Screen ADHD First

Self-Check

ADHD & Substance Use Self-Check

Twelve questions about the past six months. Answer honestly; nothing is saved or sent anywhere. This is not a diagnosis.

Part 1: ADHD Traits

  1. 1. How often do you have trouble wrapping up the final details of a project once the hard parts are done?
  2. 2. How often do you have difficulty getting things in order when a task requires organization?
  3. 3. How often do you have problems remembering appointments or obligations?
  4. 4. When a task needs a lot of thought, how often do you avoid or delay getting started?
  5. 5. How often do you fidget or squirm when you have to sit down for a long time?
  6. 6. How often do you feel overly active or driven, as if run by a motor?

Part 2: Substance Use

  1. 1. How often do you drink or use substances to calm down, focus, or get to sleep?
  2. 2. How often do you end up using more, or for longer, than you meant to?
  3. 3. How often have you wanted to cut back but found it hard to?
  4. 4. How often has drinking or using caused problems at work, at home, or with money?
  5. 5. How often have others voiced concern about your drinking or use?
  6. 6. How often do you feel restless, irritable, or unwell when you go without?