ADHD Screening Assessment

Please complete the following screening assessment. The information will be sent to our team of specialists who will be in touch shortly.

1. Often has difficulty sustaining attention in tasks or play activities

Not At All Just A Little Quite A Bit Very Much

2. Often does not follow through on instructions and fails to finish schoolwork, chores, or duties

Not At All Just A Little Quite A Bit Very Much

3. Often has difficulty organizing tasks and activities

Not At All Just A Little Quite A Bit Very Much

4. Often avoids, dislikes, or reluctantly engages in tasks requiring sustained mental effort

Not At All Just A Little Quite A Bit Very Much

Patient Details First Name Last Name Email Age Phone Number