1.	Do you sometimes find yourself reading over passages in books that you have read at least once already and that weren't especially difficult to begin with? Yes No
2.	In a school do you gaze out the window looking at nothing in particular and dreamt that you're someplace altogether different? Yes No
3.	Do you sometimes forget people's names almost as soon as they've been introduced to you? Yes No
4.	Have you ever eaten a meal without realizing what it was you were putting in your mouth? Yes No
5.	Do people frequently accuse you of forgetting something they told you earlier? Yes No
6.	Are you accident-prone? Yes No
7.	Do you often find yourself wishing that you were someplace else? Yes No