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Q.1
My child gets in trouble for talking during class or consistently being disruptive when the teacher is talking.
Often
Not often
Q.2
My child often blurts out answers and interrupts others when they are talking.
Agree
Disagree
Q.3
My child forgets to bring home materials for homework, or completes his homework and then forgets to hand it in.
Often
Not often
Q.4
My child has difficulty when given instructions that have two or more steps.
Agree
Disagree
Q.5
My child has trouble prioritizing homework assignments or has trouble organizing and planning long-term assignments.
Agree
Disagree
Q.6
My child gets upset when things don’t go his way.
Often
Not often
Q.7
My child tends to put off doing homework, school projects, studying for tests, or completing chores until the last minute.
Agree
Disagree
Q.8
My child starts homework assignments, chores, or working on a hobby with gusto, but often loses steam before the task is completed.
Agree
Disagree
Q.9
When faced with a problem, my child usually gets stuck on one possible solution. If that doesn’t work out, he has trouble coming up with alternative solutions.
Agree
Disagree
Q.10
My child avoids tasks that require multiple steps or sustained attention.
Often
Not often
Q.11
My child is easily distracted.
Agree
Disagree
Q.12
I usually have to remind my child to do homework or complete chores around the house.
Agree
Disagree
Q.13
My child is disorganized and messy. His personal work area, school folders, and backpack are jammed with papers.
Agree
Disagree
Q.14
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