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ADHD Evaluation An evaluation is needed to determine whether a person is suffering from ADHD. A diagnosis is determined by the presence of symptoms that began at the age of 12 and that significantly interfere with work, school or social situations. Rating scales are frequently used to measure ADHD. The CAARS-L-S is an self-rating instrument with established validity. The version for observers (CAARS-L O) also has a high degree of validity. Signs and symptoms Many children have