CAARS Observer Report — Crystal Pathways

About you0 / 30 answered

Brighton Health Clinic — CAARS-O:SV

About you and the person you are rating

Please complete these details before starting the questionnaire

⚠This questionnaire is part of an assessment with The Brighton Health Clinic (operated by Crystal Pathways). You are being asked to rate the behaviours of someone you know well. Please answer as honestly as you can based on what you have observed recently.

ℹIn line with NICE guidance on the assessment of ADHD in adults (NG87), corroborative information from a person who knows the individual well forms an important part of a thorough diagnostic assessment. The clinical team may follow up with you directly to verify or clarify any responses on this form. Your answers will be treated with the same confidentiality as any other clinical information.

Your details (the observer)

Your full name *

Your relationship to the patient *

Your email address

Today’s date

Details of the person you are rating

Patient’s full name *

Patient’s date of birth

Referring clinician / assessor

How to complete this questionnaire

You will be shown 30 statements describing behaviours. For each one, select the number that best describes how often you have observed this behaviour in the person you are rating recently.

Never

Just a little

Often

Very much

Fields marked * are required

All 30 questions

CAARS Observer Report

Rate the person you are observing — select 0, 1, 2, or 3 for each statement

Never

Just a little

Often

Very much

0123

Loses things necessary for tasks or activities (e.g. to-do lists, pencils, books, or tools).

Talks too much.

Is always on the go as if driven by a motor.

Gets rowdy or boisterous during leisure activities.

Has a short fuse / hot temper.

Leaves seat when not supposed to.

Throws tantrums.

Has trouble waiting in line or taking turns with others.

Has trouble keeping attention focused when working or at leisure.

10.

Avoids new challenges because of lack of faith in his/her abilities.

11.

Appears restless inside even when sitting still.

12.

Is distracted by sights or sounds when trying to concentrate.

13.

Is forgetful in daily activities.

14.

Has trouble listening to what other people are saying.

15.

Is an underachiever.

16.

Is always on the go.

17.

Can't get things done unless there is an absolute deadline.

18.

Fidgets (with hands or feet) or squirms in seat.

19.

Makes careless mistakes or has trouble paying attention to detail.

20.

Intrudes on others' activities.

21.

Doesn't like academic studies or work projects where a lot of thinking is required.

22.

Is restless or overactive.

23.

Sometimes overfocuses on details; at other times appears distracted by everything around them.

24.

Can't keep their mind on something unless it's really interesting.

25.

Gives answers to questions before the questions have been completed.

26.

Has trouble finishing job tasks or schoolwork.

27.

Interrupts others when they are working or busy.

28.

Expresses lack of confidence in themselves because of past failures.

29.

Appears distracted when things are going on around them.

30.

Has problems organising tasks and activities.

Thank you