Adult ADHD Self-Report Scale​

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.​
  • ADHD Screening
Directions: 
Complete both Part A and Part B of the Symptom Checklist by selecting the answer that closely represents the frequency of occurrence of each of the symptoms.
2. Score Part A. If four or more selections included the options "Sometimes, Often, Very Often" appear within Part A, then the patient has symptoms highly consistent with ADHD in adults and further investigation is warranted.
3. The frequency scores on Part B provide additional cues and can serve as further probes into the patient’s symptoms. Pay particular attention to the chosen selections of "Sometimes, Often, Very Often". The frequency-based response is more sensitive with certain 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. The checklist takes about 5 minutes to complete and can provide information that is critical to supplement the diagnostic process.
    Part A.

    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 a motor?
    Part B.
    7. How often do you make careless mistakes when you have to work on a boring or difficult project?
    8. How often do you have difficulty keeping your attention when you are doing boring or repetitive work?​
    9. How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly?​
    10. How often do you misplace or have difficulty finding things at home or at work?​
    11. How often are you distracted by activity or noise around you?
    12. How often do you leave your seat in meetings or other situations in which you are expected to remain seated?
    13. How often do you feel restless or fidgety?​
    14. How often do you have difficulty unwinding and relaxing when you have time to yourself?
    15. How often do you find yourself talking too much when you are in social situations?
    16. 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?
    17. How often do you have difficulty waiting your turn in situations when turn taking is required?
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    18. How often do you interrupt others when they are busy?
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The Value of Screening for Adults With ADHD

Research suggests that the symptoms of ADHD can persist into adulthood, having a significant impact on the relationships, careers, and even the personal safety of your patients who may suffer from it. (Ref. 1-4) Because this disorder is often misunderstood, many people who have it do not receive appropriate treatment and, as a result, may never reach their full potential. Part of the problem is that it can be difficult to diagnose, particularly in adults.

The Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist was developed in conjunction with the World Health Organization (WHO), and the Workgroup on Adult ADHD that included the following team of psychiatrists and researchers:
  • Lenard Adler, MD
    Associate Professor of Psychiatry and Neurology
    New York University Medical School
  • Ronald C. Kessler, PhD
    Professor, Department of Health Care Policy
    Harvard Medical School
  • Thomas Spencer, MD
    Associate Professor of Psychiatry
    Harvard Medical School
As a healthcare professional, you can use the ASRS v1.1 as a tool to help screen for ADHD in adult patients. Insights gained through this screening may suggest the need for a more in-depth clinician interview. The questions in the ASRS v1.1 are consistent with DSM-IV criteria and address the manifestations of ADHD symptoms in adults. Content of the questionnaire also reflects the importance that DSM-IV places on symptoms, impairments, and history for a correct diagnosis.(Ref. 4)
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