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Question of
How often do you have difficulty staying focused on tasks?
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Rarely
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Occasionally
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Frequently
-
Very frequently
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It’s my constant struggle
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-
Question of
How often do you have difficulty organizing tasks or activities?
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Rarely
-
Occasionally
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Frequently
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Very frequently
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Story of my life
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-
Question of
How often do you have trouble remembering appointments or obligations?
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Once in a while
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Sometimes
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Pretty often
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Very often
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All the time
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-
Question of
How often do you feel restless during activities when you’re supposed to be still?
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Almost never
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Sometimes
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Frequently
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Very frequently
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Can’t sit still
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-
Question of
How often do you fidget or squirm when seated?
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Rarely
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Occasionally
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Often
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Very often
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Constantly
-
-
Question of
How often do you feel overly active or compelled to do things as if driven by a motor?
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Very rarely
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Sometimes
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Frequently
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Very frequently
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Nearly all the time
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Question of
How often do you interrupt others when they’re busy?
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Rarely
-
Occasionally
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Often
-
Frequently
-
Constantly
-
-
Question of
How often do you have difficulty waiting your turn during activities or conversations?
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Not often
-
Sometimes
-
Frequently
-
Very frequently
-
Always
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-
Question of
How often do you get easily distracted by things happening around you?
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Rarely
-
Occasionally
-
Often
-
Very often
-
Constantly
-
-
Question of
How often do you forget daily tasks?
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Rarely
-
Sometimes
-
Frequently
-
Very frequently
-
Daily struggle
-
-
Question of
How often do you have difficulty concentrating on tasks?
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Almost never
-
Occasionally
-
Often
-
Very often
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Can’t concentrate at all
-
-
Question of
How often do you misplace or have difficulty finding things at home or work?
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Rarely
-
Sometimes
-
Frequently
-
Very frequently
-
All the time
-
-
Question of
How often are you forgetful in your daily activities?
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Very rarely
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Occasionally
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Often
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Frequently
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Extremely forgetful
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