Creative Brain Questionnaire

Inattentive:
- Tries really hard to succeed but told, by others/self, that efforts are not good enough.
- Zones out, not seeming to listen, resulting in sometimes having to guess what was said.
- Difficulty following instructions (not due to oppositional behavior).
- Avoids, dislikes, or doesn't want to do tasks requiring sustained focus (paying bills, etc.)
- Loses things needed for tasks and activities (keys, school assignments, tools).
- Underperforms at school or work, failing to meet goals and live up to potential.
- Fails to pay close attention to details or makes careless mistakes in schoolwork, work, etc.
- Day Dreams, picturing people, places, or things from the past and/or projections of future situations, defocusing from what is currently happening.
- Poor short-term memory/unable to remember the name of someone who was just introduced.
- Can’t stay focused when reading, unable to recall what was read, unless completely engaged.
- Poorly regulates time, budgeting too little time, resulting in lateness, or worrying about it.
- Has difficulties establishing and maintaining a routine.
- Procrastinates, puts things off; motivated by deadlines, but sometimes misses them.
- Exhibits perfectionism, not wanting to begin a task unless it can be done perfectly.
- Has troubles with prioritizing and perceiving which tasks need to be done first.
- Difficulties making decisions, due to confusion or fear of making the wrong choice.
- Leaves tasks unfinished, intending to complete them but not following through.
- Expends more energy to accomplish the same amount of work as others do.
- Needs imposed structure or deadlines frequently in order to complete tasks on time.
- Working within rules of corporate structure is often difficult, prefers flexibility.
- Carries shame related to not staying focused, and achieving goals, leading to low self-esteem.
- Flooded with many thoughts coming in all at once.
- Brain freezes under pressure, causing poor performance in stressful situations.
Impulsive:
- Accident prone, injuring self or having car accidents, due to inattentiveness or impulsivity.
- Difficulty sustaining attention in thought and conversation, due to being distracted.
- Impulsively makes commitments, but cannot follow through due to over scheduling of time.
- Emotionally impulsive, displaying anxiety, irritability, and/or anger when on deadlines or trying to get out the door in time.
- Reacts defensively when behavior is questioned, shifting blame to others.
- Disorganized, leading to clutter or lack of order in home environment and workplace.
- Impulsively makes buying decisions, purchasing things that are not needed.
- Hoards items that are no longer used, such as old clothes or magazines, not parting with them due to anxiety that they may be wanted or needed sometime in the future.
- Develops habits of self-medicating, engaging in impulsive and/or compulsive addictive behaviors such as excessive drinking, drugging, eating, gambling, shopping, or sex.
- Impulsively tries doing ‘geographics’, changing jobs, homes, relationships, or city of residence in order to start over, expecting that it will be better.
- Impulsively interrupts or intrudes on others, doing/saying the wrong thing at the wrong time.
Hyperactive:
- Talks too much, or inappropriately, not allowing others a chance to speak.
- Moves frequently, as if wound up; fidgets with hands or feet, and/or squirms in seat.
- Needs to write or doodle in order to stay focused during lectures or meetings.
- Impatient and intolerant of waiting; leaves situations when expected to remain.
- Hyper-focuses to urgently accomplish task, losing track of what else is happening.
- Does several things at once, rather than focusing on one thing at a time, such as eating while talking on the phone and watching TV.
- Enjoys taking risks, which leads to thrill seeking behavior.
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40 Signs and Symptoms

of A Creative Brain

Inattentive, Impulsive, Hyperactive

How would you feel, one year from now, if nothing changed?