Check the options that best describes how you have felt and conducted yourself over the past 6 months. When done and submitted this questionnaire will be submitted to Permian Psychiatry to have on record to discuss the results at your next appointment.

How often do you have trouble wrapping up final details of a project, once the challenging parts have been done?
How often do you have difficulty getting things in order when you have to do a task that requires organization?
How often do you have problems remembering appointments or obligations?
When you have a task that requires a lot of thought, how often do you avoid or delay getting started?
How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?
How often do you feel overly active and compelled to do things, like you were driven by a motor?

Add the number of checkmarks that have the * beside the selections. Four (4) or more checkmarks indicate that your symptoms may be consistent with ADHD. 

Based upon your responses to this quiz you may quality for a diagnosis of ADHD/ADD and may have to seek professional treatment.

You should not take the results of this survey as a diagnosis of any sort, or a recommendation for treatment. However, it is likely you will benefit from seeking further clarification about a possible diagnosis of ADHD/ADD from a physician or a trained mental health professional soon.

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