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Home
About
Services
Applied Behavior Analysis
Evaluations
Online Therapy
Resources
E-Learning
Blog
Insurances
SCREEN YOUR CHILD
REFER A CLIENT
CONTACT US
Get Help
305 827 2822
ADHD SCREENING
Home
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Services
Applied Behavior Analysis
Evaluations
Online Therapy
Resources
E-Learning
Blog
Insurances
SCREEN YOUR CHILD
REFER A CLIENT
CONTACT US
ADHD SCREENING
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Parent Name
*
First
Last
Child Name
*
First
Last
Phone
Child's age
*
Email
*
Inattention (six or more symptoms)
*
Lacks attention to detail.
Has difficulty putting thoughts on paper.
Skips around while reading.
Makes careless mistakes in schoolwork, work, or other activities.
Has poor concentration and attention when it comes to school work.
Does not seem to listen when spoken to directly.
Does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace.
Has trouble organizing tasks and activities.
Avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as homework).
Loses things necessary for tasks or activities (toys, school assignments, pencils, books, or tools).
Seems disorganized.
Is easily distracted by external stimuli.
Is forgetful in daily activities.
Hyperactivity (six or more symptoms)
*
Fidgets with hands or feet or squirms in seat.
Leaves seat in classroom or in other situations in which remaining seated is expected.
Has trouble sitting still or sitting in one place too long.
Runs about or climbs when and where it is inappropriate.
Acts impulsively or dangerously without considering the consequences.
Has a hard time playing quietly.
Is 'on the go' or acts as if 'driven by a motor'
Talks excessively.
Impulsivity
*
Starts to answer questions before the questions are fully asked.
Has trouble waiting his or her turn.
Often interrupts or ' butts in' to other' s games or conversations.
Please note: Online screening tools are not diagnostic instruments. You are encouraged to share your results with your child’s physician or healthcare provider.
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