Lifted Logic Web Design in Kansas City
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Services
Evaluation Services
Counseling & Therapy
Parent Courses
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Fostering Connections
Parenting ADHD With Wisdom and Grace
Addressing Anger Management and Emotional Regulation
About
Screening Tool
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ADD / ADHD Screening Tool
Please answer the following questions on a scale of Very Often to Rarely.
My child has difficulty completing tasks.
*
Very Often
Often
Sometimes
Rarely
My child seems unmotivated.
*
Very Often
Often
Sometimes
Rarely
My child has trouble concentrating.
*
Very Often
Often
Sometimes
Rarely
My child is hyperactive.
*
Very Often
Often
Sometimes
Rarely
My child is impulsive.
*
Very Often
Often
Sometimes
Rarely
My child seems nervous or anxious.
*
Very Often
Often
Sometimes
Rarely
My child has difficulty with reading, writing, or math.
*
Very Often
Often
Sometimes
Rarely
My child is disorganized.
*
Very Often
Often
Sometimes
Rarely
My child has difficulty starting tasks.
*
Very Often
Often
Sometimes
Rarely
My child is more irritable or easily annoyed.
*
Very Often
Often
Sometimes
Rarely
Where should we send your feedback?
Name
First Name
Last Name
Phone
Email
How old is your child?
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Name
This field is for validation purposes and should be left unchanged.
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