CURRENT BEHAVIOUR SCALE – PARTNER or CLOSE FRIEND Please select the appropriate description that best describes the behaviour of your PARTNER or CLOSE FRIEND. PLEASE RATE BEHAVIOUR BASED ON THE PAST 6 MONTHS Name of your PARTNER or CLOSE FRIEND* First Last 1. Fails to give close attention to details or made careless mistakes in work* Never/Rarely Sometimes Often Very often 2. Fidgets with hands or feet or squirms in seat* Never/Rarely Sometimes Often Very often 3. Has difficulty sustaining attention in tasks or fun activities* Never/Rarely Sometimes Often Very often 4. Leaves seat situations in which sitting was expected* Never/Rarely Sometimes Often Very often 5. Appears not to listen when spoken to directly* Never/Rarely Sometimes Often Very often 6. Appears restless* Never/Rarely Sometimes Often Very often 7. Does not follow through on instructions and fails to finish work* Never/Rarely Sometimes Often Very often 8. Has difficulty engaging in leisure activities or doing fun things quietly* Never/Rarely Sometimes Often Very often 9. Has difficulty organising tasks and activities* Never/Rarely Sometimes Often Very often 10. Appears to be “on the go all the time ” or as if “driven by a motor”* Never/Rarely Sometimes Often Very often 11. Avoids, dislikes, or is reluctant to engage in work that requires sustained mental effort* Never/Rarely Sometimes Often Very often 12. Talks excessively* Never/Rarely Sometimes Often Very often 13. Loses things necessary for tasks or activities* Never/Rarely Sometimes Often Very often 14. Blurts out answers before questions had been completed* Never/Rarely Sometimes Often Very often 15. Easily distracted* Never/Rarely Sometimes Often Very often 16. Has difficulty awaiting turn* Never/Rarely Sometimes Often Very often 17. Forgetful in daily activities* Never/Rarely Sometimes Often Very often 18. Interrupts or intrudes on others* Never/Rarely Sometimes Often Very often 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