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ADHD Evaluation An evaluation is required to determine whether a person is suffering from ADHD. The diagnosis is based on symptoms that started before 12 years of age and interfere significantly with work, school or social situations. Rating scales are widely used tools for assessing ADHD. The CAARS-L-S is a self-rating instrument that has been proven to be valid. The version for observers (CAARS-L O) also has a high degree of validity.