| Never 0 | Occasionally 1 | Often 2 | Very Often 3 |
1. Does not pay attention to details or makes careless mistakes with, for example, homework |
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2. Has difficulty keeping attention to what needs to be done |
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3. Does not seem to listen when spoken to directly |
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4. Does not follow through when given directions and fails to finish activities (not due to refusal or failure to understand) |
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5. Has difficulty organizing tasks and activities |
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6. Avoids, dislikes, or does not want to start tasks that require ongoing mental effort |
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7. Loses things necessary for tasks or activities (toys, assignments, pencils, or books) |
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8. Is easily distracted by noises or other activities |
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9. Is forgetful in daily living activities |
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10. Fidgets with hands or squirms in seat |
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11. Leaves seat when remaining seated is expected |
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12. Runs about or climbs too much when remaining seated is expected |
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13. Has difficulty playing or beginning quiet play activities |
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14. Is “on the go” or often acts as if “driven by a motor” |
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15. Talks too much |
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16. Blurts out answers before you have finished asking the question |
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17. Has difficulty waiting for his or her turn |
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18. Interrupts or intrudes in on others’ conversations and/or activities |
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19. Argues with adults |
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20. Loses temper |
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21. Actively defies or refuses to go along with adults’ requests or rules |
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22. Deliberately annoys people |
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23. Blames others for his or her mistakes or misbehaviors |
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24. Is touchy or easily annoyed by others |
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25. Is angry or resentful |
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26. Is spiteful and wants to get even |
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27. Bullies, threatens, or intimidates others |
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28. Starts physical fights |
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29. Lies to obtain goods for favors or to avoid obligations (e.g. “cons” others) |
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30. Is truant from school (skips school) without permission |
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31. Is physically cruel to people |
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32. Has stolen things that have value |
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33.Deliberately destroys others’ property |
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34. Has used a weapon that can cause serious harm or injury (e.g. bat, knife, brick, gun) |
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35. Is physically cruel to animals |
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36. Has deliberately set fires to cause damage |
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37. Has broken into someone else’s home, business, or car |
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38. Has stayed out at night without permission |
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39. Has run away from home overnight |
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40. Has forced someone into sexual activity |
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41. Is fearful, anxious, or worried |
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42. Is afraid to try new things for fear of making mistakes |
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43. Feels worthless or inferior |
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44. Blames self for problems; feels guilty |
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45. Feels lonely, unwanted, or unloved; complains that “no one lives him or her” |
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46. Is sad, unhappy, or depressed |
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47. Is self-conscious or easily embarrassed |
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