Assessing the unique characteristics of your ADD ©2001 Raymond H. Reinbolt -- lifeconcept.org
What is your name?
What is your Email Address?
To help establish the validity and usefullness of this Inventory, Please answer the following questions. All responses are confidential.
Do you have AD(H)D? yes no
What is your age? --at least give me a ball park figure!
Gender? Male Female
Please list any other disorders, disabilities, or maladies you have:
This Inventory will give you a profile of your AD(H)D along with indications of any complicating factors. There are 145 statements.
After you submit your inventory, it will be evaluated and a summary of the results, along with explanations, will be returned to you. Do not skip any statements. The usefulness of this inventory depends on you.
Please rate each statement according to how often it is true of you:
1. When I am thinking about something, my mind tends to wander. Never Seldom Sometimes Often Very Often
2. I find myself saying things I shouldn't. Never Seldom Sometimes Often Very Often
3. I solve problems by taking a walk to mull things over. Never Seldom Sometimes Often Very Often
4. I feel restless and need to move about. Never Seldom Sometimes Often Very Often
5. I tend to worry needlessly. Never Seldom Sometimes Often Very Often
6. My organization efforts end up in a mess. Never Seldom Sometimes Often Very Often
7. For some reason, I find myself switching numbers and letters around. Never Seldom Sometimes Often Very Often
8. I just don't have the social skills I should have. Never Seldom Sometimes Often Very Often
9. I know when I'm right and I will act accordingly. Never Seldom Sometimes Often Very Often
10. The harder I try not to do something, the stronger is the temptation. Never Seldom Sometimes Often Very Often
11. Thinking positive about myself is hard. Never Seldom Sometimes Often Very Often
12. I am uncomfortable discussing sexual matters with someone. Never Seldom Sometimes Often Very Often
13. I find it hard to compromise with others on my ideas. Never Seldom Sometimes Often Very Often
14. I prefer to wait and see whether a problem will solve itself. Never Seldom Sometimes Often Very Often
15. I may get a basic idea but the details escape me. Never Seldom Sometimes Often Very Often
16. I spend more money than I should without first thinking about it. Never Seldom Sometimes Often Very Often
17. I can't sit still for very long before I start to fidget. Never Seldom Sometimes Often Very Often
18. I see myself as a failure. Never Seldom Sometimes Often Very Often
19. I feel there is a plot against me. Never Seldom Sometimes Often Very Often
20. I turn words around in conversation. Never Seldom Sometimes Often Very Often
21. People just don't care about me and my needs and interests. Never Seldom Sometimes Often Very Often
22. I feel so tired. Never Seldom Sometimes Often Very Often
23. I have a hard time letting go of certain thoughts. Never Seldom Sometimes Often Very Often
24. I do my best thinking when I am moving about. Never Seldom Sometimes Often Very Often
25. I find it hard to express my real feelings. Never Seldom Sometimes Often Very Often
26. It's hard to see new ways of solving a problem. Never Seldom Sometimes Often Very Often
27. I think daydreaming is a waste of time. Never Seldom Sometimes Often Very Often
28. I have to go over a list of instructions several times before I get it. Never Seldom Sometimes Often Very Often
29. I "tell it like it is" with little regard for the feelings of others. Never Seldom Sometimes Often Very Often
30. I think something bad is about to happen to me. Never Seldom Sometimes Often Very Often
31. I have potential that never gets realized. Never Seldom Sometimes Often Very Often
32. I make stupid mistakes. Never Seldom Sometimes Often Very Often
33. Physical coordination is not one my strong points. Never Seldom Sometimes Often Very Often
34. I find it hard to know what to talk about with a friend or lover. Never Seldom Sometimes Often Very Often
35. It's hard to get going and do something. Never Seldom Sometimes Often Very Often
36. It's so easy to become addicted to things like food, alcohol, drugs, and even work. Never Seldom Sometimes Often Very Often
37. I have little control over my life. Never Seldom Sometimes Often Very Often
38. It's hard to tell someone that they are wrong. Never Seldom Sometimes Often Very Often
39. I have trouble keeping track of my money and paying my bills on time. Never Seldom Sometimes Often Very Often
40. In my daily living, I just let it all happen. Never Seldom Sometimes Often Very Often
41. I misplace things like keys or tools I am using. Never Seldom Sometimes Often Very Often
