Attention Deficit Hyperactivity Disorder (ADHD) Screening Tool (Adult)

Finding it hard to focus? Constantly on the move? Rate the following statements to see if you may be suffering from Attention Deficit Hyperactivity Disorder.

This screener is derived from the Diagnostic and Statistical Manual of Mental Disorders 5 th Edition (DSM-5).

Please check the answer that best describes your behavior for the last 6 months.

Name

Email

1.

Fails to give close attention to details or makes careless mistakes at work or during other activities

Never

Sometimes

Often

2.

Has difficulty sustaining attention in tasks or play activities

Never

Sometimes

Often

3.

Does not seem to listen when spoken to directly

Never

Sometimes

Often

4.

Does not follow through on instructions and fails to finish chores or duties in the workplace

Never

Sometimes

Often

5.

Has difficulty organizing tasks and activities

Never

Sometimes

Often

6.

Avoids, dislikes or is reluctant to engage in tasks that require sustained mental effort (e.g. preparing reports, completing forms, reviewing lengthy papers)

Never

Sometimes

Often

7.

Loses things necessary for tasks or activities (e.g. tools, daily essentials)

Never

Sometimes

Often

8.

Easily distracted by extraneous stimuli which may include having unrelated thoughts

Never

Sometimes

Often

9.

Forgetful in daily activities

Never

Sometimes

Often

10.

Fidgets with or taps hands or feet or squirms in seat

Never

Sometimes

Often

11.

Leaves seat in situations when remaining seated is expected (e.g. in office, in situations that require remaining in place)

Never

Sometimes

Often

12.

Feel restless or move about in situations where it is inappropriate

Never

Sometimes

Often

13.

Unable to play or engage in leisure activities quietly

Never

Sometimes

Often

14.

‘On the go’ or acting as if ‘driven by motor’ (e.g. unable/uncomfortable being still for extended time)

Never

Sometimes

Often

15.

Talks excessively

Never

Sometimes

Often

16.

Blurts out an answer before a question has been completed

Never

Sometimes

Often

17.

Has difficulty waiting his/her turn

Never

Sometimes

Often

18.

Interrupts or intrudes on others

Never

Sometimes

Often

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