Pre-consultation: ADHD Assessment & Treatment

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First name *

Last name *

Email *

Phone *

Date of birth *

How often do you have difficulty concentrating on what people are saying to you, even when they are speaking directly to you? *

ASRS-5 Q1. Score: Never=0, Rarely=0, Sometimes=1, Often=1, Very Often=1

Never

Rarely

Sometimes

Often

Very Often

How often do you leave your seat in meetings or other situations in which you are expected to remain seated? *

ASRS-5 Q2

Never

Rarely

Sometimes

Often

Very Often

How often do you have difficulty unwinding and relaxing when you have time to yourself? *

ASRS-5 Q3

Never

Rarely

Sometimes

Often

Very Often

When you're in a conversation, how often do you find yourself finishing the sentences of the people you are talking to before they can finish them themselves? *

ASRS-5 Q4

Never

Rarely

Sometimes

Often

Very Often

How often do you put things off until the last minute? *

ASRS-5 Q5. Total score 14+ = probable ADHD (90% sensitivity, 88% specificity)

Never

Rarely

Sometimes

Often

Very Often

AS AN ADULT: Do you often fail to give close attention to details, or make careless mistakes in work, assignments, or other activities? *

Examples: overlooks details in reports, makes errors in forms, work is inaccurate, misses steps in procedures

Sometimes

Often

Very often

AS A CHILD (before age 12): Did you often make careless mistakes in schoolwork, or fail to pay close attention to details? *

Examples: careless errors in homework, missed questions on tests, didn't check work

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often have difficulty sustaining attention in tasks or activities (e.g. during lectures, conversations, or lengthy reading)? *

Examples: mind wanders during meetings, can't finish reading a chapter, zones out in conversations

Sometimes

Often

Very often

AS A CHILD: Did you often have difficulty sustaining attention in schoolwork or play? *

Examples: couldn't concentrate during lessons, got bored quickly with activities, needed things to be interesting

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often seem not to listen when spoken to directly (mind seems elsewhere, even without obvious distraction)? *

Examples: partner complains you don't listen, miss instructions in meetings, people repeat themselves

Sometimes

Often

Very often

AS A CHILD: Did you often seem not to listen when spoken to by teachers or parents? *

Examples: 'in a world of your own', teacher had to repeat instructions, appeared to daydream

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often fail to follow through on instructions or fail to finish work, chores, or duties (not due to opposition or failure to understand)? *

Examples: starts tasks but gets sidetracked, doesn't finish paperwork, leaves projects half-done

Sometimes

Often

Very often

AS A CHILD: Did you often fail to finish schoolwork, chores, or tasks? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often have difficulty organising tasks and activities? *

Examples: difficulty managing sequential tasks, keeping materials in order, messy/disorganised work, poor time management, missing deadlines

Sometimes

Often

Very often

AS A CHILD: Did you often have difficulty organising schoolwork, your room, or your belongings? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often avoid, dislike, or are reluctant to engage in tasks that require sustained mental effort (e.g. reports, forms, reviewing lengthy papers)? *

Examples: puts off tax returns, avoids long documents, dreads admin tasks

Sometimes

Often

Very often

AS A CHILD: Did you often avoid or strongly dislike homework or tasks that required sustained thinking? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often lose things necessary for tasks and activities (e.g. keys, phone, wallet, paperwork, glasses)? *

Sometimes

Often

Very often

AS A CHILD: Did you often lose things needed for school or activities (e.g. books, pencils, toys)? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Are you often easily distracted by extraneous stimuli or unrelated thoughts? *

Includes both external distractions (noise, movement) and internal (unrelated thoughts, daydreaming)

Sometimes

Often

Very often

AS A CHILD: Were you often easily distracted by things around you or your own thoughts? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Are you often forgetful in daily activities (e.g. doing chores, running errands, returning calls, paying bills, keeping appointments)? *

Sometimes

Often

Very often

AS A CHILD: Were you often forgetful in daily activities? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often fidget with or tap your hands or feet, or squirm in your seat? *

Examples: tapping feet, clicking pens, playing with hair, can't sit still in meetings

Sometimes

Often

Very often

AS A CHILD: Did you often fidget, squirm, or have difficulty sitting still? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often leave your seat in situations where remaining seated is expected? *

Examples: gets up during meetings, can't sit through a film, paces while on phone

Sometimes

Often

Very often

AS A CHILD: Did you often leave your seat in class or at the dinner table when expected to remain seated? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often feel restless (e.g. inner restlessness, need to be on the go, uncomfortable sitting still for extended periods)? *

In adults this manifests as subjective restlessness rather than running/climbing

Sometimes

Often

Very often

AS A CHILD: Did you often run about or climb in situations where it was inappropriate? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often have difficulty engaging in leisure activities quietly? *

Examples: can't read quietly, always needs TV/music on, talks during films, can't relax without stimulation

Sometimes

Often

Very often

AS A CHILD: Did you often have difficulty playing or doing leisure activities quietly? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often feel 'on the go', acting as if 'driven by a motor' (e.g. unable to be still for long, others describe you as restless or hard to keep up with)? *

Sometimes

Often

Very often

AS A CHILD: Were you often described as always 'on the go' or acting as if 'driven by a motor'? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often talk excessively? *

Examples: others say you talk too much, dominate conversations, can't stop yourself talking

Sometimes

Often

Very often

AS A CHILD: Did you often talk excessively? Were you told to 'be quiet' or 'stop talking' by teachers or parents? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often blurt out answers before questions have been completed, or finish other people's sentences? *

Sometimes

Often

Very often

AS A CHILD: Did you often blurt out answers in class before the teacher had finished the question? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often have difficulty waiting your turn (e.g. in queues, in conversation)? *

Examples: impatient in queues, cuts into conversations, difficulty waiting for things

Sometimes

Often

Very often

AS A CHILD: Did you often have difficulty waiting your turn in games or group activities? *

Sometimes

Often

Very often

Don't remember

AS AN ADULT: Do you often interrupt or intrude on others (e.g. butt into conversations, games, or activities; use other people's things without asking; take over what others are doing)? *

Sometimes

Often

Very often

AS A CHILD: Did you often interrupt or intrude on other children's games or conversations? *

Sometimes

Often

Very often

Don't remember

At what age did you first notice these symptoms affecting you? *

DSM-5 requires several symptoms present before age 12. Symptoms starting after age 12 may suggest another cause.

Before age 7

Age 7-12

Age 13-18

Age 19-25

After age 25

As long as I can remember

Did anyone notice these difficulties when you were a child (even if they weren't labelled as ADHD)? *

Yes - parents/family

Yes - teachers

Yes - both family and teachers

No one noticed

I was good at hiding it (masking)

Are symptoms present in more than one setting? (select all that apply) *

DSM-5 requires symptoms in 2+ settings (e.g. work AND home)

Work/study

Home/family life

Social situations

Driving

Finances/admin

Relationships

How do your symptoms affect your work or career? *

No impact

Mild - I manage but it's harder than it should be

Moderate - significantly affects performance

Severe - have lost jobs or failed courses

Not currently working

How do your symptoms affect your education or training? *

No impact

Mild

Moderate

Severe - dropped out or failed

Not in education

How do your symptoms affect your relationships (partner, family, friends)? *

No impact

Mild

Moderate - causes regular conflict or misunderstanding

Severe - relationships have ended because of it

How do your symptoms affect your self-esteem and emotional wellbeing? *

No impact

Mild

Moderate - frequent frustration or low confidence

Severe - significant emotional distress or shame

Do you have difficulty managing finances (bills, budgeting, impulsive spending)? *

No difficulties

Some difficulties

Significant difficulties - in financial trouble because of it

Do you struggle with time management (being late, underestimating how long things take, missing deadlines)? *

Sometimes

Frequently - it's a constant problem

Do you have difficulty regulating your emotions (sudden anger, frustration, emotional outbursts, rejection sensitivity)? *

Sometimes

Frequently - significantly affects my life

Do you experience hyperfocus (becoming completely absorbed in one activity to the exclusion of everything else)? *

Yes - frequently

Yes - sometimes

Do you have difficulty switching between tasks or transitioning from one activity to another? *

Sometimes

Often

Very often

Do you tend to start many projects but struggle to finish them? *

Sometimes

Often

Very often

Before age 18, did a parent or other adult in the household often swear at you, insult you, put you down, or humiliate you? Or act in a way that made you afraid you might be physically hurt? *

These questions help us understand childhood experiences that may affect your mental health. Childhood adversity can mimic or worsen ADHD symptoms. Answer honestly - there are no judgments.

