How old are you?
ADHD screening questionnaire · 31 questions
Adult ADHD screening questionnaire
Answer at your own pace. Your responses will then be personally reviewed by Luc MARTRENCHAR.
Personally reviewedby Luc MARTRENCHAR
Written feedbackwithin 24 hours
Price€49
Did you arrive directly on the questionnaire? The complete screening includes a personal review of your answers and written feedback within 24 hours.
How to answer
- Answer the questions in order.
- Keep your total response within the equivalent of four pages in a Word document.
- Answer briefly when the question is simple and give concrete examples when they are useful.
- After payment, send your answers to martrencharluc@gmail.com in the body of an e-mail or as an attachment.
Is this questionnaire not the right one for your situation? The child / teenager questionnaire.
Background and impact
In general, do you have difficulties with attention and concentration?
How do these difficulties show up?
Were these difficulties already present before the age of 12?
Do these attention difficulties have negative consequences for your work?
Do they have negative consequences for your relationships with other people outside of work?
Attention and organization
Do you often fail to pay close attention to details?
Do you often make careless mistakes, at work or in other situations?
Do you often have difficulty sustaining your attention, at work or in other situations?
Do you often seem not to listen when other people speak to you, for example because your mind wanders?
Do you often have difficulty following instructions or doing what is asked of you?
Do you often fail to finish tasks you start?
Do you often have difficulty organizing tasks and activities, for example managing your time or keeping your belongings in order?
Do you often find tasks that require sustained mental effort particularly difficult?
Do you often lose things?
Are you easily distracted by noises or other stimuli?
Do you often forget things you need to do in everyday life?
Restlessness and impulsivity
In general, do you find it difficult to stay still or feel constantly “on the go”, and/or do you tend to act impulsively?
How does this show up?
Was this already the case before the age of 12?
Does this difficulty staying still and/or tendency to act impulsively have negative consequences for your work?
Does it have negative consequences for your relationships with other people outside of work?
Do you often fidget in your seat or move your hands or feet?
Do you often get up in situations where you are expected to remain seated?
Do you often feel restless?
Do you often find it difficult to stay calm during leisure activities?
Do you often find it difficult to remain still, for example at the cinema, in a meeting or at a restaurant?
Do you often talk so much that other people have difficulty getting a chance to speak?
Do you often finish other people’s sentences or answer questions before they have been fully asked?
Do you often have difficulty waiting your turn, for example when standing in line?
Do you often interrupt others or intrude on them?
Are your answers ready?
After purchasing the screening, send all your answers to martrencharluc@gmail.com. You will receive your written feedback within 24 hours at the latest.
Screening and diagnosis
The screening provides an estimate of the likelihood of ADHD and helps determine whether a comprehensive assessment is recommended. On its own, it does not constitute an official diagnosis.
Would you rather proceed directly with a full ADHD assessment?
You can schedule an appointment directly without completing the screening first.
