Form: Copeland Symptom List for Adult ADD

1 – Not at all
2 – Just a little
3 – Pretty much
4 – Very much
¹
1
2
3
4
1
A short attention span, especially for lo-interest activities.
2
Difficulty competing tasks.
3
Daydreaming.
4
Easily distracted.
5
Nicknames such as “spacey” or “dreamer.”
6
Engages in much activity but accomplishes little.
7
Enthusiastic beginnings but poor endings.
8
Excitability.
9
Low frustration tolerance.
10
Acts before thinking.
11
Disorganization.
12
Poor planning ability.
13
Excessively shifts from one activity to another.
14
Difficulty in group situations which require patience and taking turns.
15
Interrupts frequently.
16
Restlessness – either fidgeting or being constantly on the go.
17
Diminished need for sleep.
18
Excessive talking.
19
Difficulty listening.
20
Restlessness during sleep. Kicks covers off – moves constantly.
21
Dislike of situations which require attention and being still.
22
Lethargic
23
Daydreaming, spiciness.
24
Failure to complete tasks.
25
Inattention.
26
Lacking in leadership.
27
Difficulty in getting things done.
28
Does not cooperate. Determined to do things own way.
29
Argumentative.
30
Disregards socially-accepted behavioral expectations.
31
“Forgets” unintentionally.
32
“Forgets” as an excuse (intentionally).
33
Underachievement in relation to ability.
34
Frequent job changes.
35
Loses things – keys, wallet, lists, belongings, etc.
36
Auditory memory and auditory processing problems.
37
Learning disabilities or learning problems.
38
Poor handwriting.
39
“Messy” or “sloppy” work.
40
Work assignments are often not completed satisfactorily.
41
Rushes through work.
42
Works too slowly
43
Procrastinates. Bills, taxes, etc., put off until the last minute.
44
Frequent and unpredictable mood swings.
45
Irritability.
46
Underreactive to pain / insensitive to danger.
47
Easily overstimulated. Hard to stop once “revved” up.
48
Low frustration tolerance. Excessive emotional reaction.
49
Angry outbursts.
50
Moodiness / lack of energy.
51
Low self-esteem
52
Immaturity.
53
Difficulty following the rules of social interactions.
54
Rejected or avoided by peers.
55
Avoids group activity. A loner.
56
“Bosses” other people. Wants to be a leader.
57
Critical of others.
58
Easily frustrated with spouse or children. Overreacts. May punish children too severely.
59
Sees things from own point of view. Does not negotiate differences well.
60
Underdeveloped sense of responsibility.
61
Poor manager of money.
62
Unreasonable; demanding.
63
Spends excessive amount of time at work because of inefficiency, leaving little time for family.

The presented answer sheet is not an original form and is not intended for printing or use as a handout.

The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.