Yes

Prefer not to say

Before age 18, did a parent or other adult in the household often push, grab, slap, or throw something at you? Or ever hit you so hard that you had marks or were injured? *

Yes

Prefer not to say

Before age 18, did an adult or person at least 5 years older than you ever touch or fondle you in a sexual way, or attempt or actually have sexual contact with you? *

Yes

Prefer not to say

Before age 18, did you often feel that no one in your family loved you or thought you were important or special? Or that your family didn't look out for each other, feel close, or support each other? *

Yes

Prefer not to say

Before age 18, did you often feel that you didn't have enough to eat, had to wear dirty clothes, or had no one to protect you? Or were your parents too drunk or high to take care of you or take you to the doctor if you needed it? *

Yes

Prefer not to say

Before age 18, were your parents ever separated or divorced? *

Yes

Prefer not to say

Before age 18, was your mother or stepmother often pushed, grabbed, slapped, or had something thrown at her? Or sometimes or often kicked, bitten, hit, or threatened with a weapon? *

Yes

Prefer not to say

Before age 18, did you live with anyone who was a problem drinker or alcoholic, or who used street drugs? *

Yes

Prefer not to say

Before age 18, was a household member depressed or mentally ill, or did a household member attempt suicide? *

Yes

Prefer not to say

Before age 18, did a household member go to prison? *

Yes

Prefer not to say

Were you ever formally assessed for ADHD, learning difficulties, or behavioural issues as a child? *

Yes - assessed and diagnosed with ADHD

Yes - assessed but not diagnosed

Referred but never assessed (e.g. long waiting list)

No - never assessed

Not sure

How did you manage schoolwork, homework, and exams? *

Well - no difficulties

Some difficulties but managed

Significant difficulties

Failed or dropped out due to difficulties

What were your school reports like? (select closest match) *

Consistently good

Good in subjects I liked, poor in others

Teachers said 'bright but doesn't apply themselves'

Generally poor / behavioural issues

Don't remember

Did you receive any special educational support (e.g. extra time, SEN support, EHC plan, statement)? *

Yes

Don't know

Have you ever taken medication for ADHD? *

Yes - currently taking

Yes - in the past

No - never

Have you had non-medication treatment for ADHD? (select all that apply) *

ADHD coaching

CBT for ADHD

Occupational therapy

Mindfulness / meditation training

Structured routines / organisational strategies

None

Do you experience significant anxiety (excessive worry, panic attacks, social anxiety)? *

Yes - mild

Yes - moderate to severe

Do you experience depression (persistent low mood, loss of interest, hopelessness)? *

Yes - mild

Yes - moderate to severe

Have you ever experienced periods of unusually elevated mood, reduced need for sleep, racing thoughts, or grandiose ideas? *

IMPORTANT: Screens for bipolar disorder - stimulant medication may be contraindicated

Yes

Not sure

Have you ever been diagnosed with or suspected of having autism spectrum disorder (ASD)? *

Yes - diagnosed

Suspected but not assessed

Assessed but not diagnosed

Do you experience tics (sudden, repetitive movements or sounds you can't control)? *

Tics can worsen with stimulant medication

Yes - currently

Used to as a child but not now

Do you use alcohol, recreational drugs, or other substances? *

Substance use history affects medication choice - lisdexamfetamine preferred if history present

Alcohol only - moderate

Alcohol - heavy (>14 units/week)

Recreational drugs

Both alcohol and drugs

Do you have a sleep disorder or significant sleep difficulties? *

Sleep problems are very common in ADHD and can worsen symptoms. Stimulant medication timing may need adjustment.

