|
|
never or rarely |
sometimes |
often |
very often |
| 1. |
Fails to give close attention to details
or makes careless mistakes in schoolwork.
|
0 |
1 |
2 |
3 |
| 2. |
Fidgets with hands or feet or squirms in seat.
|
0 |
1 |
2 |
3 |
| 3. |
Has difficulty sustaining attention in
tasks or play activities.
|
0 |
1 |
2 |
3 |
| 4. |
Leaves seat in classroom or in other situations in which
remaining seated is expected.
|
0 |
1 |
2 |
3 |
| 5. |
Does not seem to listen when spoken to directly.
|
0 |
1 |
2 |
3 |
| 6. |
Runs about or climbs excessively in
situations in which it is inappropriate.
|
0 |
1 |
2 |
3 |
| 7. |
Does not follow through on instructions and fails to finish
work.
|
0 |
1 |
2 |
3 |
| 8. |
Has difficulty playing or engaging in
leisure activities quietly.
|
0 |
1 |
2 |
3 |
| 9. |
Has difficulty organizing tasks and activities.
|
0 |
1 |
2 |
3 |
| 10. |
Is "on the go" or acts as if
"driven by a motor." |
0 |
1 |
2 |
3 |
| 11. |
Avoids tasks (e.g., schoolwork,
homework) that require sustained mental effort. |
0 |
1 |
2 |
3 |
| 12. |
Talks excessively
|
0 |
1 |
2 |
3 |
| 13. |
Loses things necessary for tasks or activities.
|
0 |
1 |
2 |
3 |
| 14. |
Blurts out answers before questions have been completed.
|
0 |
1 |
2 |
3 |
| 15. |
Is easily distracted. |
0 |
1 |
2 |
3 |
| 16. |
Has difficulty awaiting turn.
|
0 |
1 |
2 |
3 |
| 17. |
Is forgetful in daily activities.
|
0 |
1 |
2 |
3 |
| 18. |
Interrupts or intrudes on others.
|
0 |
1 |
2 |
3 |
