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ADHD Evaluation An evaluation is needed to determine whether a person has ADHD. The diagnosis is based on symptoms that started before 12 years of age and can be a significant hindrance to school, work or social situations. Rating scales are often used to measure ADHD. The CAARS-L:S is a self-rating instrument with established validity. The observer version of CAARS-L:O has also been confirmed to be valid. Signs and symptoms Many children have difficulty