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ADHD assessment (Wender Utah rating scale)

Date of birth(Required)
Gender(Required)

ADHD assessment questions

For each of the 61 items, check the box that best describes your behaviour:
1. As a child I was active, restless, always on the go(Required)
2. As a child I was afraid of things(Required)
3. As a child I had concentration problems, easily distracted(Required)
4. As a child I was anxious, worrying(Required)
5. As a child I was nervous, fidgety(Required)
6. As a child I was inattentive, daydreaming(Required)
7. As a child I was hot - or short-tempered, low boiling point(Required)
8. As a child I was shy, sensitive(Required)
9. As a child I had temper outbursts, tantrums(Required)
10. As a child I had trouble with stick-to-it-tiveness, not following through. Failing to finish things started(Required)
11. As a child I was stubborn, strong-willed(Required)
12. As a child I was sad or blue, depressed, unhappy(Required)
13. As a child I was incautious, dare-devilish, involved in pranks(Required)
14. As a child I was not getting a kick out of things, dissatisfied with life(Required)
15. As a child I was disobedient with parents, rebellious, sassy(Required)
16. As a child I had a low opinion of myself(Required)
17. As a child I was irritable(Required)
18. As a child I was outgoing, friendly, enjoyed company of people(Required)
19. As a child I was sloppy, disorganized(Required)
20. As a child I was moody, ups and downs(Required)
21. As a child I was angry(Required)
22. As a child I had friends, popular(Required)
23. As a child I was well-organized, tidy, neat(Required)
24. As a child I was acting without thinking, impulsive(Required)
25. As a child I had a tendency to be immature(Required)
26. As a child I had guilty feelings, regretful(Required)
27. As a child I was losing control of myself(Required)
28. As a child I had a tendency to be or act irrational(Required)
29. As a child I was unpopular with other children, didn't keep friends for long, didn't get along with other children(Required)
30. As a child I was poorly coordinated, did not participate in sports(Required)
31. As a child I was afraid of losing control of self(Required)
32. As a child I was well-coordinated, picked first in games(Required)
33. As a child I was tomboyish (for women only)
34. As a child I was running away from home(Required)
35. As a child I was getting into fights(Required)
36. As a child I was teasing other children(Required)
37. As a child I was leader, bossy(Required)
38. As a child I had difficulty getting awake(Required)
39. As a child I was a follower, led around too much(Required)
40. As a child I had trouble seeing things from someone else's point of view(Required)
41. As a child I had trouble with authorities, trouble with school, visits to principal's office(Required)
42. As a child I was in trouble with police, booked convicted(Required)

Medical problems as a child

43. Headaches(Required)
44. Stomachaches(Required)
45. Constipation(Required)
46. Diarrhoea(Required)
47. Food allergies(Required)
48. Other allergies(Required)
49. Bedwetting(Required)

As a child in school

50. As a child in school I was overall a good student, fast(Required)
51. As a child in school I was overall a poor student, slow learner(Required)
52. As a child in school I was slow in learning to read(Required)
53. As a child in school I was a slow reader(Required)
54. As a child in school I had trouble reversing letters(Required)
55. As a child in school I had problems with spelling(Required)
56. As a child in school I had trouble with mathematics or numbers(Required)
57. As a child in school I had bad handwriting(Required)
58. As a child in school I was able to read pretty well but never really enjoyed reading(Required)
59. As a child in school I was not achieving up to potential(Required)
60. As a child in school I was repeating grades(Required)
61. As a child in school I was suspended or expelled(Required)
Total sum of all 61 questions
Sum of 25 questions associated with ADHD
Not for urgent medical help(Required)
Consent(Required)

Date published: 11th March, 2024
Date last updated: 11th March, 2024