Self Assessment Test
SLS Residential
Your source for Behavioral Health Information

SELF TEST for ATTENTION DEFICIT DISORDERS
Read more about ATTENTION DEFICIT DISORDERS
Please provide us with your child's gender and age.

Gender:      Age:
Inattention
1 Does your child make very careless mistakes at school?
2 Does your child have difficulty playing by himself?
3 Does your child seem to 'space out' when you are talking to him?
4 Does your child 'forget' to complete assigned tasks at home?
5 Does your child often lose things needed to do a task such as homework?
6 Does your child get distracted by outside stimuli?
7 Does your child have a hard time concentrating on something they need to do but have little interest in doing?
Hyperactivity/Impulsivity
8 Does your child fidget and squirm when seated?
9 Does your child get up out of his chair in restaurants more than normal?
10 Does your child always have to keep moving?
11 Does your child talk almost non-stop?
12 Is your child better at doing something active than reading a book?
13 Does your child have a hard time playing well with other children?
14 Does your child have difficulty waiting his turn?
15 Does your child often interrupt others while they are talking?
Read more about ATTENTION DEFICIT DISORDERS


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