* 1. I live in which province?

* 2. My child is currently: (If you have more than one child with ADHD choose one and answer all survey questions as they pertain to that child.)

* 3. My child is or was in: (check all that apply)

* 4. My child has or had difficulty with: (please indicate all that apply):

* 5. My child has an additional diagnosis of:

* 6. My child has received, or is on a wait list for a psycho-educational assessment

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