ADHD Checklist

1. Is your child often unable to play or take part in leisure activities quietly

Yes
No

2. Is your child often “on the go” acting as if “driven by a motor”?

Yes
No

3. Does your child often talk excessively?

Yes
No

4. Does your child often blurt out an answer before a question has been completed?

Yes
No

5. Does your child often have trouble waiting their turn?

Yes
No

6. Does your child often interrupt or intrude on others (e.g., butts into conversations or games)?

Yes
No

7. Were there several inattentive or hyperactive-impulsive symptoms present before age 12 years?

Yes
No

8. Were there several symptoms present in two or more settings, (such as at home, school or work; with friends or relatives; in other activities)?

Yes
No

9. Is there clear evidence that the symptoms interfere with, or reduce the quality of, social, school, or work functioning?

Yes
No

10. Are the symptoms primarily attributable to ADHD and are not predominantly caused by another mental disorder (such as a mood disorder, anxiety disorder, dissociative disorder, or a personality disorder), or occurring exclusively during the course of schizophrenia or another psychotic disorder?

Yes
No

11. Does your child often fail to give close attention to details or makes careless mistakes in schoolwork, at work, or with other activities.?

Yes
No

12. Does your child often have trouble holding attention on tasks or play activities.?

Yes
No

13. Does your child often not seem to listen when spoken to directly?

Yes
No

14. Does your child often not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (e.g., loses focus, side-tracked)?

Yes
No

14. Does your child often have trouble organizing tasks and activities?

Yes
No

15. Does your child avoid, dislike, or is reluctant to do tasks that require mental effort over a long period of time (such as schoolwork or homework)?

Yes
No

16. Does your child lose things necessary for tasks and activities (e.g. school materials, pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones)?

Yes
No

17. Is your child easily distracted?

Yes
No

18. Is your child forgetful in daily activities?

Yes
No

19. Does your child often fidget with or taps hands or feet, or squirms in seat?

Yes
No

20. Does your child often run about or climbs in situations where it is not appropriate (adolescents or adults may be limited to feeling restless)?

Yes
No

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