1. It's very hard for me to do the things I know I should do.
I'm aware of some things that I should do but I don’t seem to do them.
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2. It's hard for me to control my anger.
I become upset easily even over little things. I have a hard time controlling my emotions. I often “go off” for little reason.
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3. It's hard for me to remember people's names.
When I see a person, I recognize them, but I usually cannot remember their name.
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4. It's hard to remember things I've heard.
Things seem to “go into one ear and out the other.” Even when I hear something several times, I still cannot remember it…or I remember only pieces of it.
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5. It's hard to remember things I read.
I often read something over and over again, but I still can’t remember it.
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6. I seldom think before I speak or act.
It is hard for me to anticipate what is going to happen next, to plan, or to anticipate the consequences of my behavior.
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7. It's hard for me to remember long directions.
It is difficult for me to recall more than short statements or short lists of things that I read or hear.
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Designed and Developed for PMI, the Practical Memory Institute®
8. It takes me a long time to learn something new.
Other people seem to learn new things faster than I do. I am not a "quick study."
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9. I doubt that I will ever succeed at anything.
I feel that I will never make anything of my life or that I will not be able to live up to others’ expectations.
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10. My decisions are usually mistakes.
My decisions do not usually work out the way I hoped they would.
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11. It's difficult for me to work without help.
I need a lot of help from others when doing most tasks or when learning new things.
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12. It's difficult for me to keep track of time.
I seldom know how much time has passed since the last time I checked. I am frequently late, or I have problems estimating how much time a task will take to complete.
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13. I feel restless most of the time.
I feel that I have to be moving around all the time. I’m in constant motion.
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14. It's hard for me to sit still.
I fidget in my chair when sitting for more than a minute.
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15. I am easily distracted.
I am often distracted by other people, noisy places, or my own internal thoughts.
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16. I often interrupt people when they are talking to me.
I seldom wait for people to finish what they are saying before I speak.
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17. It's hard for me to finish what I'm supposed to do.
I often start things without finishing them. I seldom finish the things that people ask me to do for them.
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18. It's hard to stay focused on anything.
It is hard for me to keep concentrating on most things once I start them.
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19. I seldom finish an activity or project before I start on
something new.
I can get started on projects on my own, but it is difficult for me to complete them.
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20. I feel like I need to be moving all the time.
I seem to be moving about all the time and I cannot sit still.
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21. I talk much more than I need to.
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I cannot answer questions simply. It is hard for me to listen and not talk. I always seem to talk more than others do in conversations.
22. I seldom let people finish what they are saying to me.
I do not let people finish their thoughts, instructions, directions, or other things they say to me.
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23. I often misplace things.
I often cannot find things that I was using earlier around the home. I often misplace things.
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24. I don't make friends easily.
I am a loner. I do not have many friends and I feel uncomfortable meeting new people.
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25. Complex directions are hard for me to remember.
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I do not process long instructions that I hear or read. I need them to be broken down into shorter segments and repeated several time before I can remember them.
26. I need to practice new things a lot before I can do
them myself.
I need to do things several times before I can do them on my own.
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27. Written directions are hard for me to understand.
I do not understand what I read. I avoid reading directions because I cannot understand them.
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28. Charts, diagrams, schematics, or maps are hard for
me to understand.
Graphs and other visual displays like floor plans, bus routes, or diagrams are difficult for me to understand. It would be hard for me to assemble a bookshelf from IKEA following the diagrams inside.
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29. Complex directions are very hard to follow.
I require short, step-by-step directions.
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30. What I say is often not what I meant.
Sometimes what comes out is not what I meant to say.
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31. I have trouble saying things clearly.
It’s hard for me to be concise. I seem to use more words than others do to make myself clear.
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32. It is hard for me to express my thoughts in writing.
I have good thoughts but have a hard time writing them clearly.
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33. People ask me to repeat myself on the phone.
People have a hard time understanding what I am saying when I talk to them on the phone. People often ask me to repeat what I have said.
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34. Big words are difficult for me to understand.
I have a poor vocabulary and either do not understand or misinterpret what a lot of words mean.
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35. I need to repeat myself several times before anyone
understands me.
I have to repeat myself before I can get my point across.
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36. I don’t understand what people tell me in conversation.
People often tell me that what I heard was not what they meant. I don’t understand what they said correctly. I have a hard time understanding others when in conversation.
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