ADHD Progress Tracking Worksheet

ADHD Progress Tracking Worksheet | Mark Zauss Therapy

ADHD Progress Tracking Worksheet

Branded, fillable, printable worksheet for tracking symptom severity, executive functioning, emotional regulation, and functional improvement over time. Designed to support psychotherapy, coaching, treatment plan reviews, and patient psychoeducation.

Mark Zauss, LMHC, LPC, CCMHC, NBCC, BC-TMC, ADHD-CCSP, C-DBT, CCTP

Patient Information

How to Rate Symptoms

Rate each domain using the ADHD Symptom Severity Index (ASSI) below.

0 = No symptoms / no impairment 1 = Mild symptoms 2 = Moderate symptoms 3 = Significant symptoms 4 = Severe symptoms / major impairment

Use current functioning over the past 2-4 weeks unless otherwise indicated.

ADHD Symptom Severity Index (ASSI)

Domain
0
1
2
3
4
Score
Attention and Concentration
Distractibility, sustained attention, following conversations, completing mental tasks.
--
Executive Functioning
Planning, organization, task initiation, prioritization, time management, procrastination.
--
Emotional Regulation
Frustration tolerance, irritability, emotional intensity, overwhelm, ability to self-regulate.
--
Behavioral Impulsivity
Interrupting, impulsive decisions, difficulty delaying responses, acting before thinking.
--
Functional Impairment
Impact on work, school, relationships, routines, follow-through, and daily life functioning.
--
0Total Score / 20
0%Severity Percentage
0/5Domains Completed
Current Severity: Not yet scored

Functional Progress Indicators

Select the areas showing measurable improvement since the previous review period.

Clinical Summary and Progress Narrative

Linked Worksheet Recommendations

These links connect the progress tracker to your ADHD and CBT/DBT website resources.

ADHD Main Resource Hub:
https://www.markzausstherapy.com/adhd.html#/
CBT and DBT Resource Hub:
https://www.markzausstherapy.com/cbt-and-dbt.html#/
Reaction Sensitivity Worksheet:
https://www.markzausstherapy.com/reaction-sensitivity-worksheet.html#/
Grounding Skills Worksheet:
https://www.markzausstherapy.com/grounding-skills-worksheet.html#/
Breathing Page:
https://www.markzausstherapy.com/breathing.html#/
ADHD Atypical Symptoms:
https://www.markzausstherapy.com/adhd-atypical-symptoms.html#/

Print / Save as PDF

For best results, click Print / Save PDF and choose Save as PDF in your browser. Background graphics should be enabled for full branding.
This page is designed to be fillable on-screen and printable for record keeping, treatment planning, or patient review.

Signature / Review

Clinical Reference for Severity Bands

0-4: Minimal impairment   •   5-8: Mild impairment   •   9-12: Moderate impairment   •   13-16: Significant impairment   •   17-20: Severe impairment