42. I read the directions only as a last resort. Never Seldom Sometimes Often Very Often
43. I have trouble sitting through a movie. Never Seldom Sometimes Often Very Often
44. Others are to blame for my situation. Never Seldom Sometimes Often Very Often
45. I have trouble planning things. Never Seldom Sometimes Often Very Often
46. Reading an entire book is boring and I lose interest before I finish. Never Seldom Sometimes Often Very Often
47. I say nasty things about others without thinking. Never Seldom Sometimes Often Very Often
48. I just feel like ending it all. Never Seldom Sometimes Often Very Often
49. It upsets me when someone changes things around. Never Seldom Sometimes Often Very Often
50. I feel I'm being pushed around in life. Never Seldom Sometimes Often Very Often
51. I tend to give in too quickly in an argument. Never Seldom Sometimes Often Very Often
52. I feel anxious or nervous. Never Seldom Sometimes Often Very Often
53. I make and use lists of things to do and people to see. Never Seldom Sometimes Often Very Often
54. I find myself looking for things. Never Seldom Sometimes Often Very Often
55. I have trouble following the rules. Never Seldom Sometimes Often Very Often
56. I get into serious arguments over minor issues. Never Seldom Sometimes Often Very Often
57. I can't seem to shake my negative feelings. Never Seldom Sometimes Often Very Often
58. I am late for appointments, meetings and/or work. Never Seldom Sometimes Often Very Often
59. I do not work well under pressure. Never Seldom Sometimes Often Very Often
60. Group activities are not all that interesting. Never Seldom Sometimes Often Very Often
61. I feel sad and helpless. Never Seldom Sometimes Often Very Often
62. I know that people are talking behind my back. Never Seldom Sometimes Often Very Often
63. I feel in control of things. Never Seldom Sometimes Often Very Often
64. It's hard to admit I'm wrong even if I am. Never Seldom Sometimes Often Very Often
65. I go out of my way to avoid conflict. Never Seldom Sometimes Often Very Often
66. I try to make a quick mental outline if asked to speak extemporaneously. Never Seldom Sometimes Often Very Often
67. I can't concentrate on any one thing for too long. Never Seldom Sometimes Often Very Often
68. I don't get along with my superiors. Never Seldom Sometimes Often Very Often
69. I do repetitive motions like tapping or jiggling without realizing it. Never Seldom Sometimes Often Very Often
70. I feel like I'm a fake. Never Seldom Sometimes Often Very Often
71. It's hard to make a decision. Never Seldom Sometimes Often Very Often
72. My mind goes blank when I take a test. Never Seldom Sometimes Often Very Often
73. I have trouble with my boss. Never Seldom Sometimes Often Very Often
74. I have trouble resisting cravings. Never Seldom Sometimes Often Very Often
75. When I overhear someone talking, I think they are talking about me. Never Seldom Sometimes Often Very Often
76. I worry about what people think of me. Never Seldom Sometimes Often Very Often
77. I know I have the ability to do whatever I want. Never Seldom Sometimes Often Very Often
78. I let others know just how I feel about something. Never Seldom Sometimes Often Very Often
79. I am willing to compromise in order to work out a solution. Never Seldom Sometimes Often Very Often
80. I have strong hunches and tend to follow them. Never Seldom Sometimes Often Very Often
81. When somebody tells me a list of instructions, I forget some of them. Never Seldom Sometimes Often Very Often
82. I find myself saying and doing things before thinking. Never Seldom Sometimes Often Very Often
83. I can't wait for meetings to end. Never Seldom Sometimes Often Very Often
84. It's hard to think of things in a positive light. Never Seldom Sometimes Often Very Often
85. The harder I try, the worse it gets. Never Seldom Sometimes Often Very Often
86. I just have to shout and scream to let others know how I feel. Never Seldom Sometimes Often Very Often
87. It doesn't take much to make me angry. Never Seldom Sometimes Often Very Often
88. I'm a valuable person and I know it. Never Seldom Sometimes Often Very Often
89. What people think of me doesn't really matter. Never Seldom Sometimes Often Very Often
90. I think I am a good team player. Never Seldom Sometimes Often Very Often
91. I make up my own words. Never Seldom Sometimes Often Very Often
92. I become bored and start thinking about other things. Never Seldom Sometimes Often Very Often
93. I get traffic violations. Never Seldom Sometimes Often Very Often
94. Having to wait for others bothers me. Never Seldom Sometimes Often Very Often
