Wender Utah Rating Scale for ADHD (Aviva) - Onebright

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Wender Utah Rating Scale for ADHD (Aviva)

The original Wender Utah Rating Scale is 61 questions. This version represents the 25 questions most associated with ADHD.

Step 1 of 3

33%

Client ID/Reference Number(Required)

Do you have any immediate concerns around the safety of yourself or the person you are completing this form on behalf of(Required)

Yes

No

If you have answered ‘Yes’ to this question, please note that Onebright does not provide a crisis response service. If you have urgent wellbeing concerns please contact your GP, GP out of hours service, NHS 111, 999, or the Samaritans on 116 123 (UK & ROI).

Have you previously been assessed for ADHD and/or received a diagnosis?(Required)

Yes

No

As a Child I was (or had):

concentration problems, easily distracted(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

anxious, worrying(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

nervous, fidgety(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

inattentive, daydreaming(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

hot- or short-tempered, low boiling point(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

temper outbursts, tantrums(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

trouble with stick-to-it-tiveness, not following through, failing to finish things started(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

stubborn, strong-willed(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

sad or blue, depressed, unhappy(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

disobedient with parents, rebellious, sassy(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

As a Child I was (or had):

low opinion of myself(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

irritable(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

moody, ups and downs(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

angry(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

acting without thinking, impulsive(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

tendency to be immature(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

guilty feelings, regretful(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

losing control of myself(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

tendency to be or act irrational(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

unpopular with other children, didn't keep friends for long, didn't get along with other children(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

trouble seeing things from someone else's point of view(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

trouble with authorities, trouble with school, visits to principal's office(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

As a child in school I was (or had):

overall a poor student, slow learner(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

trouble with mathematics or numbers(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

not achieving up to potential(Required)

Not at all or very slightly

Mildly

Moderately

Quite a bit

Very much

Please tick one option per question only

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