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May be suffering from the symptoms of attention-deficit/hyperactivity disorder (ADHD). Description: The Symptom Checklist is an instrument consisting of the eighteen DSM-IV-TR criteria. Six of the eighteen questions were found to be the most predictive of symptoms consistent with ADHD. These six questions are the basis for the ASRS v1.1 Screener and are also Part A of the Symptom Checklist. Part B of the Symptom Checklist contains the remaining twelve questions. Instructions: Symptoms 1. Ask th.

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How to fill out the Asrs V11 fillable form online

The Adult ADHD Self-Report Scale (ASRS-v1.1) is a valuable tool for assessing symptoms associated with attention-deficit/hyperactivity disorder (ADHD) in adults. This guide provides clear instructions on how to complete the ASRS V11 fillable form online, ensuring you have a comprehensive understanding of each section.

Follow the steps to complete your ASRS V11 fillable form online.

  1. Click the ‘Get Form’ button to access the ASRS V11 fillable form and open it in your preferred editor.
  2. Begin by reviewing the patient information section. Enter the patient's name and today's date as prompted.
  3. Complete Part A of the Symptom Checklist first. For each of the six questions, mark an X in the box corresponding to how frequently the symptoms have occurred over the past six months.
  4. After filling out Part A, evaluate the frequency of your marks. If you have four or more marks in the darkly shaded boxes, this may indicate symptoms highly consistent with ADHD.
  5. Proceed to Part B and answer the remaining twelve questions by marking an X in the appropriate box, indicating how often you experience those symptoms.
  6. Once both parts are completed, review the checklist. Discuss your responses with a healthcare professional for further assessment.
  7. Finally, save any changes you made to the form. You can download, print, or share the completed ASRS V11 fillable form as needed.

Complete your ASRS V11 fillable form online today to enhance your understanding of ADHD symptoms.

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Adult ADHD Self-Report Scale - Department of...
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A standardized measure called a T-score helps your doctor compare your results. When your T-score is less than 60, it usually means you don't have ADHD. A score higher than 60 may indicate ADHD. And a T-score higher than 70 means your ADHD symptoms are more serious.

The ASRS has a clinical cutoff of ≥14, with a further delineation into four strata, including two score ranges below and above cutoff, respectively (Strata 1 and 2 refers to scores 0-9 and 10-13, Strata 3 and 4 to scores 14-17 and 18-24; Kessler et al., 2007).

A widely used screening instrument for identifying adult ADHD is the Adult ADHD Self-Report Scale, version 1.1 (ASRS-v1. 1). Using a total score of ≥4 on the six-item Part A section of the scale as the threshold to indicate a positive screening test, the developers of the ASRS-v1.

The Adult ADHD Self-Report Scale (ASRS) Screener v1. 1 is used in primary care and mental health settings to screen for adult ADHD (Attention Deficit Hyperactivity Disorder). The ASRS has been validated in the general population.

The Conners Abbreviated Symptom Questionnaire has the best combination of positive and negative likelihood ratios (eTable A).

The Adult Attention-Deficit/Hyperactivity Disorder Self-Reporting Rating Scale (ASRS) is composed of 18 questions, and uses a scale that ranges from 0-4 based on the individual's mark in either the "never, rarely, sometimes, often, very often" column for a possible total score of 72.

A standardized measure called a T-score helps your doctor compare your results. When your T-score is less than 60, it usually means you don't have ADHD. A score higher than 60 may indicate ADHD. And a T-score higher than 70 means your ADHD symptoms are more serious.

Depending on the question, responses are either scored as 0 or 1. On items 1-3, 9, 12, 16, and 18 ratings of sometimes, often, or very often are assigned one point (ratings of never or rarely are assigned zero points).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232