSeveral daysNot at all

How often have you been bothered by excessive worry over different things?*

Nearly every dayMost daysSeveral daysNot at all

How often have you had trouble relaxing?*

Nearly every dayMost daysSeveral daysNot at all

How often have you felt so restless that sitting still is difficult?*

Nearly every dayMost daysSeveral daysNot at all

How often do you feel easily annoyed or irritable?*

Nearly every dayMost daysSeveral daysNot at all

How often have you felt afraid, as though something terrible might happen?*

Nearly every dayMost daysSeveral daysNot at all

If you checked any problems, how much have they affected your ability to work, manage things at home, or interact with others?*

Extremely difficultVery difficultSomewhat difficultNot difficult at all

How often do you struggle with finishing the final details of a project after the hard parts are done?*

Very OftenOftenSometimesRarelyNever

How often do you struggle with organizing things when you need to complete a task that requires it?*

Very OftenOften.SometimesRarelyNever

How often do you struggle with remembering appointments or commitments?*

Very oftenOftenSometimesRarelyNever

How often do you put off starting a task that requires a lot of thought?*

Very oftenOftenSometimesRarelyNever

How often do you fidget or squirm with your hands or feet when sitting for long periods?*

Very oftenOftenSometimesRarelyNever

How frequently do you feel compelled to be constantly doing something, as if driven by a motor?*

Very oftenOftenSometimesRarelyNever

How often do you make careless mistakes when working on boring or difficult tasks?*

Very oftenOftenSometimesRarelyNever

How often do you struggle to keep your attention on boring or repetitive tasks?*

Very oftenOftenSometimesRarelyNever

How often do you have trouble concentrating on what someone says, even when they’re speaking directly to you?*

Very oftenOftenSometimesRarelyNever

How often do you misplace or have trouble finding things at home or work?*

Very oftenOftenSometimesRarelyNever

How often do you get distracted by noise or activity around you?*

Very oftenOftenSometimesRarelyNever

How often do you leave your seat during meetings or situations where you're expected to stay seated?*

Very oftenOftenSometimesRarelyNever

How often do you feel fidgety or unable to sit still?*

Very oftenOftenSometimesRarelyNever

How often do you struggle to relax and unwind when you have free time?*

Very oftenOftenSometimesRarelyNever

How often do you find yourself talking excessively in social situations?*

Very oftenOftenSometimesRarelyNever

How often do you find yourself finishing other people’s sentences during conversations?*

Very oftenOftenSometimesRarelyNever

How often do you struggle with waiting your turn in situations that require it?*

Very oftenOftenSometimesRarelyNever

How often do you interrupt others while they are busy?*

Very oftenOftenSometimesRarelyNever
Total Symptoms out of 36

Are you currently looking to book a professional ADHD diagnosis?*

YesNot sureNo

Do you already have a diagnosis for ADHD?*

YesNo

That concludes your ADHD screening
Should be Empty: