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Adult ADHD Self-Report Scale (ASRS-v1.1)

Description: The Symptom Checklist is an instrument consisting of the eighteen DSM-IV-TR criteria. Six of the eighteen questions were found to be the most predictive of symptoms consistent with ADHD. These six questions are the basis for the ASRS v1.1 Screener and are also Part A of the Symptom Checklist. Part B of the Symptom Checklist contains the remaining twelve questions. No total score or diagnostic likelihood is utilized for the twelve questions. It has been found that the six questions in Part A are the most predictive of the disorder and are best for use as a screening instrument.

Please complete both Part A and Part B of the Symptom Checklist. These questions will help your physician confirm if you may be suffering from the symptoms of attention-deficit/hyperactivity disorder (ADHD).


HOW TO SCORE

Score: 0 – 3

Action – Speak with your physician regarding whether further evaluation is needed

Score: 4 – 6

Action – Your symptoms are highly consistent with ADHD in adults and further investigation is warranted

Sources
1. Schweitzer JB, et al. Med Clin North Am. 2001;85(3):10-11, 757-777.
2. Barkley RA. Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment. 2nd ed. 1998.
3. Biederman J, et al. Am J Psychiatry.1993;150:1792-1798.
4. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision.
Washington, DC, American Psychiatric Association. 2000: 85-93.