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Clinic for Adult Attention Problems, P.A.

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Adult Self-Report Scale-V1.1 (ASRS-V1.1) Screener
from WHO Composite International Diagnostic Interview World Health Organization

Check the box that best describes how you have felt and conducted yourself over the last 6 months.
Very Often
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 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 motor?

Add up the number of checkmarks that appear in the darkly shaded area. Four (4) or more checkmarks indicate that your symptoms may be consistent with adult ADHD. It may be beneficial for you to talk with a psychologist about an evaluation.

ADHD in Women
Please note that the tool above is only a screener and cannot offer a conclusive diagnosis. Diagnosis of ADHD requires a comprehensive assessment conducted by a qualified professional. Furthermore, not every individual describes symptoms of ADHD in the same way. For example, women with ADHD may answer yes to the following questions:

(Checklist created by Sari Solden, MS, LMFT.)


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