Adult ADHD Quality of Life Questionnaire

1. Keep the house/apartment clean or uncluttered *

2. Manage your finances, such as cashing checks, balancing your checkbook, paying bills on time *

3. Remember important things *

4. Get your shopping done (such as for food, clothes, or household items) *

5. Pay attention when interacting with others *

6. Overwhelmed *

7. Anxious *

8. Depressed *

9. You have not been able to meet others’ expectations of you (either at home or work) *

10. You annoyed people *

11. Getting things done requires too much effort *

12. People are frustrated with you *

13. You have overreacted in difficult or stressful situations *

14. Your energy is well spent (has positive results) . *

15. Able to enjoy time spent with others *

16. You can successfully manage your life *

17. As productive as you would like to be ..................................... .................................... .................................... *

18. Tension in relationships *

19. Not having quality time to spend with others *

20. Feeling fatigued *

21. Fluctuations (ups and downs) in your emotions ..................................... .................................... .................................... *

22. Complete projects or tasks (either at work or home) *

23. Get started with tasks you don’t find interesting *

24. Balance multiple projects *

25. Get things done on time *

26. Keep track of important items (such as keys, wallet) ..................................... .................................... .................................... *

27. Good about yourself *

28. People enjoy spending time with you *

29. Your intimate relationship is going well emotionally ..................................... .................................... .................................... *