Transcription of ACDS Adult ADHD Clinical Diagnostic Scale (ACDS)
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ACDS Adult ADHD Clinical Diagnostic Scale (ACDS)
121212121212121212121212121212211212 Instructions: Mark with an X either yes or no to symptoms that respondent has indicated he/she experienced inchildhood and enter the score for each question in the appropriate Number: NIDA-MDS-BupropionMeth-0001 Site ID :982103 Subject ID :0226 Visit:SCRNBASE(mm/dd/yyyy) Adult ADHD Clinical Diagnostic Scale (ACDS)Phase II Low Bup MethForm Not DoneChildhood ADHD Symptoms SummaryI. InattentionYesNoScoreCareless/Sloppy(sco re from )Difficulty sustaining attention(score from )Doesn t listen(score from )Difficulty following instructions (finishing)(score from )Difficulty organizing tasks/activities(score from )Avoidance of tasks with sustained mental effort(score )Loses things(score from )Easily distracted(score from ) in daily activities(score from )Fidgets/SquirmsDifficulty remaining seatedRuns/Climbs excessively/inappropriatelyDifficulty playing quietlyOn the go/Driven by a motor(score from )(score from )(score from )(score from )(score from )II.
Protocol Number: NIDA-MDS-BupropionMeth-0001 Site ID : 982103 Subject ID : 0226 Visit: SCRNBASE (mm/dd/yyyy) Adult ADHD Clinical Diagnostic Scale (ACDS) Phase II Low Bup Meth Form Not Done Childhood ADHD Symptoms Summary I. Inattention Yes No Score Careless/Sloppy (score from Q.1) Difficulty sustaining attention (score from Q.2) Doesn’t ...
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