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Available Forms

*KIDS ADHD Follow-up form

How have you felt (with your medication) since your last visit?

 

How satisfied are you with your day-to-day ability to accomplish tasks, communicate effectively, and pay attention?

 
1=POOR 10=GREAT
 
1=POOR 10=GREAT
 
1=POOR 10=GREAT
 
1=POOR 10=GREAT
 
 
1= POOR 10=GREAT
 

Parent rating scale

For each item, select the answer that best describes this child.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Thank you! Please press "submit" when you are finished.

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