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1.

Survey Q1

1. Do You have difficulty concentrating or focusing on a task?
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Survey Q2

2. Do you find it difficult determine reality from fantasy using reason or logic?
3.

Survey Q3

3. Do you find it difficult to integrate new information or develop that information to the next step?
4.

Survey Q4

4. Is it difficult for you to maintain your focus on a given task for long periods of time?
5.

Survey Q5

5. Do you have difficulty remembering things in the short term and long term memory?
6.

Survey Q6

6. Do you find it difficult to make quick decisions without thinking about for a long period of time?
7.

Survey Q7

7. Is it difficult form you to plan and follow through to completion what you plan?
8.

Survey Q8

8.Do you get distracted easily while working on important teaks?
9.

Survey Q9

9. Does you attention wonder when you are involved in tasks, conversations, or social interactions?
10.

Survey Q10

10. Are you often over-stimulated or over react to your surroundings?
11.

Survey Q11

11. Are you preoccupied with your own thoughts, interrupting others, hearing what you want to hear, frequently change the subject of conversation?
12.

Survey Q12

12. Are you easily excited, reactive and often jumping from one situation to another?
13.

Survey Q13

13. Do you have temper tantrums where you want to get your way regardless of what other want?
14.

Survey Q 14

14. Are you easily frustrated about your circumstances, get emotional upset which changes your moods and behavior?
15.

Survey Q15

15. Do you find yourself fidgety, restless, and often hyperactive or overwhelmed in certain situations you can't explain?
16.

Survey Q16

16. Do you find your behavior is disruptive or inappropriate in social activities or school?
17.

Survey Q17

17. Do you have difficulty following written or verbal instructions and guidance?
18.

Survey Q !8

18. Do you experience impatiens when you can't get immediate rewards for what you want?
19.

Survey Q19

19. Does you behavior ever become overly demanding, or sometimes self-destructive and aggressive?
20.

Survey Q 20

20.Do you have improper sleeping patterns where you don't get enough rest making you angry or upset when you get up in the morning?
21.

Scoring Survey

If you have 6 or more Yes answers listed in this survey there are general indications that your brain is not getting proper nutrients, rest or the building block for proper brain functions. It is recommended you start immediately with Attend to begin rebuilding the proper neurological environment to boost your brains abilities to be focused, have more concentration, build new nerve pathways for all kinds of new learning experiences. This will help build new learning skills.
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23.

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