Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist

The ASRS is comprised of 6 questions that are ranked on a scale of 0 to 4. If you have at least 4 of these 6 symptoms significantly, you may have ADHD and should seek out a formal diagnosis.

After completing this Adult ADHD questionnaire bring a copy of the questionnaire with you when you seek diagnosis to help with the diagnostic process.

Having Problems Opening the Link?

Make sure you have  Adobe Reader  (a new window will open so you can download and install it without leaving this page). 

To print: 
Once you have saved the file, locate where you saved it, and double click to open it. To print the ASRS, select the “Print” option from the menu

Try opening the document in a new browser: 
To open the file in your browser window, simply click on the link. However, if you want to download the file to view later, then right click on the link and choose “Save Target As” or “Save File As.” Then select where you want to save the file on your hard drive.