ADD QUESTIONNAIRE
                                       by
                                  Mark Oristano
        
             This questionnaire is an attempt to discover the level of
        communication which exists between diagnosed ADD'ers and the
        clinicians/educators/spouses/others who deal with them on a
        daily basis.
        
             Most questions have an answer scale from 1 to 5 as follows:
        
        1 - Not at all.
        2-  A little.
        3 - Quite a bit.
        4 - Very much.
        5 - Almost totally.
        
             Questions 1 - 7 apply only to those with diagnosed ADD, or
        those who feel they may be ADD but have never been diagnosed.
        If this does not include you, please skip to question #8.
        
        1.   If think you are ADD, have you been diagnosed?
                         Yes              No
        
        2.   If you have been diagnosed and are currently being
             treated with medication, what are you using?
        
        
        3.   If your diagnosed ADD is currently being treated, please
             indicate on the following scale how it has affected your
             life overall.
             1 - 100% better now.         5 - No real changes at all.
             2 - Much improved.           6 - Some has gotten worse.
             3 - Some improvement.        7 - Much has gotten worse.
             4 - A little better.         8 - Life is now pure hell.
        
        4.   Do you consider your ADD,
                1 - A disorder.       5 - Personality trait.
                2 - A disease.        6 - Cerebral processing style.
                3 - A handicap.       7-  Other.  (Specify)
                4 - No problem.
        
        5.   In dealing with medical professionals, do you feel they
             have understood your ADD problems?
                  1    2    3    4    5
        
        6.   If you had diagnosed ADD while still in school, do you
             feel the educators you dealt with understood your ADD
             problems?
                  1    2    3    4    5
        
        7.   If you think you are ADD but as yet are undiagnosed, do
             you plan to consult a medical professional?
                            Yes            No
        
        8.   As a medical professional, do you consider ADD,
                1 - A disorder.         5 - Cerebral processing style
                2 - A disease.          6 - No problem.
                3 - A handicap.         7 - Other.  (Specify)
                4 - Personality Trait
        
        9.   Have your views on ADD changed over the years?
                  1    2    3    4    5
        
        10.  If you deal directly with ADD patients, do you feel you
             communicate well with them?
                  1    2    3    4    5
        
        11.  Do you feel you understand what life with untreated ADD
             is like from the patient's point of view?
                  1    2    3    4    5
        
        12.  If you deal with the parents of ADD children, do you
             feel you communicate well with them?
                  1    2    3    4    5
        
        13.  If you deal with teachers of ADD children, do you feel
             you communicate well with them, working as a team in the
             child's interest?
                  1    2    3    4    5
        
        14.  Do you think your colleagues understand ADD patients and
             their problems?
                  1    2    3    4    5
        
        15.  Do you think you and/or your staff would benefit from a
             workshop in which you could experience what it's like to
             be ADD?
                  1    2    3    4    5