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ADHD Evaluation To determine if a person is ADHD an evaluation is needed. The diagnosis is according to the signs that first appeared before the age of 12 and cause significant disruption to school, work, or social situations. Rating scales are commonly used instruments to assess ADHD. The CAARS-L: S self-rating instrument has confirmed validity. The observer version (CAARS-L O) also has good validity. Symptoms Many children are impulsive, fidgety and are unable to wait for their turn. If these issues affect the child's everyday functioning and cause