• Adult ADHD Self-Report Scale

  • Format: (000) 000-0000.

  • Please answer the questions below, rating yourself on each of the criteria shown using the scale under the question. As you answer each question, choose the option that best describes how you have felt and conducted yourself over the past 6 months. THIS IS ONLY A SCREENING TOOL. ONLY A TRAINED PROVIDER CAN DIAGNOSE CORRECTLY.

  • 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?
  • 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?

  • What your results mean - While there is no numerical cut off score, there are certain values that indicate ADHD in adults. The first 6 questions are considered the most important for screening. Did you choose "often" or "very often" on 4 of those first 6 questions? If so, you would be a good candidate to complete a full psycholgocial evaluation with one of our proivders. A total score of 40 higher could indicate the presence of ADHD. Once again, this is a screening tool only. Only a licensed provider can diagnose ADHD.

    We would like to share with you our science backed method of diagnosing ADHD. 

    1) Visit with one of our quailfied provider for a full psychiatric evaluation (in office or telehealth).

    2) Complete an in office ADHD test.

    3) Have a follow up visit with our provider to go over ther results. At this appointment we will dicuss the use of certain medications to treat ADHD if necessary.

     

     

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