Current behaviour scale – self report form

Please rate each item that best describes your behaviour during the last six months.

Fail to give close attention to details or make careless mistakes in my work Required

Fidget with hands or feet or squirm in seat Required

Have difficulty sustaining my attention in tasks or fun activities Required

Leave my seat in situations in which sitting is expected Required

Don’t listen when spoken to directly Required

Feel restless Required

Don’t follow through on instructions and fail to finish work Required

Have difficulty engaging in leisure activities or doing fun things quietly Required

Have difficulty organising tasks and activities Required

Feel 'on the go' or 'driven by a motor' Required

Avoid, dislike, or am reluctant to engage in work that requires sustained mental effort Required

Talk excessively Required

Lose things necessary for tasks or activities Required

Blurt out answers before questions have been completed Required

Easily distracted Required

Have difficulty awaiting turn Required

Forgetful in daily activities Required

Interrupt or intrude on others Required

Please state at what age approximately

In your home life with your immediate family Required

In your work or occupation Required

In your social interactions with others Required

In your activities or dealings in the community Required

In any educational activities Required

In your dating or marital relationship Required

In your management of money Required

In your driving of a motor vehicle Required

In your leisure or recreational activities Required

In your management of your daily responsibilities Required

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