Jasper/Goldberg Adult ADHD Questionnaire

1. At home, work, or school, I find my mind wandering from tasks that are uninteresting or difficult.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

2. I find it difficult to read written material unless it is very interesting or very easy.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

3. Especially in groups, I find it hard to stay focused on what is being said in conversations.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

4. I have a quick temper... a short fuse.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

5. I am irritable, and get upset by minor annoyances.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

6. I say things without thinking, and later regret having said them.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

7. I make quick decisions without thinking enough about their possible bad results.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

8. My relationships with people are made difficult by my tendency to talk first and think later.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

9. My moods have highs and lows.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

10. I have trouble planning in what order to do a series of tasks or activities.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

11. I easily become upset.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

12. I seem to be thin skinned and many things upset me.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

13. I almost always am on the go.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

14. I am more comfortable when moving than when sitting still.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

15. In conversations, I start to answer questions before the questions have been fully asked.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

16. I usually work on more than one project at a time, and fail to finish many of them.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

17. There is a lot of “static” or “chatter” in my head.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

18. Even when sitting quietly, I am usually moving my hands or feet.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

19. In group activities it is hard for me to wait my turn.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

20. My mind gets so cluttered that it is hard for it to function.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

21. My thoughts bounce around as if my mind is a pinball machine.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

22. My brain feels as if it is a television set with all the channels going at once.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

23. I am unable to stop daydreaming.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much

24. I am distressed by the disorganized way my brain works.
Not at all
Just a little
Somewhat
Moderately
Quite a lot
Very much