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Attention and Focus Assessment Questionnaire

The document consists of a questionnaire designed to assess attention and hyperactivity-related behaviors, divided into two parts. Part A focuses on attention difficulties, while Part B addresses hyperactivity and impulsivity. Respondents rate their experiences on a scale from 'Never' to 'Very Frequent' for various statements related to these behaviors.

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15 views1 page

Attention and Focus Assessment Questionnaire

The document consists of a questionnaire designed to assess attention and hyperactivity-related behaviors, divided into two parts. Part A focuses on attention difficulties, while Part B addresses hyperactivity and impulsivity. Respondents rate their experiences on a scale from 'Never' to 'Very Frequent' for various statements related to these behaviors.

Uploaded by

ScribdTranslations
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd

João Bôsco Almeida Cruz

Neuropsychologist - Psychologist - CRP 08/32347


[Link]
______________________________________________________________________________________

Never Rare To Frequent Very


times Frequent
1. How often do you make mistakes due to lack of
attention when you have to do any activity, 1 2 3 4 5
boring or difficult project or work?
2. How often do you have difficulty maintaining
the attention when doing a boring job or 1 2 3 4 5
repetitive?
3. How often do you have difficulty in
focus on what people are really saying 1 2 3 4 5
that they speak directly to you?
4. How often do you leave a project unfinished? 1 2 3 4 5
after having already done the hardest parts?
5. How often do you have difficulties doing 1 2 3 4 5
a job that requires organization?
6. When you need to do something that requires
concentration, how often do you avoid or postpone it 1 2 3 4 5
start?
7. How often do you put things out of place?
Do you have difficulty finding things at home or 1 2 3 4 5
at work?
8. How often do you get distracted by activities or 1 2 3 4 5
noises around you?
9. How often do you have difficulty remembering 1 2 3 4 5
of commitments or obligations?
Part A - total
1. How often do you keep moving or
swaying the hands or feet when needing to stay 1 2 3 4 5
sitting for a long time?
2. How often do you get up from the chair?
meetings, classroom or situations where I should stay 1 2 3 4 5
sitting?
3. How often do you feel restless or agitated? 1 2 3 4 5
4. How often do you have difficulty relaxing and 1 2 3 4 5
How to relax during your free time?
5. How often do you feel too active and
needing to do things, as if being powered by an engine 1 2 3 4 5
tied?
6. How often do you catch yourself talking too much? 1 2 3 4 5
7. When you are talking to someone, with what 1 2 3 4 5
how often do you end their sentences?
How often do you have difficulties waiting? 1 2 3 4 5
your turn in queues or other situations?
9. How often do you interrupt others? 1 2 3 4 5
when are they busy?
Part B - Total

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