571/545 Avenue K SE, Winter Haven FL 33880Mon-Fri: 9am-6pm | Walk-Ins: 9am-2pm | Sat-Sun: Appointment only
Call: 407-440-0708
Haven Marijuana Doctor logo — Florida medical marijuana certification clinic in Winter Haven, FL
Clinical Screening

ADHD Screening

Practitioner to ask the patient these questions. Your responses help the physician assess ADHD symptoms as part of your evaluation. This is not a diagnosis.

Patient Information

Screening Questions

1. Do you butt into other people's conversations often? *

2. Do you answer people before they finish asking their question? *

3. Do you have a lot of difficulty waiting your turn? *

4. Throughout your life, did you often avoid certain tasks because they required mental effort? *

5. Have you been told you talk too much? *

6. Do you have problems following instructions? *

7. Do people tell you that you don't listen even though they are talking to you directly? *

8. Have you ever been accused of making a lot of careless mistakes? *

Patient Signature