Barkley Other Report: Current Symptoms

Name of person to be rated

Your name

Instructions

You are being asked to describe the behavior of someone whom you know well. How often does that person experience each of these problems? Please select the answer that best describes the person's behavior DURING THE PAST 6 MONTHS.

Section 1 (Inattention)

Section 2 (Hyperactivity)

Section 3 (Impulsivity)

Section 4 (Sluggish Cognitive Tempo)

Section 5