Summit Research Network

Trouble paying attention to details or carelessness	Yes	No
Trouble sustaining attention	Yes	No
Difficulty listening when directly addressed	Yes	No
Difficulty following instructions or finishing tasks	Yes	No
Trouble with organizational skills	Yes	No
Trouble completing a task	Yes	No
Forgetfulness	Yes	No
Becoming easily distracted	Yes	No
Frequently fidgeting or squirming	Yes	No
Always 'on the go'	Yes	No
Talking excessively	Yes	No
Difficulty waiting	Yes	No
Acting without thinking	Yes	No
Interrupting or intruding on others	Yes	No

Summit Research Network is currently seeking individuals experiencing the above symptoms to participate in research studies.

If you would like more information on our current studies, please call us at
(503) 228-CARE (2273), or fill out the form below and we will contact you.

All information you provide is stored in a secure site, and cannot be released to any third party without your written and signed authorization.

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oregon@summitnetwork.com

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