1. Do you often feel extremely disorganized?
A. Yes, all of the time
B. Sometimes
C. Not more than normal
2. Has time management always been (or is currently) an issue for you?
A. 100% yes, everyone who knows me knows that
B. Sometimes
C. No, not really
3. Do you have trouble often focusing and get distracted very easily?
A. Yes, every day
B. Yes, pretty often
C. I am not sure
4. Do you ever feel so focused on what you are doing that you lose track of anything else going on around you?
A. No, not really
B. Yes, all the time
C. Sometimes
5. Do you struggle to manage your impulses when it comes to things you really want, regardless if you have the money for it or not?
A. Yes, it’s really bad
B. Not really
C. Yes, sometimes
6. Do you have a bad memory or easily forget things right after reading them or being told about them?
A. Not really
B. Sometimes
C. Very often
7. Do you feel like you are more critical of yourself than others are, which creates a poor self-image?
A. Sometimes
B. No
C. Definitely
8. Do you find it hard to get motivated to do the things you need/want to do or stay motivated once you get started?
A. Yes, every day
B. Yes, very often
C. Yes, sometimes
9. Do you ever feel like your mind just won’t stop, causing you to feel restless or irritable?
A. Yes, definitely
B. Sometimes
C. Not that often
10. Do your symptoms affect your sleep patterns, like, either sleeping too much or too little?
A. No
B. Sometimes
C. Yes
