Adult Self Assessment


Adult Self-Assessment (v3.1)

Answer these questions according to how you have felt MOST of your adult life … not how you are feeling just today.

1. At home, work, or school, I find my mind wandering from tasks that are uninteresting or difficult.

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

2. I find it difficult to read written material unless it is very interesting or very easy.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

3. Especially in groups, I find it hard to stay focused on what is being said in conversations.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

4. I have a quick temper … a short fuse.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

5. I am irritable, and get upset by minor annoyances.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

6. I say things without thinking, and later regret having said them.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

7. I make quick decisions without thinking enough about the possible bad results.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

8. My relationships with people are made difficult by my tendency to talk first and think later.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

9. My moods have highs and lows.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

10. I have trouble planning in what order to do a series of tasks or activities.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

11. I easily become upset.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

12. I seem to be thin skinned and many things upset me.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

13. I almost always am on the go.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

14. I am more comfortable when moving than when sitting still.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

15. In conversations, I start to answer questions before the questions have been fully asked.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

16. I usually work on more than one project at a time, and fail to finish many of them.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

17. There is a lot of “static” or “chatter” in my head.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

18. Even when sitting quietly, I am usually moving my hands or feet.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

19. In group activities, it is hard for me to wait my turn.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

20. My mind gets so cluttered that it is hard for it to function.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

21. My thoughts bounce around as if my mind were a pinball machine.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

22. My brain feels as if it were a television set with all the channels going at once.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

23. I am unable to stop daydreaming.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All

24. I am distressed by the disorganized way my brain works.

 

Very Much
Quite a Lot
Moderately
Somewhat
Just a Little
Not At All





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