General Health
| General Health
|
Temperament |
| Diagnosed with ADD?
|
When |
| If so, Do You Use Meds?
|
Others in Family w/ADD? |
| List Your ADD Support Team
|
|
| Current or Previous Problems with Depression?
|
Current or Previous Problems with Alcohol or Drugs? |
| Any Family History of the Above?
|
|
| Quality of Relationships with Family and Friends?
_____ Poor _____Fair _____Good _____Excellent |
|
| Describe Your Workspace
|
Any Sleep Problems? |
| Describe Your To-Do List or Number of Projects in Process
|
|
| Are You Always On Time or Always Late?
|
|
| Are You Impulsive? When?
|
|
| Have You Worked with a Counselor/Therapist?
|
|
| How Do You Like to Learn? (Visual – see the picture or color, Tactile – touch, Auditory – hear, Verbal – speak out loud and free-associate, Kinesthetic – moving and doing, Cerebral – think about the big picture and make sense of the puzzle)
|
|
