Please be advised that this is a preliminary screening tool, based upon the DSM-5 criteria for ADHD and is not a formal diagnostic assessment.

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1. Do you often fidget with or tap hands or squirm in your seat?

2. Do you often feel the need to leave your seat in situations when remaining seated is expected? (e.g. leaves seat in the office or other workplace, or in other situations that require remaining in place).

3. Do you often run about or climb in situations where it is not appropriate? or feel restless?

4. Are you often unable to take part in leisure activities quietly?

5. Are you often “on the go” acting as if “driven by a motor”? (e.g., is unable to be or uncomfortable being still for extended time, as in restaurants, meetings; may be experienced by others as being restless or difficult to keep up with).

6. Do you often talk excessively?

7. Do you often blurt out an answer before a question has been completed? (e.g. completes people’s sentences; cannot wait for turn in conversation).

8. Do you often have trouble waiting for your turn?

9. Do you often interrupt or intrude on others?

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