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01. HISTORY OF SYMPTOMS
An individual's history of ADHD symptoms. It includes information about symptoms observed in the past to better understand the course and development of disorders.
- How would you rate the level of attention while performing tasks or activities?
- How often do you notice that you have problems with organization or planning?
- Rate the level of forgetting in everyday life.
- How often do you feel restlessness and the urge to constantly move?
- How do you rate your ability to focus on one thing without distraction?
- How would you rate your ability to stay focused during conversations or lectures?
- How often do you notice an inability to complete tasks or projects?
- Rate how often you experience impulsive behavior without first considering the consequences.
- How do you rate your ability to plan time and adhere to schedules?
- How would you rate the level of anxiety or frustration associated with problems with attention and hyperactivity?
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02. DEVELOPMENTAL HISTORY
The development of the individual from early childhood to the present. It focuses on important milestones in physical, cognitive, and emotional development to better understand the context of ADHD.
- How would you rate the pace of development of motor skills in childhood?
- How would you rate early developmental milestones such as beginning to talk and walk?
- Rate how often you notice that the child had difficulties with attention or restlessness during the upbringing.
- How do you rate the child's level of interest in learning and new activities in youth?
- Assess whether problems with social interaction were observed in the early years (preschool period).
- How would you rate the level of impulsivity or lack of concentration in the child's games and activities?
- How do you rate the child's ability to maintain attention while playing with toys or in a peer group?
- Assess whether study or behavior problems were observed during school attendance.
- How would you rate the level of support the child received at school and at home in dealing with developmental challenges?
- Assess how the child was able to cope with the transition to new stages of development (eg starting school).
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03. SCHOOL PERFORMANCE
How does ADHD get an individual's academic performance. It includes results, ability to concentrate and assessment of school interaction with teachers and classmates.
- How would you rate your ability to stay focused during classroom instruction?
- How often do you notice problems with the organization of school assignments and tasks?
- Rate your ability to stay on task and complete them on time.
- How would you rate your ability to work effectively in groups or collaborate on school projects?
- Rate your ability to stay focused while doing homework or studying.
- How would you rate your knowledge and skills in areas that require a longer time frame, such as writing long texts or carrying out large-scale projects?
- Assess your ability to remember the material and use it in tests and exams.
- How would you rate your ability to effectively plan time and schedules for schoolwork?
- How do you rate your level of stress and anxiety related to schoolwork?
- Rate your overall school motivation and interest in learning.
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04. SOCIAL INTERACTION
An individual's ability to establish and maintain social relationships. It focuses on interacting with peers, family, and other community members.
- How would you rate your ability to maintain focus during conversations with other people?
- How often do you notice problems listening and understanding other people's opinions in group discussions?
- Rate how often impulsive behavior occurs in social situations (eg jumping in or interrupting others).
- How would you rate your ability to establish and maintain relationships with peers?
- Rate how often you show restlessness or the need to constantly move in social situations.
- How would you rate your ability to read and interpret other people's non-verbal signals and emotional expressions?
- How do you rate your ability to respond appropriately to social norms and expectations?
- Rate how often you show hyperactivity in social situations (eg, restless gesturing, constant movements).
- How would you rate your ability to recognize and respond to social signals that are not explicitly expressed in words?
- Rate how often you experience anxiety or stress in connection with social interactions.
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05. FAMILY HISTORY
Genetic and environmental context of ADHD through family history. Finds out if there are other family members with the disorder.
- How would you rate the level of family history of ADHD in direct relatives (parents, siblings)?
- Rate how ADHD has been diagnosed or treated in family members.
- How would you rate the level of understanding and support from the family if a family member has been diagnosed with ADHD?
- Assess how ADHD in the family has affected the educational or work environment.
- How would you rate the family's ability to effectively address the challenges associated with ADHD?
- How would you rate the level of communication in the family regarding ADHD and related issues?
- Assess what family practices are to support a family member with ADHD.
- How would you rate the family's ability to adapt to the needs of a member with ADHD in daily life?
- Assess the role of family history of ADHD in deciding parenting strategies.
- How would you rate the level of stigma or negative perception associated with ADHD in the family environment?
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06. DAILY FUNCTION
As ADHD, the individual's normal daily activities and functions such as household tasks, organization and planning.
- How would you rate your ability to maintain attention during normal daily activities?
- How often do you notice problems with organizing daily tasks and responsibilities?
- Assess your ability to effectively plan and follow a daily schedule.
- How would you rate your forgetfulness and inability to remember things during the day?
- Rate how often you exhibit impulsive behavior during daily activities.
- How would you rate your ability to focus on one thing and complete it during normal daily tasks?
- Rate how often you experience restlessness or the urge to move around during normal daily activities.
- How would you rate your ability to communicate effectively and maintain focus in common social situations?
- Rate how often you experience stress or frustration while performing normal daily tasks.
- How would you rate your overall level of performance and effectiveness in your normal day-to-day functions?
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07. CO-EXISTING DISORDERS
The presence of other disorders related to ADHD, such as anxiety disorders or mood disorders.
- How would you rate the level of anxiety associated with ADHD?
- Rate how often symptoms of depression occur in association with ADHD.
- How would you rate your ability to sleep and maintain a stable sleep pattern in conjunction with ADHD?
- Rate how often you experience obsessive-compulsive disorder (OCD) symptoms related to ADHD.
- How would you rate your ability to regulate emotions and avoid impulsive behavior associated with ADHD?
- Rate how often symptoms of a sleep disorder (eg, insomnia) occur in association with ADHD.
- How would you rate your ability to maintain structure and regularity in your daily routine in conjunction with ADHD?
- Rate how often eating disorder symptoms (eg, hyperphagia or hypophagia) occur in association with ADHD.
- How would you rate the effect of ADHD on your interpersonal relationships and social interactions?
- Rate how often symptoms of tics or tic disorders occur in association with ADHD.
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08. STRESS MANAGEMENT
An individual's ability to handle stress and pressure, which can be affected by ADHD. Follows coping strategies and adaptation to challenging situations.
- How would you rate your ability to keep calm and cope with challenging situations?
- Rate how often you experience stress due to restlessness or impulsivity associated with ADHD.
- How would you rate your ability to effectively plan and organize things even in challenging situations?
- Rate how often you resort to impulsive behavior or decisions in stressful situations.
- How would you rate your ability to maintain attention and focus during stressful situations?
- Rate how often you experience emotional swings in stressful situations associated with ADHD.
- How would you rate your ability to quickly adapt to changes in the situation during stressful events?
- Rate how often you seek support from others in managing the stress associated with ADHD.
- How would you rate your ability to maintain a balance between work and rest during challenging times?
- Rate how often you avoid stressful situations or actively deal with them in order to minimize the negative effects.
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09. PHYSICAL MANIFESTATIONS
Physical symptoms associated with ADHD, such as hyperactivity, impulsivity, or motor restlessness.
- How would you rate the level of hyperactivity in your daily life, especially in physical activities?
- Rate how often you have trouble staying calm and sitting still, especially in situations that require attention.
- How would you rate your ability to maintain a stable sleep pattern, including difficulty falling asleep or waking up frequently?
- Rate how often you show restless movements, such as tapping your feet or constantly playing with your hands.
- How would you rate your ability to stay in one position, for example during longer meetings or lectures?
- Rate how often you feel the need to constantly move or be on the move, even in quiet situations.
- How would you rate the level of tics or nervous movements associated with ADHD?
- Rate how often you show a need for physical stimulation or running around to release excess energy.
- How would you rate your ability to maintain a calm body during physically demanding activities such as writing or drawing?
- Rate how often you have difficulty with motor coordination or planning and carrying out physical tasks.
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10. SELF-EXAMINATION
Self-awareness and self-reflection regarding symptoms and behaviors associated with Attention-Deficit/Hyperactivity Disorder (ADHD). This section aims to help individuals recognize and evaluate their own experiences and challenges related to ADHD traits, facilitating a better understanding of their symptoms and potential impact on daily functioning.
- How often do you notice difficulty keeping your attention in one place or doing one activity?
- Rate how often you have trouble organizing your tasks and responsibilities.
- How would you rate the degree of impulsivity in your decision-making and behavior?
- Rate how well you can concentrate on reading or tasks that require longer attention spans.
- How would you rate your ability to plan long-term goals and strategies?
- Rate how often you exhibit hyperactivity or the need to constantly move.
- How would you rate your ability to communicate effectively with others and maintain focus in conversations?
- Rate how often you experience the feeling of restlessness or nervousness associated with ADHD.
- How would you rate your ability to cope with frustration or stressful situations?
- Rate how well you are aware of your own behavior and its effects on others.