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  1. Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist Instructions. The questions on the back page are designed to stimulate dialogue between you and your patients and to help confirm if they may be suffering from the symptoms of attention-deficit/hyperactivity disorder (ADHD).

  2. A tool to help screen for ADHD in adult patients based on DSM-IV-TR criteria. The checklist has 18 questions and two subscales: Inattention and Hyperactivity.

  3. Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist . 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, place an X in the box that best describes how you have felt and conducted yourself over the past 6 months. Never. Rarely

  4. ADULT ADHD SELF-REPORT SCALE (ASRS-V1.1) SYMPTOM CHECKLIST INSTRUCTIONS. The Symptom Checklist is an instrument consisting of the 18 DSM-IV-TR criteria. Six of the 18 questions were found to be the most predictive of symptoms consistent with ADHD.

  5. scoring instructions for the nichq VAnDerBiLt Assessment scALes. the recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care.

  6. Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist. Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page.

  7. Adult ADHD Self-Report Scale (ASRS) Symptom Checklist. 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, place an X in the box that best describes how you have felt and conducted yourself over the past 6 months. Never.

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