ADHD Self-Assessment

  • ADHD Self-Assessment

    (For the Individual)
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  • This questionnaire is designed to help you assess ADHD-related symptoms in your daily life. Please answer each question based on your experiences over the past few weeks. There are no right or wrong answers - just respond as accurately as possible.

  • Section 1: Attention & Organization

  • 1. How often do you make careless mistakes in your work, schoolwork, or daily tasks?*
  • 2. How often do you have difficulty sustaining attention in tasks or conversations?*
  • 3. How often do you find it difficult to listen when spoken to directly?*
  • 4. How often do you struggle to complete tasks that require sustained mental effort?*
  • 5. How often do you struggle with organization (e.g., keeping track of responsibilities, planning tasks)?*
  • 6. How often do you avoid or procrastinate on tasks that require mental effort?*
  • 7. How often do you misplace important things (e.g., keys, phone, documents)?*
  • 8. How often do you forget to do things, even when they are important?*
  • 9. How often do you get distracted by your surroundings or unrelated thoughts?*

  • Section 2: Hyperactivity & Impulsivity

  • 10. How often do you fidget, tap your hands or feet, or have trouble staying still?*
  • 11. How often do you leave your seat in situations where staying seated is expected?*
  • 12. How often do you feel restless or as if you’re always on the go?*
  • 13. How often do you talk excessively or interrupt others?*
  • 14. How often do you blurt out answers or struggle to wait your turn in conversations?*
  • 15. How often do you have difficulty waiting in lines or for your turn?*
  • 16. How often do you intrude into others’ conversations or activities?*

  • Section 3: Impact on Daily Life

  • In your own words, how do these symptoms affect:

  • Should be Empty: