Often blurts out an answer before a question has been completed (e.g., completes people’s sentences;
cannot wait for turn in conversation).
Often has difficulty waiting his or her turn (e.g., while waiting in line).
Often interrupts or intrudes on others (e.g., butts into conversations, games, or activities; may start using
other people’s things without asking or receiving permission; intrude into or take over what others are
Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or during
other activities (e.g., overlooks or misses details, work is inaccurate).
Often has difficulty sustaining attention in tasks (e.g., has difficulty remaining focused during lectures,
conversations, or lengthy reading).
Often does not seem to listen when spoken to directly (e.g., mind seems elsewhere, even in the absence
of any obvious distraction).
Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the
workplace (e.g., starts tasks but quickly loses focus and is easily sidetracked).
Often has difficulty organizing tasks and activities (e.g., difficulty managing sequential tasks; difficulty
keeping materials and belongings in order; messy, disorganized work; has poor time management; fails
to meet deadlines).
Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (e.g.,
schoolwork or homework; preparing reports, completing forms, reviewing lengthy papers).
Often loses things necessary for tasks or activities (e.g., school materials, pencils, books, tools, wallets,
keys, paperwork, eyeglasses, cell phones).
Is often easily distracted by extraneous stimuli (may include unrelated thoughts).
Is often forgetful in daily activities (e.g., doing chores, running errands, returning calls, paying bills,
In addition to DSM-V criteria, how did you arrive at your diagnosis? Please check all relevant items below,
adding brief notes that you think might be helpful to us as we determine which accommodations and services
are appropriate for the student.
Interviews with other persons
Testing (attach a copy of the report). Dates and type of testing: