Adult ADHD Self-Report Scale (ASRSv1.1)

Introduction
The Adult ADHD Self-Report Scale (ASRS) version 1.1 is a diagnostic tool designed for the assessment of Attention-Deficit/Hyperactivity Disorder (ADHD) in adults. Developed in collaboration between the World Health Organization (WHO) and researchers at Harvard Medical School, the ASRS v1.1 is grounded in the criteria set forth in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). The tool consists of 18 items that reflect the DSM-IV-TR criteria for ADHD, divided into two main symptom domains: inattention and hyperactivity-impulsivity.

The ASRS v1.1 is utilized for both screening purposes and for monitoring the severity of ADHD symptoms over time. This dual functionality allows it to be applied in a variety of clinical and research settings. The questions are structured to be self-reported, facilitating the collection of information directly from individuals regarding their symptoms.

The development of the ASRS v1.1 aimed to provide a standardized method for identifying ADHD in adults, addressing a need for reliable diagnostic tools in this population. Its format is designed to be user-friendly, supporting its widespread use among healthcare professionals. Validation studies have supported the reliability and validity of the ASRS v1.1 in identifying adult ADHD, indicating its effectiveness as a component of a comprehensive diagnostic process. Its application is seen as a step toward improving the accuracy of ADHD diagnoses and informing treatment planning in adults.

Instructions
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, click on the box that best describes how you have felt and conducted yourself over the past 6 months.

Part A

  Never Rarely Sometimes Often Very Often
1. How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?
2. How often do you have difficulty getting things in order when you have to do a task that requires organization?
3. How often do you have problems remembering appointments or obligations?
4. When you have a task that requires a lot of thought, how often do you avoid or delay getting started?
5. How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?
6. How often do you feel overly active and compelled to do things, like you were driven by a motor?

Part B

  Never Rarely Sometimes Often Very Often
7. How often do you make careless mistakes when you have to work on a boring or difficult project?
8. How often do you have difficulty keeping your attention when you are doing boring or repetitive work?
9. How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly?
10. How often do you misplace or have difficulty finding things at home or at work?
11. How often are you distracted by activity or noise around you?
12. How often do you leave your seat in meetings or other situations in which you are expected to remain seated?
13. How often do you feel restless or fidgety?
14. How often do you have difficulty unwinding and relaxing when you have time to yourself?
15. How often do you find yourself talking too much when you are in social situations?
16. When you’re in a conversation, how often do you find yourself finishing the sentences of the people you are talking to, before they can finish them themselves?
17. How often do you have difficulty waiting your turn in situations when turn taking is required?
18. How often do you interrupt others when they are busy?
Sources
  1. JB Schweitzer, et al. The Adult ADHD Self-Report Scale (ASRSv1.1). 85(3): Med Clin North Am. 757-777. .
  2. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. American Psychiatric Association. 85-93. .
  3. J Biederman, et al. Patterns of Psychiatric Comorbidity, Cognition, and Psychosocial Functioning in Adults with Attention Deficit Hyperactivity Disorder. 150. Am J Psychiatry 1792-1798. .
  4. RA Barkley. Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment. .