• Instructions:

    How often do you experience each of these problems? Please circle the number to each item that best describes your behavior DURING THE PAST 6 MONTHS. Please ignore the sections marked "Office Use Only."
    I forget things often.
    I wait for the last minute for things that are due.
    I don't seem to have willpower or energy to do things I need to do.
    I am impulsive.
    I am very spontaneous and can be impulsive
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