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ADHD Evaluation To determine if a person is ADHD an evaluation is needed. A diagnosis is dependent on the presence of symptoms that began at the age of 12 and that significantly affect school, work or social situations. Rating scales are commonly used tools for assessing ADHD. The CAARS-L-S is a self rating instrument with established validity. The observer version (CAARS-L O) also has good validity. Signs and symptoms Many children have difficulty sitting still or waiting their turn, are anxious an