CURRENT BEHAVIOUR SCALE – SELF-REPORT Please select the the appropriate description that best describes your behaviour DURING THE PAST 6 MONTHS Name* First Last 1. Fail to give close attention to details or made careless mistakes in work* Never/Rarely Sometimes Often Very often 2. Fidget with hands or feet or squirms in seat* Never/Rarely Sometimes Often Very often 3. Have difficulty sustaining attention in tasks or fun activities* Never/Rarely Sometimes Often Very often 4. Leave my seat situations in which sitting was expected* Never/Rarely Sometimes Often Very often 5. Don’t listen when spoken to directly* Never/Rarely Sometimes Often Very often 6. Feel restless* Never/Rarely Sometimes Often Very often 7. Don’t follow through on instructions and fail to finish work* Never/Rarely Sometimes Often Very often 8. Have difficulty engaging in leisure activities or doing fun things quietly* Never/Rarely Sometimes Often Very often 9. Have difficulty organising tasks and activities* Never/Rarely Sometimes Often Very often 10. Feel “on the go” or “driven by a motor”* Never/Rarely Sometimes Often Very often 11. Avoid, dislike, or am reluctant to engage in work that requires sustained mental effort* Never/Rarely Sometimes Often Very often 12. Talk excessively* Never/Rarely Sometimes Often Very often 13. Lose things necessary for tasks or activities* Never/Rarely Sometimes Often Very often 14. Blurt out answers before questions had been completed* Never/Rarely Sometimes Often Very often 15. Easily distracted* Never/Rarely Sometimes Often Very often 16. Have difficulty awaiting turn* Never/Rarely Sometimes Often Very often 17. Forgetful in daily activities* Never/Rarely Sometimes Often Very often 18. Interrupt or intrudes on others* Never/Rarely Sometimes Often Very often If you indicated that you experienced any of the problems with attention, concentration, impulsiveness, or hyperactivity on the first page, please fill in the blank below indicating as precisely as you can recall at what age these problems began to occur for you: Areas of life activitiesTo what extent do the problems you may have circled on the previous page interfere with your partner’s/close friend's ability to function in each of these areas of life activities?19. In his/her home life with immediate family* Never/Rarely Sometimes Often Very often 22. In his/her work or occupation* Never/Rarely Sometimes Often Very often 20. In his/her social interactions with others* Never/Rarely Sometimes Often Very often 21. In his/her activities or dealings in the community* Never/Rarely Sometimes Often Very often 23. In any educational activities* Never/Rarely Sometimes Often Very often 24. In your/their dating or marital relationship* Never/Rarely Sometimes Often Very often 24. In his/her management of money* Never/Rarely Sometimes Often Very often 24. In his/her ability to drive a motor vehicle* Never/Rarely Sometimes Often Very often 25. In his/her play, leisure or recreational activities* Never/Rarely Sometimes Often Very often 25. In his/her handling of daily chores or other responsibilities* Never/Rarely Sometimes Often Very often Δ