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ADHD Evaluation To determine if someone is ADHD, an evaluation is needed. A diagnosis is based on the existence of symptoms that begin before age 12 and significantly hinder school, work or social interactions. Rating scales are frequently used to assess ADHD. The CAARS-L-S is a self rating instrument that has proven validity. The version for observers (CAARS-L O) also has a high degree of validity. Signs and symptoms Many children have trouble sitting still or waiting their turn,