Huron Speech and Sensory Center

Adult ADD Self Assessement
HOME | Office Information | Contact Information and Directions | PAYMENTS | Privacy Statement | Legal Disclaimer | Central Nervous System | BRAIN WAVES | Neurofeedback | Cranial Electrotherapy Stimulation (CES) | Microcurrent Electrical Stimulation | Surface EMG | Child ADD/ADHD Self Assessment | Adult ADD self Assessment | Anxiety Self Assessment Questionnaire | Test Anxiety Assessment | Depression Screening Questionaire | Natural Treatments | DHA | MMR and Autism | Autism Assessment | NEUROFEEDBACK Article Links | Minor Traumatic Brain Injury | WebMD on Neurofeedback | ADD/ADHD/LD | Links

Adult ADD Self Assessment Questionaire

Adult Self-Assessment

Answer these questions according to how you have felt MOST of your adult life ... not how you are feeling just today.


1. At home, work, or school, I find my mind wandering from tasks that are uninteresting or difficult.
Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

2. I find it difficult to read written material unless it is very interesting or very easy.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

3. Especially in groups, I find it hard to stay focused on what is being said in conversations.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

4. I have a quick temper ... a short fuse.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

5. I am irritable, and get upset by minor annoyances.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

6. I say things without thinking, and later regret having said them.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

7. I make quick decisions without thinking enough about the possible bad results.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

8. My relationships with people are made difficult by my tendency to talk first and think later.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

9. My moods have highs and lows.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

10. I have trouble planning in what order to do a series of tasks or activities.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

11. I easily become upset.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

12. I seem to be thin skinned and many things upset me.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

13. I almost always am on the go.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

14. I am more comfortable when moving than when sitting still.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

15. In conversations, I start to answer questions before the questions have been fully asked.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

16. I usually work on more than one project at a time, and fail to finish many of them.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

17. There is a lot of "static" or "chatter" in my head.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

18. Even when sitting quietly, I am usually moving my hands or feet.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

19. In group activities, it is hard for me to wait my turn.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

20. My mind gets so cluttered that it is hard for it to function.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

21. My thoughts bounce around as if my mind were a pinball machine.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

22. My brain feels as if it were a television set with all the channels going at once.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

23. I am unable to stop daydreaming.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

24. I am distressed by the disorganized way my brain works.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

  




Huron Speech and  Sensory Center
                   Rehabilitation Associates
 
110 East Huron Avenue
Bad Axe , Michigan48413
 
Telehone: 1-989-549-2751
email: rehabilitationassociates@gmail.com