CAARS-S Conners Adult ADHD Rating Scales–Self Report: Long Version Assessment Test

CAARS–S:L ADHD Self Report Scale

Name

First Last

Email(Required)

Gender

Age

Relationship Status

Listed below are items concerning behaviors or problems sometimes experienced by adults. Reach each item carefully and decide how much or how frequently each item.

I dislike quiet, introspective activities. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I am always on the go, as if driven by a motor. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

It takes a great deal of effort for me to sit still. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I have trouble getting started on a task. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I avoid new challenges because I lack faith in my abilities. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I blurt out things. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I like to be doing active things. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

It's hard for me to keep track of several things at once. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

Many things set me off easily. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I say things without thinking. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I don't finish things I start. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I make comments/remarks that I wish I could take back. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I step on people's toes without meaning to. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I have a short fuse/hot temper. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

It's hard for me to stay in one place very long. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I am a risk-taker or a daredevil. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I can't sit still for very long. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I act okay on the outside, but inside I'm unsure of myself. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I get down on myself. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I'm bored easily. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I feel restless inside even if I am sitting still. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I'm not sure of myself. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I can't get things done unless there's an absolute deadline. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I am always on the go. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I forget to remember things. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I depend on others to keep my life in order and attend to the details. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I'm absent-minded in daily activities. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

My past failures make it hard for me to believe in myself. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I seek out fast paced, exciting activities. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I interrupt others when talking. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I tend to squirm or fidget. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I don't plan ahead. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I wish I had greater confidence in my abilities. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I am disorganized. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I still throw tantrums. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I misjudge how long it takes to do something or go somewhere. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I am irritable. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I change plans/jobs in midstream. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

My moods are unpredictable. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I am easily frustrated. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I annoy other people without meaning to. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

I lose things that I need. (Required)

Not at all, never

Just a little, once in a while

Pretty much. often

Very much, very frequently

Review and uncheck if not applicable

I am a current or possible future client of Karuna Healing Recovery Coaching and Therapy Services and consent to allow my therapist or coach to view my report in order to analyze and discuss the results with me.