Adult ADHD Screening Evaluation and Questionnaire

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ADULT ADHD SCREENING EVALUATION

Many adults have been living with adult attention-deficit/hyperactivity disorder (adult ADHD) and don’t recognize it. Why? Because its symptoms are often mistaken for a stressful life. If you’ve felt this type of frustration most of your life, you may have adult ADHD—a condition your healthcare provider can help diagnose and treat.

The following questionnaire can be used as a starting point to help you recognize the signs/symptoms of adult ADHD but is not meant to replace consultation with a trained healthcare professional. An accurate diagnosis can only be made through a clinical evaluation. Regardless of the questionnaire results, if you have concerns about diagnosis and treatment of adult ADHD, please discuss your concerns with your physician.

This Adult Self-Report Scale-V1.1 (ASRS-V1.1) Screener is intended for people aged 18 years or older.

Instructions: For each question below, please select the response that best describes how you have felt and conducted yourself over the past 6 months. Then hit the submit button to see your results. You can clear your answers and start over by clicking on the reset button.


1.	How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?
2.	How often do you have difficulty getting things in order when you have to do a task that requires organization?
3.	How often do you have problems remembering appointments or obligations?
4.	When you have a task that requires a lot of thought, how often do you avoid or delay getting started?
5.	How often do you fidget or squirm with your hands or your feet when you have to sit down for a long time?
6.	How often do you feel overly active and compelled to do things, like you were driven by a motor?
The 6-question Adult Self-Report Scale - V 1.1 (ASRS - V 1.1) Screener is a subset of the WHO's 18-question Adult Self-Report Scale - V 1.1 (ASRS - V 1.1) Symptom Checklist. ASRS - V 1.1 Screener COPYRIGHT © 2003 World Health Organization (WHO). Reprinted with permission of WHO. All rights reserved.

“The World Health Organization (WHO) does not endorse any specific companies, products or services in the treatment of adult attention deficit hyperactivity disorder (AADHD)”

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