Yes - difficulty falling asleep

Yes - difficulty staying asleep

Yes - both falling and staying asleep

Yes - other sleep problem

Do you have an eating disorder or disordered eating patterns? *

Stimulant medication can reduce appetite. Important to monitor if eating disorder history.

Yes - currently

Yes - in the past

Are you currently taking any medications (prescribed or over-the-counter)? *

Yes

Are you taking any supplements or herbal remedies? *

Yes

Is there a family history of sudden cardiac death in anyone under 40? *

CRITICAL: Family history of sudden cardiac death requires ECG before stimulant medication

Yes

Not sure

Do you have any known heart conditions (structural heart disease, heart murmur, arrhythmia)? *

Yes

Not sure

Have you ever experienced unexplained fainting (syncope), palpitations, or chest pain during exercise? *

Yes

Do you have high blood pressure? *

Yes - diagnosed and treated

Yes - diagnosed but not treated

Not sure / never checked

Have you ever experienced psychosis (hearing voices, seeing things others can't see, paranoid thoughts)? *

SAFETY SCREEN: Psychotic symptoms are an absolute contraindication for stimulant medication

Yes

Have you ever had thoughts of harming yourself or ending your life? *

SAFETY QUESTION: Your response helps us ensure you receive appropriate support

No, never

In the past but not now

Yes, currently

Are you currently pregnant, planning a pregnancy, or breastfeeding? *

Most ADHD medications have limited safety data in pregnancy

Yes - pregnant

Yes - planning pregnancy

Yes - breastfeeding

Not applicable

Do you have epilepsy or a history of seizures? *

Some ADHD medications lower seizure threshold

Yes

Do you have liver disease or impaired liver function? *

Atomoxetine is metabolised by the liver - dose adjustment needed if impaired

Yes

Not sure

Do you have kidney disease or impaired kidney function? *

Yes

Not sure

Do you have glaucoma? *

Stimulant medications can increase intraocular pressure

Yes

Do you have phaeochromocytoma or hyperthyroidism? *

Contraindications for stimulant medication

Yes

Not sure

Do you have a partner, parent, sibling, or close friend who could provide information about your symptoms? *

NICE guidelines recommend collateral information from someone who has known you well, ideally since childhood. This strengthens your assessment.

Yes - they're aware and supportive

Yes - but they don't know I'm seeking assessment

No - I don't have anyone

I'd rather not involve anyone else

Would you be willing to bring school reports, old report cards, or any written evidence from childhood to your appointment? *

Yes - I have access to these

I'll try to find them

No - these are no longer available

What are you hoping to achieve from this consultation? (select all that apply) *

New ADHD diagnosis / assessment

Review of existing diagnosis

New medication or medication change

Medication review / dose adjustment

Shared care arrangement (take over prescribing from another provider)

Non-medication support and strategies

General advice about ADHD

Second opinion

How urgently do you feel you need help? *

I'd like help when convenient

It's becoming difficult to manage

I'm really struggling and need help soon

It's urgent - affecting my ability to function day-to-day

Is there anything else you'd like us to know before your consultation?

Here's what you've told us. Have a quick check, then hit send - this means your consultation can focus on what actually matters to you.

Your details

Name

Phone

Date of birth

ASRS-5 Screening (WHO Adult ADHD Self-Report Scale)

How often do you have difficulty concentrating on what people are saying to you, even when they are speaking directly to you? -

How often do you leave your seat in meetings or other situations in which you are expected to remain seated? -

How often do you have difficulty unwinding and relaxing when you have time to yourself? -

When you're in a conversation, how often do you find yourself finishing the sentences of the people you are talking to before they can finish them themselves? -

How often do you put things off until the last minute? -

DSM-5 Inattention Criteria - Current (Adulthood)

AS AN ADULT: Do you often fail to give close attention to details, or make careless mistakes in work, assignments, or other activities? -

DSM-5 Inattention Criteria - Childhood (before age 12)

AS A CHILD (before age 12): Did you often make careless mistakes in schoolwork, or fail to pay close attention to details? -

