Download and complete the Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist
Please answer the questions 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.
Please give this completed checklist to your healthcare professional to discuss during an appointment or email it to us at: [email protected]
If you cannot print or complete this form, we can email or post it out at your request. Alternatively a paper copy can be provided from the surgery.
