Free Screen

Attention & Impulsivity Screen

15 statements about attention and impulse control adapted from DSM-IV criteria. Answer Yes or No for each item. Answer honestly — your responses are not stored beyond this session.

Note: This screen is provided as a public service. It cannot diagnose any condition. If you have serious concerns, please consult a qualified professional.

1. I often fail to give close attention to detail or make careless mistakes in work or other activities.

Yes No

2. I often have difficulty sustaining attention in tasks or activities.

Yes No

3. I am told that I often do not seem to listen when spoken to directly.

Yes No

4. I often do not follow through on instructions and fail to finish duties in the workplace (not due to failure to understand instructions).

Yes No

5. I often have difficulty organizing or prioritizing tasks and activities.

Yes No

6. I often avoid, dislike, or am reluctant to engage in tasks that require sustained mental effort.

Yes No

7. I often lose things necessary for tasks or activities (e.g., presentation materials, contact information, books, or tools).

Yes No

8. I am often easily distracted by extraneous stimuli.

Yes No

9. I am often forgetful in daily activities.

Yes No

10. I often spend inordinate time and attention on trivial details.

Yes No

11. I often have trouble waiting my turn (e.g., while driving my car or in a queue), leading to jumping ahead in line.

Yes No

12. I often blurt out comments that are rude or insulting.

Yes No

13. I often interrupt or intrude on others (e.g., butt into conversations).

Yes No

14. I am often nervous or anxious.

Yes No

Free and anonymous. Results are not stored.