ADHD Communication Skills Assessment Form
Assess communication strengths, challenges, and support needs related to ADHD communication skills. Please answer honestly and provide examples where helpful.
Profile and Communication Context
Full Name
*
First Name
Last Name
Age Range or Grade Level
*
Under 6
6–8
9–11
12–14
15–17
18+
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Other
Preferred Communication Setting(s)
*
Home
Classroom
One-on-one conversation
Small group
Virtual/online
Workplace
Community setting
Therapy/Coaching session
Other
Relationship to the Person Being Assessed
Please Select
Self
Parent
Guardian
Teacher
Counselor
Therapist
Coach
Employer/Supervisor
Partner
Other
Communication Strengths and Challenges
Overall communication confidence
*
Not confident
1
2
3
4
5
6
7
8
9
Very confident
10
1 is Not confident, 10 is Very confident
Key communication strengths
Biggest communication challenges in daily life
Support Needs and Follow-Up
Preferred support strategies or accommodations
*
Written instructions
Visual reminders
Step-by-step guidance
Extra processing time
Regular check-ins
Reduced distractions
Break tasks into smaller steps
Other
Most helpful communication tool or reminder
Please Select
Calendar alerts
Text reminders
Email reminders
Checklists
Phone calls
Notes app
Other
Additional notes or examples
Submit
Should be Empty: