Attention Deficit Hyperactivity Disorder (AD(H)D) Questionnaire

The symptoms of attention deficit hyperactivity disorder (ADHD) can be categorised into three sets of behavioural problems :-

• Symptoms of inattentiveness
• Symptoms of hyperactivity
• Impulsive behaviour

Types of ADHD

A person with ADHD usually has symptoms characteristic of one of the three subtypes of the condition. The subtypes are:-

• ADHD mainly inattentive (also referred to as ADD Attention Deficit Disorder)
• ADHD mainly hyperactive-impulsive
• ADHD combined

† This questionnaire is designed to assess the level of your child's ADHD. Most children will only exhibit some of the symptoms. Please complete and submit this questionnaire if you would like an informal assessment.

Please select the response which applies to your child

Symptoms of Inattention
Fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities	Never  Sometimes  Frequently  Unsure
Has difficulty sustaining attention in tasks or play activities	Never  Sometimes  Frequently  Unsure
Does not seem to listen when spoken to directly	Never  Sometimes  Frequently  Unsure
Does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace	Never  Sometimes  Frequently  Unsure
Has difficulty organising tasks and activities	Never  Sometimes  Frequently  Unsure
Avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as homework)	Never  Sometimes  Frequently  Unsure
Loses things necessary for tasks or activities (toys, school assignments, pencils, books, or tools)	Never  Sometimes  Frequently  Unsure
Is easily distracted by outside stimuli	Never  Sometimes  Frequently  Unsure
Is forgetful in daily activities	Never  Sometimes  Frequently  Unsure
Symptoms of Hyperactivity
Fidgets with hands or feet or squirms in seat	Never  Sometimes  Frequently  Unsure
Leaves seat in classroom or in other situations in which remaining seated is expected	Never  Sometimes  Frequently  Unsure
Runs about or climbs too much in situations in which it is inappropriate	Never  Sometimes  Frequently  Unsure
Has difficulty playing quietly	Never  Sometimes  Frequently  Unsure
Is 'on the go' or acts as if 'driven by a motor'	Never  Sometimes  Frequently  Unsure
Talks too much	Never  Sometimes  Frequently  Unsure
Symptoms of Impulsivity
Blurts out answers before questions have been completed	Never  Sometimes  Frequently  Unsure
Has difficulty waiting his or her turn	Never  Sometimes  Frequently  Unsure
Interrupts or intrudes on others (such as butting into conversations or games)	Never  Sometimes  Frequently  Unsure
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Age of the person being assessed :	Required
Details of any other formal diagnosis :	Required
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Raviv Practice London uses Cogmed Working Memory Training to help children and adults with symptoms of ADHD and ADD. Cogmed have published a number of clinical research papers on how working memory training helps those with ADHD/ADD. The most recent is:-

2011

Child Neuropsychology

Component analysis of verbal versus spatial working memory training in adolescents with ADHD: A randomized, controlled trial

Gibson et al.

Link to abstract

You can browse the full list of research papers on the Cogmed website here. Thank you for your interest in our work with ADHD/ADD. We will take a look at your submitted symptom checker and call you to discuss the next step forward.