95. What's the sense of trying when it probably won't work out anyway. Never Seldom Sometimes Often Very Often
96. I decide things on the basis of my feelings instead of logic. Never Seldom Sometimes Often Very Often
97. I find myself becoming tired and even falling asleep when I read. Never Seldom Sometimes Often Very Often
98. I have trouble keeping friendships. Never Seldom Sometimes Often Very Often
99. I get irritated if things aren't done in a certain way. Never Seldom Sometimes Often Very Often
100. I take good care of myself because I'm worth it. Never Seldom Sometimes Often Very Often
101. I march to my own drum beat. Never Seldom Sometimes Often Very Often
102. I try to be flexible when handling life's little messes. Never Seldom Sometimes Often Very Often
103. I try to find some authority to support my point in an argument. Never Seldom Sometimes Often Very Often
104. Sitting at a desk all day bothers me. Never Seldom Sometimes Often Very Often
105. There is a voice telling me what to do. Never Seldom Sometimes Often Very Often
106. Once I get angry, I can't seem to control it. Never Seldom Sometimes Often Very Often
107. I can handle anything life throws at me. Never Seldom Sometimes Often Very Often
108. My mood tends to go up and down . Never Seldom Sometimes Often Very Often
109. I value the opinions of others because I am not always right. Never Seldom Sometimes Often Very Often
110. I prefer social events that are planned in advance. Never Seldom Sometimes Often Very Often
111. When I study something I miss some important details. Never Seldom Sometimes Often Very Often
112. I change jobs. Never Seldom Sometimes Often Very Often
113. I don't accomplish much in life. Never Seldom Sometimes Often Very Often
114. I just know something bad is going to happen. Never Seldom Sometimes Often Very Often
115. I waste time and effort because I am not organized. Never Seldom Sometimes Often Very Often
116. I can't seem to be intimate with another person. Never Seldom Sometimes Often Very Often
117. I prefer spontaneous social situations. Never Seldom Sometimes Often Very Often
118. I say things to hurt other people without thinking. Never Seldom Sometimes Often Very Often
119. I feel helpless in dealing with life's problems. Never Seldom Sometimes Often Very Often
120. I have just as many rights in this world as anybody else. Never Seldom Sometimes Often Very Often
121. I can easily find words in a dictionary. Never Seldom Sometimes Often Very Often
122. People, noises, or even TV make it hard for me to concentrate. Never Seldom Sometimes Often Very Often
123. I embarrass others. Never Seldom Sometimes Often Very Often
124. I don't feel that I am worthwhile. Never Seldom Sometimes Often Very Often
125. My home/office is cluttered and I can't make it better. Never Seldom Sometimes Often Very Often
126. I have trouble sharing my true feelings. Never Seldom Sometimes Often Very Often
127. When preparing for a new task, I daydream myself doing it. Never Seldom Sometimes Often Very Often
128. I just love to do exciting and risky things like gambling. Never Seldom Sometimes Often Very Often
129. I feel that give and take is important in any relationship. Never Seldom Sometimes Often Very Often
130. I take notes at meetings and lectures. Never Seldom Sometimes Often Very Often
131. I forget what I'm saying when I am talking. Never Seldom Sometimes Often Very Often
132. I need to depend on others to keep organized. Never Seldom Sometimes Often Very Often
133. Rules are meant to be broken. Never Seldom Sometimes Often Very Often
134. I organize things by piles and stacks. Never Seldom Sometimes Often Very Often
135. I decide the correctness of an issue on the basis of facts. Never Seldom Sometimes Often Very Often
136. I do a great job but other times I do lousy. Never Seldom Sometimes Often Very Often
137. I procrastinate and waste time. Never Seldom Sometimes Often Very Often
138. I remember names or directions when I can visualize them. Never Seldom Sometimes Often Very Often
139. I get so many thoughts I can't handle them all. Never Seldom Sometimes Often Very Often
140. I am goal oriented. Never Seldom Sometimes Often Very Often
141. I have projects started that I have not finished. Never Seldom Sometimes Often Very Often
142. I take notes to remember directions. Never Seldom Sometimes Often Very Often
143. I don't think I should be the one to change all the time. Never Seldom Sometimes Often Very Often
144. I find it hard to think of myself as worthwhile. Never Seldom Sometimes Often Very Often
145. I can remember faces easily. Never Seldom Sometimes Often Very Often
Thank you for responding to this Inventory.