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ADHD Evaluation To determine if someone is ADHD an evaluation is required. The diagnosis is based on symptoms that started before 12 years of age and can be a significant hindrance to work, school, or social situations. Rating scales are frequently used to assess ADHD. The CAARS-L-S is an self-rating instrument that has proven validity. The version that is a observer (CAARS-L O) also has good validity. Signs and symptoms Many children are impulsive, fidgety or have difficulty waiting their turn. If these problems in