Behavior Checklist

1. Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities *

Not at all Just a little Pretty much Very much

2. Often has difficulties sustaining attention in tasks or play activities *

Not at all Just a little Pretty much Very much

3. Often does not seem to listen when spoken to *

Not at all Just a little Pretty much Very much

4. Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions) *

Not at all Just a little Pretty much Very much

5. Often has difficulty organizing tasks or activities *

Not at all Just a little Pretty much Very much

6. Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework) *

Not at all Just a little Pretty much Very much

7. Often loses things necessary for tasks or activities (e.g. school assignments, pencils, books, tools) *

Not at all Just a little Pretty much Very much

8. Is often easily distracted by extraneous stimuli *

Not at all Just a little Pretty much Very much

9. Is often forgetful in daily activities *

Not at all Just a little Pretty much Very much

10. Often fidgets with hands or feet or squirms in seat *

Not at all Just a little Pretty much Very much

11. Often leaves seat in classroom or other situations in which remaining in seat is expected *

Not at all Just a little Pretty much Very much

12. Often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to feelings of restlessness) *

Not at all Just a little Pretty much Very much

13. Often has difficulty engaging in leisure activities quietly *

Not at all Just a little Pretty much Very much

14. Is often “on the go” or often acts as if “driven by a motor” *

Not at all Just a little Pretty much Very much

15. Often talks excessively *

Not at all Just a little Pretty much Very much

16. Often blurts out answers before questions have been completed *

Not at all Just a little Pretty much Very much

17. Often has difficulty awaiting turn *

Not at all Just a little Pretty much Very much

18. Often interrupts or intrudes on others (i.e. bursts into conversations) *

Not at all Just a little Pretty much Very much

Behavior Checklist (childhood)Please rate the following as they applied to you when you were a child (i.e. during elementary school)

Behavior Checklist (childhood)
Please rate the following as they applied to you when you were a child (i.e. during elementary school)