ADHD community



Enroll in the Roadmap to Success Program.




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  • Get helpful tips and information about ADHD evaluations and treatment
  • Receive notices when new tools or resources are added
   
   

 

If you wish to receive only the Roadmap to Success emails, and no other ADHD treatment information through email, check this box.
   

*Required Fields
   *First Name:
   *Last Name:
   *Address 1:
   Address 2:
   *City:
   *State:
   *ZIP Code:
   Phone:
   *Email:
   *Date of birth of the person with ADHD:   
   *Gender of the person with ADHD:
   

All personal information you provide will be kept completely private and will not be used or distributed to anyone for any purpose other than what is explained here. View our full privacy policy.
   
*1.  Have you or your child been diagnosed with ADHD by a healthcare professional?
   
*2.  Have you or your child ever taken a prescription medication for ADHD?
   
*3.  Are you or your child currently taking prescription medication for ADHD?
   
*4.  Which of the following prescription medications are you or your child currently taking for ADHD?













   
*5.  Which of the following other prescription medications are you or your child currently taking for ADHD?













   
*6.  How long have you or your child been taking this prescription medication?


   
*7.  How satisfied are you with your or your child's current treatment for ADHD?


   

Please rate the following statements by selecting one of the opinions beneath each statement.
   
8.  Previously, my child or I tried medications for ADHD, but stopped because they weren't worth the trouble.
   
9.  I do not believe in administering medication for ADHD to my child every day. It's better to take a break on the weekends.
   
10.  My own or my child's ADHD interferes with his/her social contacts.
   
11.  I frequently talk to other adults whose child has ADHD or who have ADHD themselves.
   
12.  I often talk to friends and relatives about ADHD.
   
13.  I feel it is worth the extra effort to work with my doctor to make sure I or my child is getting just the right treatment.
   
14.  I am likely to ask my physician about new treatments for ADHD in the next 3 months.
   
   

Adderall XR® is a registered trademark of Shire LLC.
Daytrana™ is a trademark of Shire Pharmaceuticals Ireland Limited.
Vyvanse™ is a trademark of Shire LLC.

All other product names are the trademarks of their respective companies.