Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist
Step
1
of
2
50%
1. How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?
(Required)
Rarely
Very Often
Often
Sometimes
Never
2. How often do you have difficulty getting things in order when you have to do a task that requires organization?
(Required)
Often
Sometimes
Very Often
Never
Rarely
3. How often do you have problems remembering appointments or obligations?
(Required)
Very Often
Sometimes
Rarely
Never
Often
4. When you have a task that requires a lot of thought, how often do you avoid or delay getting started?
(Required)
Rarely
Sometimes
Never
Often
Very Often
5. How often do you feel overly active and compelled to do things, like you were driven by a motor
(Required)
Never
Sometimes
Rarely
Often
Very Often
6. How often do you make careless mistakes when you have to work on a boring or difficult project?
(Required)
Very Often
Sometimes
Often
Never
Rarely
8. How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly?
(Required)
Rarely
Very Often
Sometimes
Often
Never
7. How often do you have difficulty keeping your attention when you are doing boring or repetitive work?
(Required)
Often
Rarely
Never
Very Often
Sometimes
9. How often do you misplace or have difficulty finding things at home or at work?
(Required)
Often
Never
Rarely
Sometimes
Very Often
10. How often are you distracted by activity or noise around you?
(Required)
Rarely
Sometimes
Never
Often
Very Often
11. How often do you leave your seat in meetings or other situations in which you are expected to remain seated?
(Required)
Sometimes
Very Often
Often
Rarely
Never
12. How often do you feel restless or fidgety?
(Required)
Sometimes
Rarely
Never
Very Often
Often
13. How often do you have difficulty unwinding and relaxing when you have time to yourself?
(Required)
Often
Sometimes
Never
Very Often
Rarely
14. How often do you find yourself talking too much when you are in social situations?
(Required)
Often
Sometimes
Never
Very Often
Rarely
15. When you’re in a conversation, how often do you find yourself finishing the sentences of the people you are talking to, before they can finish them themselves?
(Required)
Sometimes
Never
Often
Rarely
Very Often
16. How often do you have difficulty waiting your turn in situations when turn taking is required?
(Required)
Never
Sometimes
Very Often
Often
Rarely
17. How often do you interrupt others when they are busy?
(Required)
Rarely
Never
Sometimes
Very Often
Often
