Adult ADHD Investigator Symptom Rating Scale (AISRS)

Adult ADHD Symptom Rating Scale
(AISRS)
Adult ADHD Investigator Symptom Rating Scale (AISRS)
Reference: Spencer TJ, Adler LA, Qiao M, Saylor KE, Brown TE, Holdnack JA, et al. Validation of the adult ADHD investigator symptom rating scale (AISRS Journal of Attention Disorders 2010; 14(1): 57-68.

(English, Date of issue 27-Nov-2014)
Date of assessment:

Month Day Year
Date
Rater's signature:

Clear
First
Middle
Last
Day
Month
Situations
Do you make careless mistakes when working on boring or a difficult project? Do you make a lot of mistakes (in school) or work? Is it because you’re careless? Do you rush through work, or activities? Do you have trouble with detailed work? Do you not check your work? Do people complain that you’re careless? Are you messy or sloppy? Is your desk or workspace so messy that you have difficulty finding things?

(0) None (1) Mild (2) Moderate (3) Severe
Do you fidget or squirm with your hands or feet when you have to sit down for a long time? Can you sit still or are you always moving your hands, feet, or in your chair? Do you tap your pencil or your feet? A lot? Do people notice? Do you regularly play with your hair or clothing? Do you consciously resist fidgeting or squirming?

(0) None (1) Mild (2) Moderate (3) Severe
Do you have difficulty keeping your attention when you are doing boring or repetitive work? Do you have trouble paying attention when watching movies, reading or lectures? Or on fun activities such as sports or board games? Is it hard for you to keep your mind on school or work? Do you have unusual trouble staying focused on boring or repetitive tasks? Does it take a lot longer than it should to complete tasks because you can’t keep your mind on the task? Is it even harder for you than some others you know? Do you have trouble remembering what you read and do you need to reread the same passage several times?

(0) None (1) Mild (2) Moderate (3) Severe
Do you leave your seat in meetings or other situations in which you are expected to remain seated? Do you have trouble staying in your seat? at work? in class? at home i.e. watching t.v., eating dinner? in church or temple? Do you choose to walk around rather than sit? Do you have to force yourself to remain seated? Is it difficult for you to sit through a long meeting or lecture? Do you try to avoid going to functions that require you to sit still for long periods of time?

(0) None (1) Mild (2) Moderate (3) Severe
Do you have difficulty concentrating on what people say to you, even when they are speaking to you directly? Do people (your wife, boss, colleagues, friends) complain that you don’t seem to listen or respond (or daydream) when spoken to or when asked to do tasks? A lot? Do people have to repeat directions? Do you find that you miss the key parts of conversations because of drifting off in your own thoughts? Does it cause problems?

(0) None (1) Mild (2) Moderate (3) Severe
Do you feel restless or fidgety? Are you physically restless? Do you feel restless inside? a lot? Do you feel more agitated when you cannot exercise on an almost daily basis?

(0) None (1) Mild (2) Moderate (3) Severe
Do you have trouble wrapping up the final details of a project, once the challenging parts have been done? Do you have trouble finishing thingswork, chores? Do you often leave things half done and start another project? Do you need consequences (such as deadlines) to finish? Do you have trouble following instructions? (especially complex, multistep instructions that have to be done in a certain order with different steps) Do you need to write down instructions, otherwise you will forget them?

(0) None (1) Mild (2) Moderate (3) Severe
Do you have difficulty unwinding and relaxing when you have time to yourself? Did you have a hard time playing quietly? During leisure activity (non structured times or on your own such as reading a book, listening to music, playing a board game), are you agitated or dysphoric? Do you always need to be busy after work or while on vacation?

(0) None (1) Mild (2) Moderate (3) Severe
Do you have difficulty getting things in order when you have to do a task that requires organization? Do you have trouble organizing tasks into ordered steps? Is it hard prioritizing work and chores? Do you need others to plan for you? Do you have trouble with the management? Does it cause problems? Does difficulty in planning lead to procrastination and putting off tasks until the last moment possible?

(0) None (1) Mild (2) Moderate (3) Severe
Do you feel overly active and compelled to do things, like you were driven by a motor? Is it hard for you to slow down? Do you feel like you (often) have a lot of energy and that you always have (had) to be moving, are (were) always “on the go”? Do you feel like you you’re driven by a motor? Do you feel unable to relax?

(0) None (1) Mild (2) Moderate (3) Severe
Do you avoid or delay getting started on a task that requires a lot of thought? Do you avoid tasks (work, chores, reading, board games) that are challenging or lengthy because it’s hard to stay focused on these things for a long time? Do you have to force yourself to do these tasks? how hard is (was) it? Do you procrastinate and put off tasks until the last moment possible?

(0) None (1) Mild (2) Moderate (3) Severe
Do you find yourself talking too much when you are in social situations? Do you talk a lot? all the time? more than other people? Do people complain about your talking? Is it a problem? Are you often lauder than the people you are talking to?

(0) None (1) Mild (2) Moderate (3) Severe
Do you misplace or have difficulty finding things at home or at work? Do you lose things? (i.e. important work papers, keys, wallet, coats, etc? A lot? More than others? Are you constantly looking for important items? Do you get into trouble for this? (work, home) Do you need to put items (eg. glasses, wallet, keys) in the same place each time, otherwise you will lose them?

(0) None (1) Mild (2) Moderate (3) Severe
When you’re in a conversation, do you find yourself finishing the sentences of the people you that talking to, before they can finish them themselves? Do you give answers to questions before someone finishes asking? Do you say things before it is your turn? Do you say things that don’t fit into the conversation? Do you do thinks without thinking? A lot?

(0) None (1) Mild (2) Moderate (3) Severe
Do you find yourself being distracted by activity or noise around you? Are (where) you ever very easily distracted by events around you such as noise (conversation, tv, radio), movement, or clutter? Do you need relative isolation to get work done? Can almost anything get your mind off of what you are (where) doing like work, chores or if you’re talking to someone? Is it hard to get back to a task once you stop?

(0) None (1) Mild (2) Moderate (3) Severe
Do you have difficulty waiting your turn in situations when turn taking is required? Is it hard for you to wait your turn in conversations, in lines, while driving? Are you frequently frustrated with delays? Does it cause problems? Do you put a great deal of effort into planning to not be in situations where you might have to wait?

(0) None (1) Mild (2) Moderate (3) Severe
Do you have problems remembering appointments or obligations? Do you forget a lot of things in your daily routine? Like what? chores? work? appointments or obligations? Do you forget to bring thinks to work such as work materials or assignments due that day? Do you need to write regular reminders to yourself to do most activities or tasks, otherwise you will forget?

(0) None (1) Mild (2) Moderate (3) Severe
Do you interrupt others when they are busy? Do you talk when others are talking without waiting until you are acknowledged? Do you butt into others conversations before being invited? Do you interrupt others activities? Is it hard for you to wait to get your point across in conversations or at meetings?

(0) None (1) Mild (2) Moderate (3) Severe
Should be Empty: