Adult ADHD Self-Report Scale v1.1 — six-question Part A screener

Assessment tool

Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page. As you answer each question, place an X in the box that best describes how you have felt and conducted yourself in the past 6 months. Please give this completed checklist to your healthcare professional to discuss during today’s appointment.

01 How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?
02 How often do you have difficulty getting things in order when you have to do a task that requires organization?
03 How often do you have problems remembering appointments or obligations?
04 When you have a task that requires a lot of thought, how often do you avoid or delay getting started?
05 How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?
06 How often do you feel overly active and compelled to do things, as if you were driven by a motor?

Responses stay in this page’s memory. Reset or leave the page to clear them. No patient identifiers are collected.

About this scale and references
Reference information · Questionnaire
Last content update
2026-10-26
Clinical review
Not independently reviewed
Source jurisdiction
See individual sources
Coverage
Questionnaire
What changed in this edition
FieldInstrument context
VersionASRS-v1.1 six-question screener; original Part A threshold-count method; adult English
PopulationAdults aged 18 years and older
RespondentSelf-report reviewed by clinician
Recall periodPast 6 months
PurposeAdult ADHD symptom screening; original six-item threshold method

Interpretation & limitations

  • The result is a count of responses meeting their individual Part A thresholds, not the raw 0–24 sum.
  • Four or more threshold-positive responses meet the original Part A screening rule. This is a screening finding, not a diagnosis.
  • Developmental history, impairment across settings, alternative explanations and comorbidity require clinical assessment.
  • The later research method based on a 0–24 raw sum is a different scoring method and is not substituted here.
  • A result below the threshold does not exclude ADHD.
  • This is the six-question adult English screener, not ASRS-5, the full 18-item checklist or a child scale.
  • The score does not select a prescription or establish a diagnosis.
References · 4
  1. NYU: ASRS-v1.1 six-question screener permissions · NYU permits clinical, non-clinical and commercial use of the six-question screener, including electronic versions, with attribution and no other changes. This does not grant the separate 18-question integration licence.
  2. ASRS v1.1 six-question English form
  3. ASRS v1.1 scoring update
  4. Harvard University ASRS-v1.1 source form (Part A)

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