Focus Partners - ADHD Assessment

1
How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?* This field is required.(Choose 1)
Never
Rarely
Sometimes
Often
Very Often
2
How often do you have difficulty getting things in order when you have to do a task that requires organization?* This field is required.(Choose 1)
Never
Rarely
Sometimes
Often
Very Often
3
How often do you have problems remembering appointments or obligations?* This field is required.(Choose 1)
Never
Rarely
Sometimes
Often
Very Often
4
When you have a task that requires a lot of thought, how often do you avoid or delay getting started?* This field is required.(Choose 1)
Never
Rarely
Sometimes
Often
Very Often
5
How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?* This field is required.(Choose 1)
Never
Rarely
Sometimes
Often
Very Often
6
How often do you feel overly active and compelled to do things, like you were driven by a motor?* This field is required.(Choose 1)
Never
Rarely
Sometimes
Often
Very Often
7
Have you ever been diagnosed with any of the following health conditions?* This field is required.
Anxiety
Depression
Schizophrenia or an symptoms of psychosis
Bipolar Disorder or any symptoms of mania
Previous Suicide attempt or current suicidal ideation
Substance Abuse Problems
Kidney or Liver Disease
Pregnancy or Nursing (only select if currently pregnant/nursing)
Any disorder that are exacerbated by, or have adverse effects with stimulant consumption
None
8
Is your anxiety and/or depression well controlled and are you under the current care of a health care provider?
Yes
No
9
Calculation
10
Calculation
11
dublin* This field is required.
12
Focus Partners provides services only in Illinois, Michigan, New York and Ohio at this time. Please confirm that you currently reside in one of these states by selecting the applicable state in the drop-down below. For any users that are outside of those areas, please select "Other" to receive your results from this quiz. If, based on your responses, you would benefit from personalized ADHD treatment but are located outside of the available areas, you will be directed to a page where you can tell us we should go next!* This field is required.
Illinois
Michigan
New York
Ohio
Other
Should be Empty: