• Adult ADHD Self- Report Scale (ASRS - v1.1) Symptoms Checklist

  • Today's Date
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    2 digit month, 2 digit day, 4 digit year
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  • 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 the box that best describes how you have felt and conducted yourself over the past 6 months.
    Rows
  • Should be Empty: