About you0%
Brighton Health Clinic — CAARS-S:L
About you
Please complete your details before starting the questionnaire
⚠This questionnaire is part of your assessment with The Brighton Health Clinic (operated by Crystal Pathways). Your answers will be sent directly and securely to your clinical team. Please answer as honestly as you can based on how you have been feeling recently.
How to complete this questionnaire
You will be shown 66 statements about behaviours and experiences. For each one, select the number that best describes how often it applies to you recently.
0
Not at all, never
1
Just a little, once in a while
2
Pretty much, often
3
Very much, very frequently
Fields marked * are required
Questions 1–22 of 66
CAARS Self-Report
Select 0, 1, 2, or 3 for each statement based on how you have been recently
0
Not at all,
never
never
1
Just a little,
once in a while
once in a while
2
Pretty much,
often
often
3
Very much,
very frequently
very frequently
0
1
2
3
1.
I like to be doing active things.
2.
I lose things necessary for tasks or activities (e.g. to-do-lists, pencils, books, or tools).
3.
I don't plan ahead.
4.
I blurt out things.
5.
I am a risk-taker or a daredevil.
6.
I get down on myself.
7.
I don't finish things I start.
8.
I am easily frustrated.
9.
I talk too much.
10.
I am always on the go, as if driven by a motor.
11.
I'm disorganized.
12.
I say things without thinking.
13.
It's hard for me to stay in one place very long.
14.
I have trouble doing leisure activities quietly.
15.
I'm not sure of myself.
16.
It's hard for me to keep track of several things at once.
17.
I'm always moving even when I should be still.
18.
I forget to remember things.
19.
I have a short fuse/hot temper.
20.
I'm bored easily.
21.
I leave my seat when I am not supposed to.
22.
I have trouble waiting in line or taking turns with others.
⚠Please answer all questions on this page before continuing.
Questions 23–44 of 66
CAARS Self-Report
Select 0, 1, 2, or 3 for each statement based on how you have been recently
0
Not at all,
never
never
1
Just a little,
once in a while
once in a while
2
Pretty much,
often
often
3
Very much,
very frequently
very frequently
0
1
2
3
23.
I still throw tantrums.
24.
I have trouble keeping my attention focused when working.
25.
I seek out fast-paced, exciting activities.
26.
I avoid new challenges because I lack faith in my abilities.
27.
I feel restless inside even if I am sitting still.
28.
Things I hear or see distract me from what I'm doing.
29.
I am forgetful in my daily activities.
30.
Many things set me off easily.
31.
I dislike quiet, introspective activities.
32.
I lose things that I need.
33.
I have trouble listening to what other people are saying.
34.
I am an underachiever.
35.
I interrupt others when talking.
36.
I change plans/jobs in midstream.
37.
I act okay on the outside, but inside I'm unsure of myself.
38.
I am always on the go.
39.
I make comments/remarks that I wish I could take back.
40.
I can't get things done unless there's an absolute deadline.
41.
I fidget with my hands or feet or squirm in my seat.
42.
I make careless mistakes or have trouble paying close attention to detail.
43.
I step on people's toes without meaning to.
44.
I have trouble getting started on a task.
⚠Please answer all questions on this page before continuing.
Questions 45–66 of 66
CAARS Self-Report
Select 0, 1, 2, or 3 for each statement based on how you have been recently
0
Not at all,
never
never
1
Just a little,
once in a while
once in a while
2
Pretty much,
often
often
3
Very much,
very frequently
very frequently
0
1
2
3
45.
I intrude on others' activities.
46.
It takes a great deal of effort for me to sit still.
47.
My moods are unpredictable.
48.
I don't like homework or job activities where I have to think a lot.
49.
I'm absent minded in daily activities.
50.
I am restless or overactive.
51.
I depend on others to keep my life in order and attend to the details.
52.
I annoy other people without meaning to.
53.
Sometimes my attention narrows so much that I'm oblivious to everything else; other times it's so broad that everything distracts me.
54.
I tend to squirm or fidget.
55.
I can't keep my mind on something unless it's really interesting.
56.
I wish I had greater confidence in my abilities.
57.
I can't sit still for very long.
58.
I give answers to questions before the questions have been completed.
59.
I like to be up and on the go rather than being in one place.
60.
I have trouble finishing job tasks or schoolwork.
61.
I am irritable.
62.
I interrupt others when they are working or playing.
63.
My past failures make it hard for me to believe in myself.
64.
I am distracted when things are going on around me.
65.
I have problems organizing tasks and activities.
66.
I misjudge how long it takes to do something or go somewhere.
⚠Please answer all questions on this page before continuing.
✔
Thank you
Your answers have been sent securely to your Crystal Pathways clinical team. There is nothing more you need to do.
If you have any questions about your assessment, please contact The Brighton Health Clinic team directly.