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ADHD
Autism
Psychiatric Assessments

Support letter

Name: Support letter
SKU: 142
Availability: InStock

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Support letter

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ADHD Screening Questionnaire

Step 1 of 16

6%

Part 1: Attention-Deficit Symptoms

1. Do you often have difficulty paying attention to details or make careless mistakes in your work, schoolwork, or other activities?(Required)

Never

Rarely

Sometimes

Often

Very Often

2. Do you often have difficulty sustaining attention in tasks or play activities (e.g., conversations, reading)?(Required)

Never

Rarely

Sometimes

Often

Very Often

3. Do you find it hard to listen when spoken to directly, even in the absence of any obvious distraction?(Required)

Never

Rarely

Sometimes

Often

Very Often

4. Do you often fail to follow through on instructions, finishing tasks such as chores or duties at work (not due to oppositional behavior or failure to understand instructions)?(Required)

Never

Rarely

Sometimes

Often

Very Often

5. Do you often have difficulty organizing tasks and activities (e.g., managing time, keeping materials in order)?(Required)

Never

Rarely

Sometimes

Often

Very Often

6. Do you often avoid, dislike, or are reluctant to engage in tasks that require sustained mental effort (e.g., preparing reports, completing forms)?(Required)

Never

Rarely

Sometimes

Often

Very Often

7. Do you often lose things necessary for tasks and activities (e.g., keys, paperwork, mobile phone)?(Required)

Never

Rarely

Sometimes

Often

Very Often

8. Are you easily distracted by extraneous stimuli or unrelated thoughts?(Required)

Never

Rarely

Sometimes

Often

Very Often

9. Do you often forget daily tasks, such as paying bills, returning phone calls, or keeping appointments?(Required)

Never

Rarely

Sometimes

Often

Very Often

Part 2: Hyperactivity-Impulsivity Symptoms

10. Do you often fidget with your hands or feet or squirm in your seat?(Required)

Never

Rarely

Sometimes

Often

Very Often

11. Do you often leave your seat in situations when remaining seated is expected (e.g., in a classroom, office)?(Required)

Never

Rarely

Sometimes

Often

Very Often

12. Do you often feel restless, or have difficulty sitting still for long periods of time?(Required)

Never

Rarely

Sometimes

Often

Very Often

13. Do you often find yourself talking excessively, even when it’s inappropriate?(Required)

Never

Rarely

Sometimes

Often

Very Often

14. Do you often blurt out answers before the question has been completed, or have difficulty waiting your turn in conversations?(Required)

Never

Rarely

Sometimes

Often

Very Often

15. Do you often have difficulty waiting your turn in line or in other situations?(Required)

Never

Rarely

Sometimes

Often

Very Often

16. Do you often interrupt or intrude on others (e.g., butting into conversations or activities)?(Required)

Never

Rarely

Sometimes

Often

Very Often

Email address

[email protected]

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Office hours

Monday - Saturday: 9am - 5.25pm

Consultation Slots

Available Monday to Sunday 9.00am to 9pm

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Contact address

167-169 Great Portland Street, 5th Floor, London, W1W 5PF

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Private ADHD & Autism UK

Support letter

Support letter

Booking Categories

ADHD Screening Questionnaire

Part 1: Attention-Deficit Symptoms

Part 2: Hyperactivity-Impulsivity Symptoms

Email address

Social media

Office hours

Consultation Slots

Contact address