I didn't read the replies but when my daughter started kindergarten, and I saw her compared to her peers, her issues were much clearer than they had been previously. It was really hard to get her to focus on worksheets, even if they were the right level, and written work of any kind, and she was wiggly, impulsive, slow with transitions because she was distracted, etc. For instance she would be the last kid to put her stuff away, get her coat and boots on, etc. Year after year went by and it never seemed like there was much improvement with focus at school in terms of the work, however she did calm down a lot and was much less hyper on medication. She did also improve somewhat with focus. Hope this helps. She has always been able to focus well with things that interest her, which is typical of kids with ADHD.