DIVA Instructions
Please complete the following:
- Name of client – name of person you are completing the form for
- DOB – client DOB if you know it
- Date of interview – date you completed this form
- Name of person completing this form – your name
Please read each question and answer with regard to the person you are completing
the form for.
There are 2 sections of items for each question, one for adulthood, and one for
childhood (5-12 years of age). Please complete all items that you have knowledge
of.
What you need to do:
- Please read each item, eg the first is “Makes careless mistakes” and simply
tick the box if this item applies. If the item does not apply, please leave the
box blank. - Symptom present – this will automatically calculate
- Please continue to tick all applicable items until the end of the questionnaire
