PDF Adult ADHD Self
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.
Adult ADHD Self- Report Scale ( ASRS - v1 .1) Symptom Checklist Patient Name Today's Date Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page. As you answer each question, place an X in the box that best describes how you have felt and conducted yourself over the past 6 months.
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Modified Adult ADHD Self- Report Scale ( ASRS - v1 .1) Symptom Checklist Patient Name Insight No. Today's Date Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page.
The Adult ADHD Self- Report Scale ( ASRS v1.1) is an 18-item self- report questionnaire designed to assess Attention Deficit Hyperactivity Disorder (ADHD) symptoms in adults (18+).
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