1.
Does not pay attention to details or makes careless mistakes with, for example, homework
Never
Occasionally
Often
Very Often
2.
Has difficulty keeping attention to what needs to be done
Never
Occasionally
Often
Very Often
3.
Does not seem to listen when spoken to directly
Never
Occasionally
Often
Very Often
4.
Does not follow through when given directions and fails to finish activities (not due to refusal or failure to understand)
Never
Occasionally
Often
Very Often
5.
Has difficulty organizing tasks and activities
Never
Occasionally
Often
Very Often
6.
Avoids, dislikes, or does not want to start tasks that require ongoing mental effort
Never
Occasionally
Often
Very Often
7.
Loses things necessary for tasks or activities (toys, assignments, pencils, or books)
Never
Occasionally
Often
Very Often
8.
Is easily distracted by noises or other stimuli
Never
Occasionally
Often
Very Often
9.
Is forgetful in daily activities
Never
Occasionally
Often
Very Often
10.
Fidgets with hands or feet or squirms in seat
Never
Occasionally
Often
Very Often
11.
Leaves seat when remaining seated is expected
Never
Occasionally
Often
Very Often
12.
Runs about or climbs too much when remaining seated is expected
Never
Occasionally
Often
Very Often
13.
Has difficulty playing or beginning quiet play activities
Never
Occasionally
Often
Very Often
14.
Is “on the go” or often acts as if “driven by a motor”
Never
Occasionally
Often
Very Often
15.
Talks too much
Never
Occasionally
Often
Very Often
16.
Blurts out answers before questions have been completed
Never
Occasionally
Often
Very Often
17.
Has difficulty waiting his or her turn
Never
Occasionally
Often
Very Often
18.
Interrupts or intrudes in on others’ conversations and/or activities
Never
Occasionally
Often
Very Often
19.
Argues with adults
Never
Occasionally
Often
Very Often
20.
Loses temper
Never
Occasionally
Often
Very Often
21.
Actively defies or refuses to go along with adults’ requests or rules
Never
Occasionally
Often
Very Often
22.
Deliberately annoys people
Never
Occasionally
Often
Very Often
23.
Blames others for his or her mistakes or misbehaviors
Never
Occasionally
Often
Very Often
24.
Is touchy or easily annoyed by others
Never
Occasionally
Often
Very Often
25.
Is angry or resentful
Never
Occasionally
Often
Very Often
26.
Is spiteful and wants to get even
Never
Occasionally
Often
Very Often
27.
Bullies, threatens, or intimidates others
Never
Occasionally
Often
Very Often
28.
Starts physical fights
Never
Occasionally
Often
Very Often
29.
Lies to get out of trouble or to avoid obligations (i.e.,“cons” others)
Never
Occasionally
Often
Very Often
30.
Is truant from school (skips school) without permission
Never
Occasionally
Often
Very Often
31.
Is physically cruel to people
Never
Occasionally
Often
Very Often
32.
Has stolen things that have value
Never
Occasionally
Often
Very Often
33.
Deliberately destroys others’ property
Never
Occasionally
Often
Very Often
34.
Has used a weapon that can cause serious harm (bat, knife, brick, gun)
Never
Occasionally
Often
Very Often
35.
Is physically cruel to animals
Never
Occasionally
Often
Very Often
36.
Has deliberately set fires to cause damage
Never
Occasionally
Often
Very Often
37.
Has broken into someone else’s home, business, or car
Never
Occasionally
Often
Very Often
38.
Has stayed out at night without permission
Never
Occasionally
Often
Very Often
39.
Has run away from home overnight
Never
Occasionally
Often
Very Often
40.
Has forced someone into sexual activity
Never
Occasionally
Often
Very Often
41.
Is fearful, anxious, or worried
Never
Occasionally
Often
Very Often
42.
Is afraid to try new things for fear of making mistakes
Never
Occasionally
Often
Very Often
43.
Feels worthless or inferior
Never
Occasionally
Often
Very Often
44.
Blames self for problems, feels guilty
Never
Occasionally
Often
Very Often
45.
Feels lonely, unwanted, or unloved; complains that “no one loves him or her”
Never
Occasionally
Often
Very Often
46.
Is sad, unhappy, or depressed
Never
Occasionally
Often
Very Often
47.
Is self-conscious or easily embarrassed
Never
Occasionally
Often
Very Often