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CAARS-Self-Report: Short Version (CAARS-S:S) by C. K. Conners, Ph.D., D. Erhardt, Ph.D., & E. P. Sparrow, M.A. Client 1: ies Gender: MF Birthdate: —/_/__ Age:__ Today's Date: Inkrcins:Lied lowaeem caestnn ern or robles samen enreced by ait. Rent each tem cay and decide we ttehrhor ni same yer fear ene iy eg te con cnc Prey moc fen ad 3 = Very mah, ey een Sg et Taig SY chal vin ce TTinterruptotbers when talking Se ee 2. Lamalways on the go, a if driven by a motor. Bee nO 3.) méisorganized. CPLA 41's hard for me to stayin one place very long. EO ‘5. It’s hard for me to keep track of several things at once. LSAT 6. Pmbored easily ewe Ree 7. Thave a short fuse/hot temper. AEC 8. sill throw tantrums, OTERO An 9. avoid new challenges because I1ack fithin my abilities. OTS ADE AIS 10. Iseek out fast paced, exciting activites. On AAA RC ee 11. Lfeel restless inside even if Lam siting sil LLIN 12. Things I hear or see cstract me from what I'm doing. Retr ee ne 13, Many things set me off easily. ke 14. Taman underachicver. Geet ee eae 15. Igetdown on myself. cS NACA 16, Lact okay on the ouside, but inside I'm unsure of myself. i ot Aas 17 can't get things done unless there's an absolute deal SPE 18. Ihave trouble getting started on a task Ct Re oe 19, Lintrude on others activities. ONES ERE 20, My moods are unpredictable. OF LMR Lets oe 21, mabsent-minded in daily activities. CUCL ARES 221 Sometimes my attention narrows so much that I'm oblivious everything else; other times it's so broad hat everything dstactsme.| 0 1 23 25. [tend to squirm or fidget ora TS 24, Lean'tkeep my mind on somethin unless its eally interesting. Ps 25, 1 wish Lhad greater contidence in my abilities. LATA 26, My past failures make ithard for met believe in myself Ora Tae ee MMH Seats els ta TS a

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