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  1. Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist Instructions. The questions on the back page are designed to stimulate dialogue between you and your patients and to help confirm if they may be suffering from the symptoms of attention-deficit/hyperactivity disorder (ADHD).

  2. The ADHD-RS-IV with Adult Prompts is an 18-item scale based on the DSM-IV-TR® criteria for ADHD that provides a rating of the severity of symptoms. The adult prompts serve as a guide to explore more fully the extent and severity of ADHD symptoms and create a framework to ascertain impairment. The first 9 items assess inattentive symptoms

  3. ADULT ADHD SELF-REPORT SCALE (ASRS-V1.1) SYMPTOM CHECKLIST. Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page.

  4. Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist. Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page.

  5. Attention Deficit Hyperactivity Disorder in Adults. This tool is designed to support primary care providers in screening, diagnosing and implementing treatment for adult patients (≥ 18 years) with attention deficit hyperactivity disorder (ADHD).

  6. ADULT ADHD SELF-REPORT SCALE (ASRS-V1.1) SYMPTOM CHECKLIST INSTRUCTIONS. Description: The Symptom Checklist is an instrument consisting of the 18 DSM-IV-TR criteria. Six of the 18 questions were found to be the most predictive of symptoms consistent with ADHD.

  7. Adult ADHD Self-Report Scale (ASRS) Symptom Checklist. 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 over the past 6 months. Never.

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