Gloco ADHD Screener (Parent/Caregiver Version)Name: ADHD Quick ScreenerAges: 6–17Instructions: Please rate how often your child has shown these behaviors over the past 6 months. Circle the answer that fits best.Q1. Has trouble paying attention to details or makes careless mistakes *NeverSometimesOftenVery OftenQ2. Has difficulty staying focused on tasks or play activities *NeverSometimesOftenVery OftenQ3. Does not seem to listen when spoken to directly *NeverSometimesOftenVery OftenQ4. Has trouble following instructions and finishing tasks *NeverSometimesOftenVery OftenQ5. Has trouble organizing tasks or activities *NeverSometimesOftenVery OftenQ6. Avoids tasks that require sustained mental effort *NeverSometimesOftenVery OftenQ7. Loses things needed for tasks or activities *NeverSometimesOftenVery OftenQ8. Easily distracted *NeverSometimesOftenVery OftenQ9. Forgetful in daily activities *NeverSometimesOftenVery OftenQ10. Fidgets or squirms in seat *NeverSometimesOftenVery OftenQ11. Leaves seat when remaining seated is expected *NeverSometimesOftenVery OftenQ12. Runs about or climbs when not appropriate *NeverSometimesOftenVery OftenQ13. Unable to play or do leisure activities quietly *NeverSometimesOftenVery OftenQ14. Acts as if “on the go” or “driven by a motor” *NeverSometimesOftenVery OftenQ15. Talks excessively *NeverSometimesOftenVery OftenQ16. Blurts out answers before questions are completed *NeverSometimesOftenVery OftenQ17. Has difficulty waiting for their turn *NeverSometimesOftenVery OftenQ18. Interrupts or intrudes on others *NeverSometimesOftenVery OftenTotal ScoreSubmit
