Are you generally restless and unable to sit still for as long as others?

Yes

No

Do you find it hard to stop and think before doing or saying anything?

Yes

No

Are you known to have a hot temper and mood swings?

Yes

No

Is it hard for you to concentrate?

Yes

No

Do you start projects and then abandon them?

Yes

No

Are you disorganized at work and at home?

Yes

No

Have you lost jobs because of poor time-keeping?

Yes

No

Have you had more than one car accident in the past year?

Yes

No