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ASRS-v1.1 · 6Q · Standard screening questionnaire

Adult ADHD Screener

For adults aged 18 and over. The six-item screener helps identify symptoms that may warrant further assessment.

Check the box that best describes how you have felt and conducted yourself over the past 6 months. Please give the completed questionnaire to your healthcare professional during your next appointment to discuss the results.

Adult self-report · 6 items

Screening results can support a clinical conversation but cannot confirm or rule out a diagnosis on their own.

  1. How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?

    Never / Rarely / Sometimes / Often / Very Often

  2. How often do you have difficulty getting things in order when you have to do a task that requires organization?

    Never / Rarely / Sometimes / Often / Very Often

  3. How often do you have problems remembering appointments or obligations?

    Never / Rarely / Sometimes / Often / Very Often

  4. When you have a task that requires a lot of thought, how often do you avoid or delay getting started?

    Never / Rarely / Sometimes / Often / Very Often

  5. How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?

    Never / Rarely / Sometimes / Often / Very Often

  6. How often do you feel overly active and compelled to do things, like you were driven by a motor?

    Never / Rarely / Sometimes / Often / Very Often