1. fails to give attention to details or makes careless mistakes in schoolwork, work, or during other activities (e.g., overlooks or misses details, work is inaccurate).

2. has difficulty sustaining attention to tasks or play activities (e.g., has difficulty remaining focused during lectures; conversations; or lengthy reading).

3. does not seem to listen when spoken to directly (e.g., mind seems elsewhere, even in the absence of any obvious distraction).

4. does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (e.g., starts tasks but quickly loses focus and is easily sidetracked.

5. has difficulty organizing tasks and activities (e.g., difficulty managing sequential tasks; difficulty keeping materials and belongings in order; messy, disorganized with work; has poor time management; fails to meet deadlines).

6. avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (e.g., schoolwork or homework; for older adolescents and adults, preparing reports, completing forms, reviewing lengthy papers).

7. loses things necessary for tasks or activities (e.g., school materials, pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones).

8. Is easily distracted by extraneous stimuli (for older adolescents and adults, may include unrelated thoughts).

9. is forgetful in daily activities (e.g., doing chores, running errands; for older adolescents and adults, returning calls, paying bills, keeping appointments).

10. fidgets with or taps hands or feet or squirms in seat

11. leaves seat in situations in which it is inappropriate (NOTE: in adolescents or adults may be limited to feelings of restlessness).

12. unable to play or engage in leisure activities quietly

13. has difficulty playing or engaging in leisure activities quietly

14. is “on the go” or acts as if “driven by a motor” (e.g., is unable to be or uncomfortable being still for extended time in restaurants, meetings; may be experienced by others as being restless or difficult to keep up with)

15. talks excessively

16. blurts out an answer before question has been completed (e.g., completes people’s sentences; cannot wait for turn in conversation).

17. has difficulty waiting his or her turn (e.g., while waiting in line).

18. interrupts or intrudes on others (eg, butts into conversations, games, or activities; may start using other people’s things without asking or receiving permission; for adolescents and adults may intrude into or take over what others are doing)

Do these symptoms impair the person’s functioning in two or more settings?

Where is there impairment? (select all that apply)