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CLIENT NAME:___DATE:___QUESTIONNAIRE Adult ADHD SelfReport Scale (ASRSv1.1) Symptom Checklist Please answer the questions below, rating yourself on each of the criteria listed. As you answer each
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To fill out the adult ADHD self-report scale, follow these steps:
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Read each question carefully and select the answer that best applies to you.
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Answer all the questions honestly and to the best of your ability.
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Do not spend too much time on any single question; go with your immediate and instinctive response.
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If a question does not seem applicable to you, select 'Not applicable' or 'N/A'.
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Some questions may have additional instructions or prompts; make sure to read and follow them.
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Take breaks if needed, but try to complete the scale in one sitting for accurate results.
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After completing the scale, review your answers and make sure you have not missed any questions.
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Submit the filled-out scale as instructed by the healthcare professional or the assessment provider.

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The adult ADHD self-report scale is beneficial for individuals who suspect they may have attention-deficit/hyperactivity disorder (ADHD) as it is a screening tool used to assess the presence and severity of ADHD symptoms in adults.
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It can also be useful for healthcare professionals, psychologists, or psychiatrists who are evaluating adults for ADHD.
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Additionally, researchers or organizations studying ADHD may utilize this scale to gather data or evaluate the prevalence of ADHD in specific populations or settings.
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The Adult ADHD Self-Report Scale (ASRS) is a screening tool designed to help individuals assess whether they may have Attention Deficit Hyperactivity Disorder (ADHD) by self-reporting their symptoms.
Individuals who suspect they may have ADHD or who wish to evaluate their ADHD symptoms may fill out the ASRS. It is often used in clinical settings, but anyone can complete it for their own understanding.
To fill out the ASRS, individuals must respond to a series of questions about their behavior and symptoms, typically on a Likert scale, indicating how often they experience certain ADHD characteristics.
The purpose of the ASRS is to provide a preliminary assessment of ADHD symptoms to facilitate further evaluation by healthcare professionals.
The ASRS requires respondents to report on various symptoms and behaviors associated with ADHD, including attention difficulties, impulsivity, and hyperactivity.
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