Lifted Logic Web Design in Kansas City
clock
location
phone
play
circle-play
check_box_outline_blank
check_box
chevron-down
chevron-left
chevron-right
chevron-up
facebook
instagram
google plus
pinterest
radio_button_checked
radio_button_unchecked
twitter
linkedin
youtube
arrow-up
send
arrow-right
man
woman
plus
remove
chat
calendar
close
Down-Copy
Up-Copy
right
left
right-1
down-arrow-home
right-arrow-long
Right-Quotation
Left-Quotation
menu
Services
Evaluation Services
Parenting Classes
Counseling & Therapy
Online Courses
ADHD Connect
Why Won’t My Child Listen?
Publications
Fostering Connections
Parenting ADHD With Wisdom and Grace
Addressing Anger Management and Emotional Regulation
About
Events
Screening Tool
Contact Us
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?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Name
This field is for validation purposes and should be left unchanged.