Instructions: Continue to answer the questions based upon how your child or teen has behaved and felt during the past 6 months.

I am a year old Female / Male

1. How often does your child have difficulty sustaining your attention while doing something for work, school, a hobby, or fun activity (e.g., remaining focused during lectures, lengthy reading or conversations)? Never Rarely Sometimes Often

2. How often is your child easily distracted by external stimuli, like something in their environment such as a noise or another conversation? Never Rarely Sometimes Often

3. How often does your child avoid, dislike, or are reluctant to engage in tasks that require sustained mental effort or thought? Never Rarely Sometimes Often

4. How often does your child trouble listening to someone, even when they are spoken to directly, like their mind is somewhere else? Never Rarely Sometimes Often

5. How often does your child have difficulty in organizing an activity or task needing to get done (e.g., poor time management, fails to meet deadlines, difficulty managing sequential tasks, messy and disorganized work)? Never Rarely Sometimes Often

6. How often does your child fail to give close attention to details, or make careless mistakes in things such as schoolwork, or during other activities? Never Rarely Sometimes Often

7. How often does your child forget to do something that they do all the time, such as missing a playdate, practice, or forgetting their lunch? Never Rarely Sometimes Often

8. How often does your child lose, misplace or damage something that they need in order to get things done (e.g., school materials, pencils, books, tools, etc.)? Never Rarely Sometimes Often

9. How often does your child have trouble following through on instructions, or failing to finish schoolwork, chores, or other duties (e.g., they start a task but quickly lose focus and are easily sidetracked)? Never Rarely Sometimes Often

10. How often is your child unable to play or engage in playtime or leisurely activities quietly? Never Rarely Sometimes Often

11. How often does your child have difficulty waiting their turn, such as while waiting in line? Never Rarely Sometimes Often

12. How often does your child run about or climb in situations where it is inappropriate? Never Rarely Sometimes Often

13. How often does your child fidget, taps their hands or feet, or squirms in their seat? Never Rarely Sometimes Often

14. How often does your child blurt out an answer before a question has been completed? Never Rarely Sometimes Often

15. How often does your child feel restless, "on the go," or acting as if "driven by a motor" (e.g., is unable to be or uncomfortable being still for extended periods of time)? Never Rarely Sometimes Often

16. How often does your child leave their seat in situations when remaining seated is expected (e.g., in a classroom)? Never Rarely Sometimes Often

17. How often do you find your child talking excessively? Never Rarely Sometimes Often

18. How often does your child interrupt or intrude on others (e.g., butts into conversations, games or activities; may start using other people's things without asking or receiving permission)? Never Rarely Sometimes Often

19. Were several of the above symptoms present prior to age 12? No       Yes

20. Do the symptoms appear in at least two or more settings (e.g., at home and school)? No       Yes