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Q.1
Is your child clumsy, frequently knocking things over or tripping over nothing?
Often
Sometimes
Seldom
Never
Q.2
Does your child struggle with fine motor skills when handwriting, using scissors and eating utensils, tying shoes, or buttoning clothes?
Often
Sometimes
Seldom
Never
Q.3
Is your child often “literal,” misunderstanding idioms, metaphors, and sarcasm?
Often
Sometimes
Seldom
Never
Q.4
Is your child irritable and easily distressed? Does she have outbursts of uncontrolled behavior?
Often
Sometimes
Seldom
Never
Q.5
Does your child demonstrate a limited response to verbal instructions, such a slower response time and problems with comprehension?
Often
Sometimes
Seldom
Never
Q.6
Does your child have trouble navigating uneven surfaces and/or stairs?
Often
Sometimes
Seldom
Never
Q.7
Does your child avoid construction toys such as puzzles and LEGOs?
Often
Sometimes
Seldom
Never
Q.8
Does your child have difficulty completing tasks, staying focused, and staying organized?
Often
Sometimes
Seldom
Never
Q.9
Does your child struggle to sit still? Does he tap his hands or feet?
Often
Sometimes
Seldom
Never
Q.10
Does your child prefer adult company? Have you noticed that she seems isolated from her peers?
Often
Sometimes
Seldom
Never
Q.11
Did you struggle to toilet train your child as a toddler?
Often
Sometimes
Seldom
Never
Q.12
Does your child have difficulty peddling and riding a bike?
Often
Sometimes
Seldom
Never
Q.13
Have you noticed speech delays in your child? Did she not start speaking until around the age of 3?
Often
Sometimes
Seldom
Never
Q.14
As a baby, did your child demonstrate repetitive behaviors such as head banging or rolling?
Often
Sometimes
Seldom
Never
Q.15
Does your child have sleep problems? Is it difficult to maintain a nighttime routine?
Often
Sometimes
Seldom
Never
Q.16
[OPTIONAL] Would you like to receive ADDitude's free weekly newsletter for parents of children with ADHD and other conditions? If so, please enter your email address below.
Email
Q.17
Option 1
Option 2
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