AS AN ADULT: Do you often have difficulty sustaining attention in tasks or activities (e.g. during lectures, conversations, or lengthy reading)? -

AS A CHILD: Did you often have difficulty sustaining attention in schoolwork or play? -

AS AN ADULT: Do you often seem not to listen when spoken to directly (mind seems elsewhere, even without obvious distraction)? -

AS A CHILD: Did you often seem not to listen when spoken to by teachers or parents? -

AS AN ADULT: Do you often fail to follow through on instructions or fail to finish work, chores, or duties (not due to opposition or failure to understand)? -

AS A CHILD: Did you often fail to finish schoolwork, chores, or tasks? -

AS AN ADULT: Do you often have difficulty organising tasks and activities? -

AS A CHILD: Did you often have difficulty organising schoolwork, your room, or your belongings? -

AS AN ADULT: Do you often avoid, dislike, or are reluctant to engage in tasks that require sustained mental effort (e.g. reports, forms, reviewing lengthy papers)? -

AS A CHILD: Did you often avoid or strongly dislike homework or tasks that required sustained thinking? -

AS AN ADULT: Do you often lose things necessary for tasks and activities (e.g. keys, phone, wallet, paperwork, glasses)? -

AS A CHILD: Did you often lose things needed for school or activities (e.g. books, pencils, toys)? -

AS AN ADULT: Are you often easily distracted by extraneous stimuli or unrelated thoughts? -

AS A CHILD: Were you often easily distracted by things around you or your own thoughts? -

AS AN ADULT: Are you often forgetful in daily activities (e.g. doing chores, running errands, returning calls, paying bills, keeping appointments)? -

AS A CHILD: Were you often forgetful in daily activities? -

DSM-5 Hyperactivity-Impulsivity Criteria - Current (Adulthood)

AS AN ADULT: Do you often fidget with or tap your hands or feet, or squirm in your seat? -

DSM-5 Hyperactivity-Impulsivity Criteria - Childhood (before age 12)

AS A CHILD: Did you often fidget, squirm, or have difficulty sitting still? -

AS AN ADULT: Do you often leave your seat in situations where remaining seated is expected? -

AS A CHILD: Did you often leave your seat in class or at the dinner table when expected to remain seated? -

AS AN ADULT: Do you often feel restless (e.g. inner restlessness, need to be on the go, uncomfortable sitting still for extended periods)? -

AS A CHILD: Did you often run about or climb in situations where it was inappropriate? -

AS AN ADULT: Do you often have difficulty engaging in leisure activities quietly? -

AS A CHILD: Did you often have difficulty playing or doing leisure activities quietly? -

AS AN ADULT: Do you often feel 'on the go', acting as if 'driven by a motor' (e.g. unable to be still for long, others describe you as restless or hard to keep up with)? -

AS A CHILD: Were you often described as always 'on the go' or acting as if 'driven by a motor'? -

AS AN ADULT: Do you often talk excessively? -

AS A CHILD: Did you often talk excessively? Were you told to 'be quiet' or 'stop talking' by teachers or parents? -

AS AN ADULT: Do you often blurt out answers before questions have been completed, or finish other people's sentences? -

AS A CHILD: Did you often blurt out answers in class before the teacher had finished the question? -

AS AN ADULT: Do you often have difficulty waiting your turn (e.g. in queues, in conversation)? -

AS A CHILD: Did you often have difficulty waiting your turn in games or group activities? -

AS AN ADULT: Do you often interrupt or intrude on others (e.g. butt into conversations, games, or activities; use other people's things without asking; take over what others are doing)? -

AS A CHILD: Did you often interrupt or intrude on other children's games or conversations? -

Onset, Duration & Pervasiveness

At what age did you first notice these symptoms affecting you? -

Did anyone notice these difficulties when you were a child (even if they weren't labelled as ADHD)? -

Are symptoms present in more than one setting? (select all that apply) -

Functional Impairment

How do your symptoms affect your work or career? -

How do your symptoms affect your education or training? -

How do your symptoms affect your relationships (partner, family, friends)? -

How do your symptoms affect your self-esteem and emotional wellbeing? -

Do you have difficulty managing finances (bills, budgeting, impulsive spending)? -

