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ADHD Self Assessment

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ADHD Quiz

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1. How often do you forget things like tasks, time deadlines, taking medication, obligations, where things are located, appointments, or all of the previous?

Never All.The.Time
0	1	2	3	4	5	6	7	8	9	10

2. Do you have trouble being still? How often do you do the following: Fidgeting (moving your fingers and or a part of your body for the gain of simply not sitting still)?

Never All.The.Time
0	1	2	3	4	5	6	7	8	9	10

3. How often are you distracted by the following: noises, internal thoughts and daydreams, other people around you, or all of the previous?

Never All.The.Time
0	1	2	3	4	5	6	7	8	9	10

4. How likely are you to make mistakes while doing boring tasks that are repetitive, require little to no effort, that you’re simply not interested in, or all of the previous?

Never All.The.Time
0	1	2	3	4	5	6	7	8	9	10

5. Based on what you know so far, on a scale from 1-10 how much do you feel like you could be diagnosed with ADHD by a medical professional?

Never All.The.Time
0	1	2	3	4	5	6	7	8	9	10

6. How helpful was this survey in making you feel more confident about talking with a medical professional/ seeking a formal ADHD diagnosis?

Not Really Yess!
0	1	2	3	4	5	6	7	8	9	10

7. How often do you do the any or all of the following: interrupt people, have spurts of energy and physically not being able to sit in one place, have trouble relaxing?

Never All.The.Time
0	1	2	3	4	5	6	7	8	9	10

8. How interested would you be in learning more about how ADHD coaching could help you manage you symptoms?

Not Really Yess!
0	1	2	3	4	5	6	7	8	9	10

9. How likely are you to share this survey with someone you know?

Not Really Yess!
0	1	2	3	4	5	6	7	8	9	10

10. If there were online ADHD resources on social media, how interested would you be in following?

Not Really Yess!
0	1	2	3	4	5	6	7	8	9	10

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