Form- Child ADHD symptoms

Child's name

First

Does your child often fail to give close attention to detail or make careless errors at home or school ?*

Yes
No

Please give details

Does your child often fail to sustain attention in tasks or play activities at home or school ?*

Yes
No

Please give details

Does your child often appear not to listen to what is being said to them at home or school?

Yes
No

Please give details

Does your child often fail to follow through on instructions or complete tasks at home or school?*

Yes
No

Please give details

Does your child often appear to have difficulties organising tasks or activities at home or school?*

Yes
No

Please give details

Does your child often avoid or strongly dislike tasks requiring sustained mental effort?*

Yes
No

Please give details

Does your child often lose things they need at home or school?*

Yes
No

Please give details*

Does your child often appear distracted by external stimuli?*

Yes
No

Please give details

Does your child often appear forgetful during daily activities at home or school*

Yes
No

Please give details

Does your child often fidget with hands or feet or squirm in seat at home or school?*

Yes
No

Please give details

Does your child often struggle to stay in their seat at home or school?*

Yes
No

Please give details

Does your child often run or climb excessively in inappropriate situations*

Yes
No

Please give details

Does your child often appear unduly noisy in play or have difficulties engaging quietly with leisure activities?*

Yes
No

Please give details

Does your child often show excessive motor activity and have trouble switching off or calming down?*

Yes
No

Please give details

Does your child often blurt out answers before questions have been completed?*

Yes
No

Please give details

Does your child often fail to wait in lines or wait their turn in games or group situations?*

Yes
No

Please give details

Does your child often interrupt or intrude on others?*

Yes
No

Please give details

Does your child often talk excessively without appropriate response to social constraints?*

Yes
No

Please give details

Thank you for filling in the form. Any other issues not mentioned that you would like us to know about?

Form- Child ADHD symptoms

Child ADHD Symptoms