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ADHD Evaluation An evaluation is needed to determine if a person is suffering from ADHD. A diagnosis is based on the presence of symptoms that began before age 12 and significantly interfere with work, school or social interactions. Rating scales are commonly used instruments for assessing ADHD. The CAARS-L:S self-rating scale has proven validity. The observer version of the CAARS:L:O has been found to be valid. Signs and symptoms Many children are fidgety, impulsive and s