Do you struggle with time management (being late, underestimating how long things take, missing deadlines)? -

Do you have difficulty regulating your emotions (sudden anger, frustration, emotional outbursts, rejection sensitivity)? -

Hyperfocus & Executive Function

Do you experience hyperfocus (becoming completely absorbed in one activity to the exclusion of everything else)? -

Do you have difficulty switching between tasks or transitioning from one activity to another? -

Do you tend to start many projects but struggle to finish them? -

Adverse Childhood Experiences (ACE) Screening

Before age 18, did a parent or other adult in the household often swear at you, insult you, put you down, or humiliate you? Or act in a way that made you afraid you might be physically hurt? -

Before age 18, did a parent or other adult in the household often push, grab, slap, or throw something at you? Or ever hit you so hard that you had marks or were injured? -

Before age 18, did an adult or person at least 5 years older than you ever touch or fondle you in a sexual way, or attempt or actually have sexual contact with you? -

Before age 18, were your parents ever separated or divorced? -

Before age 18, was your mother or stepmother often pushed, grabbed, slapped, or had something thrown at her? Or sometimes or often kicked, bitten, hit, or threatened with a weapon? -

Before age 18, did you live with anyone who was a problem drinker or alcoholic, or who used street drugs? -

Before age 18, was a household member depressed or mentally ill, or did a household member attempt suicide? -

Before age 18, did a household member go to prison? -

Childhood History (Additional Detail)

Were you ever formally assessed for ADHD, learning difficulties, or behavioural issues as a child? -

How did you manage schoolwork, homework, and exams? -

What were your school reports like? (select closest match) -

Did you receive any special educational support (e.g. extra time, SEN support, EHC plan, statement)? -

Previous ADHD Medication & Treatment

Have you ever taken medication for ADHD? -

Have you had non-medication treatment for ADHD? (select all that apply) -

Comorbidity Screening

Do you experience significant anxiety (excessive worry, panic attacks, social anxiety)? -

Do you experience depression (persistent low mood, loss of interest, hopelessness)? -

Have you ever experienced periods of unusually elevated mood, reduced need for sleep, racing thoughts, or grandiose ideas? -

Have you ever been diagnosed with or suspected of having autism spectrum disorder (ASD)? -

Do you experience tics (sudden, repetitive movements or sounds you can't control)? -

Do you use alcohol, recreational drugs, or other substances? -

Do you have a sleep disorder or significant sleep difficulties? -

Do you have an eating disorder or disordered eating patterns? -

Current Medications

Are you currently taking any medications (prescribed or over-the-counter)? -

Are you taking any supplements or herbal remedies? -

Cardiac Safety Screening

Is there a family history of sudden cardiac death in anyone under 40? -

Do you have any known heart conditions (structural heart disease, heart murmur, arrhythmia)? -

Have you ever experienced unexplained fainting (syncope), palpitations, or chest pain during exercise? -

Do you have high blood pressure? -

Safety Screening

Have you ever experienced psychosis (hearing voices, seeing things others can't see, paranoid thoughts)? -

Have you ever had thoughts of harming yourself or ending your life? -

Are you currently pregnant, planning a pregnancy, or breastfeeding? -

Do you have epilepsy or a history of seizures? -

Do you have liver disease or impaired liver function? -

Do you have kidney disease or impaired kidney function? -

Do you have glaucoma? -

Do you have phaeochromocytoma or hyperthyroidism? -

Collateral Information

Do you have a partner, parent, sibling, or close friend who could provide information about your symptoms? -

Would you be willing to bring school reports, old report cards, or any written evidence from childhood to your appointment? -

What You're Hoping For

What are you hoping to achieve from this consultation? (select all that apply) -

How urgently do you feel you need help? -

Is there anything else you'd like us to know before your consultation? -

Upload supporting documents

Previous ADHD assessments, school reports, educational psychologist reports, GP referral letters, or any other relevant documents. Childhood evidence is particularly valuable for diagnosis.

Click to upload files

Anything else for your doctor?