Questionnaire: ADHD Criteria DSM-IV adapted by A.Vincent CHILD

Questionnaire: ADHD Criteria DSM-IV adapted by A.Vincent
Child
ADHD combined
ADHD predominantly inattention
ADHD predominantly hyperactive
Adult
Code:
0: absent; D: doubt 1: few; 2: often; 3: very frequently
1. Inattention (minimum 6 symptoms)
a)
Fails to give close attention to details, makes careless
mistakes
b) Has difficulty sustaining attention
c) Does not seem to listen when spoken to directly
d) Does not follow through on instructions or fails to finish
chores (not due to oppositional behavior)
e) Has difficulty in planning or organizing work or activities
f) Avoids or is reluctant to engage in tasks specially when it
requires sustained mental effort (ex.: procrastinate)
g) Loses things neeeded for tasks or activities
h) Is easily distracted by extraneous stimuli
i) Is forgetful in daily activities
2. Hyperactivity - Impulsivity
(minimum 6 symptoms)
Hyperactivity
a) Fidgets with hands or feet or squirms in seat
b) Gets up from seat when remaining seated is expected
c) Runs or climbs everywhere (with aging: feeling restless)
d) Has difficulty remaining quiet at work or in leisure activities
e) Is often "on the go" or often acts as if "driven by a motor"
f) Talks excessively
Impulsivity
g) Blurts out answers before questions have been completed
h) Has difficulty awaiting turn
i) Interrupts or intrudes on others
CHILD
0
D
1
ADULT
2
3
0
D
1
2
3