Complete the questionnaire below to assess whether your child suffers from ADHD or ADHD related difficulties.

Not at all = Symptom is not present
Very much = Symptom is prevalent most of the time

The results you receive are not a definite diagnosis. If the results show that ADHD might be a concern for your child then please contact us on (011) 917-1230 to book your child in for a concentration test.


INATTENTION/DISTRACTIBILITY

  • Not at all

  • Just a little

  • Pretty Much

  • Very Much
1 Has a short attention span, especially for low interest activities
2 Has trouble completing tasks
3 Daydreaming
4 Easily distracted
5 Nicknames such as "spacey" or "dreamer"
6 Forgetful
7 Starts many things - finishes few

IMPULSIVITY

  • Not at all

  • Just a little

  • Pretty Much

  • Very Much
1 Easily excited
2 Becomes frustrated easily
3 Does not think before acting
4 Does not plan well
5 Constantly moves from one activity to another
6 Dislikes group activities that require patience and taking turns
7 Is disorganised
8 Constantly in trouble for doing things wrong or for forgetting to do things
9 Requires supervision
10 Interrupts and talks out of turn

ACTIVITY LEVEL PROBLEMS (Overactivity/Hyperactivity)

  • Not at all

  • Just a little

  • Pretty Much

  • Very Much
1 Restless-either fidgets or is constantly on the go
2 Reduced need for sleep
3 Talks too much
4 Constantly running, jumping and climbing
5 Difficulty staying seated in class

ACTIVITY LEVEL PROBLEMS (Underactivity)

  • Not at all

  • Just a little

  • Pretty Much

  • Very Much
1 Sluggish-low energy level
2 Daydreaming, spacieness
3 Inattention due to low energy level rather than being distractable
4 Poor leadership ability
5 Has trouble getting started

Non-compliance

  • Not at all

  • Just a little

  • Pretty Much

  • Very Much
1 Repeatedly disobeys
2 Argues a lot
3 Ignores socially accepted standard of behaviour
4 Does not do what is asked on him/her
5 Deliberately annoys others

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