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 *
Has difficulty sustaining attention in tasks or play activities *
Does not seem to listen when spoken to directly *
Does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace *
Has difficulty organising tasks and activities *
Avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as homework) *
Loses things necessary for tasks or activities (toys, school assignments, pencils, books, or tools) *
Is easily distracted by outside stimuli *
Is forgetful in daily activities *

Symptoms of Hyperactivity

Fidgets with hands or feet or squirms in seat *
Leaves seat in classroom or in other situations in which remaining seated is expected *
Runs about or climbs too much in situations in which it is inappropriate *
Has difficulty playing quietly *
Is 'on the go' or acts as if 'driven by a motor' *
Talks too much *

Symptoms of Impulsivity

Blurts out answers before questions have been completed *
Has difficulty waiting his or her turn *
Interrupts or intrudes on others (such as butting into conversations or games) *
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