Please rate how well each statement describes your behavior over the past 6 months:

0 = Never, 1 = Rarely, 2 = Sometimes, 3 = Often, 4 = Very Often

Attention

1. How often do you have difficulty staying focused during tasks?

2. How often do you make careless mistakes in your work?

Hyperactivity

3. How often do you fidget or squirm when seated?

4. How often do you feel restless or unable to sit still?