ADHD Pre Screening ADHD Treatment Centre Your DetailsFirst Name *Last Name *Phone Number *Email Address *Street Address *CityPostcodeDate Of Birth *Assessment QuestionsHow often do you have trouble wrapping up the final details of a project once the challenging bits have been done? *151 - never | 5 very oftenHow often do you have difficulty getting things in order when you have to do a task that requires organisation? *151 - never | 5 very oftenHow often do you have problems remembering appointments or obligations? *151 - never | 5 very oftenWhen you have a task that requires a lot of thought how often do you avoid or delay getting started? *151 - never | 5 very oftenHow often do you fidget or squirm with your hands or feet when you have to sit down for a long time? *151 - never | 5 very oftenHow often do you feel overly active and compelled to do things like you were driven by a motor? *151 - never | 5 very oftenHow often do you make careless mistakes when you have to work on a boring or difficult project? *151 - never | 5 very oftenHow often do you have difficulty concentrating on what people are saying to you, even if they are speaking to you directly? *151 - never | 5 very oftenHow often do you misplace or have difficulty finding things at home or at work? *151 - never | 5 very oftenHow often are you distracted by activity or noise around you? *151 - never | 5 very oftenHow often do you leave your seat in meetings or other situations in which you are expected to remain seated? *151 - never | 5 very oftenHow often do you feel restless? *151 - never | 5 very oftenHow often do you have difficulty unwinding and relaxing when you have time to yourself? *151 - never | 5 very oftenHow often do you find yourself talking too much when you are in social situations? *151 - never | 5 very oftenWhen you’re in a conversation, how often do you find yourself finishing the sentences of the people you are talking to, before they can finish themselves? *151 - never | 5 very oftenHow often do you have difficulty waiting your turn in situations when turn taking is required? *151 - never | 5 very oftenHow often do you interrupt others when they are busy? *151 - never | 5 very oftenAny medical history or significant health conditions, substance or alcohol misuse?Does anything help you to make daily decisions or do activities of daily living?Please add any further details0 / 180 Send Message
