I have ADHD. I just need the diagnosis so that I can start functioning properly. I saw a documentary about an adult with ADD and every symptom was spot on with things that have to do with me. For the sake of taking something to my doctor I just filled this out and printed the results:

You Answered:

Part A:

How often do you make careless mistakes when you have to work on a boring or difficult project?

How often do you have difficulty keeping your attention when you are doing boring or repetitive work?

How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly?
Very Often

How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?

How often do you have difficulty getting things in order when you have to do a task that requires organization?

When you have a task that requires a lot of thought, how often do you avoid or delay getting started?

How often do you misplace things or have difficulty finding things at home or at work?
Very Often

How often are you distracted by activity or noise around you?
Very Often

How often do you have problems remembering appointments or obligations?
Very Often

Part B:

How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?

How often do you leave your seat in meetings or other situations in which you are expected to remain seated?

How often do you feel restless or fidgety?

How often do you have difficulty unwinding and relaxing when you have time to yourself
Very Often

How often do you feel overly active and compelled to do things, like you were driven by a motor?

How often do you find yourself talking too much when you are in social situations.
:Very Often

When you’re in a conversation, how often do you find yourself finishing the sentences of the people you are talking to, before they can finish them themselves?

How often do you have difficulty waiting your turn in situations when turn taking is required?

How often do you interrupt others when they are busy?



If you have a score of 6 or more in one or both Parts (A and B), then your symptoms are highly suggestive for the diagnosis of ADHD and further evaluation is warranted. This score does not confirm a diagnosis of ADHD, which requires an evaluation to see if there is an alternative explanation or cause.

Additional Information

This is a screening examination for adult ADD. It is not a diagnostic test.

This is an 18-question symptom checklist adapted from the Adult ADHD Self-Report Scale (ASRS-v1.1), developed in conjunction with the World Health Organization and the Workgroup on Adult ADHD.


3 thoughts on “ADH-ULCH

  1. Cool! I hope that you get the sense of peace that you need when you get this document to your doctor. I know it helps to have something to build on 🙂 Cool graphic as well , Sweet dreams, whenever u go to sleep!

  2. Ah, yes. Pretty sure I have ADD as well. Doesn’t matter how I am evaluated because the treatment for ADD typically consists of activating pharmaceuticals. In my experience, psychiatrists are not fans or proponents of taking a risk that a client may go hypo/manic. They seem far more likely to favor sedating, zombie-esque stabilizers, or antipsychotics.

    Best of luck to you though. I have read case studies of individuals who have attributed the demise of a wicked depressive state to the addition of Ritalin/Adderal.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s