ADHD Self-Report Scale

This is a psychological diagnostic for ADHD.

Please tick as appropriate.

Part A:

1. How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?

Never

Rarely

Sometimes

Often

Very Often

2. How often do you have difficulty getting things in order when you have to do a task that requires organization?

Never

Rarely

Sometimes

Often

Very Often

3. How often do you have problems remembering appointments or obligations?

Never

Rarely

Sometimes

Often

Very Often

4. When you have a task that requires a lot of thought, how often do you avoid or delay getting started?

Never

Rarely

Sometimes

Often

Very Often

5. How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?

Never

Rarely

Sometimes

Often

Very Often

6. How often do you feel overly active and compelled to do things, like you were driven by a motor?

Never

Rarely

Sometimes

Often

Very Often

Part B:

7. How often do you make careless mistakes when you have to work on a boring or difficult project?

Never

Rarely

Sometimes

Often

Very Often

8. How often do you have difficulty keeping your attention when you are doing boring or repetitive work?

Never

Rarely

Sometimes

Often

Very Often

9. How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly?

Never

Rarely

Sometimes

Often

Very Often

10. How often do you misplace or have difficulty finding things at home or at work?

Never

Rarely

Sometimes

Often

Very Often

11. How often are you distracted by activity or noise around you?

Never

Rarely

Sometimes

Often

Very Often

12. How often do you leave your seat in meetings or other situations in which you are expected to remain seated?

Never

Rarely

Sometimes

Often

Very Often

13. How often do you feel restless or fidgety?

Never

Rarely

Sometimes

Often

Very Often

14. How often do you have difficulty unwinding and relaxing when you have time to yourself?

Never

Rarely

Sometimes

Often

Very Often

15. How often do you find yourself talking too much when you are in social situations?

Never

Rarely

Sometimes

Often

Very Often

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?

Never

Rarely

Sometimes

Often

Very Often

17. How often do you have difficulty waiting your turn in situations when turn taking is required?

Never

Rarely

Sometimes

Often

Very Often

18. How often do you interrupt others when they are busy?

Never

Rarely

Sometimes

Often

Very Often

Part A Score: Please complete the questionnaire above.

Part B Score: Please complete the questionnaire above.

Total Score: Please complete the questionnaire above.

How to score:

Score Part A. If four or more ticks appear in the bolded items within Part A then the patient has symptoms highly consistent with ADHD and further investigation is warranted.

Score Part B. Pay particular attention to ticked bolded items. No total score or diagnostic likelihood is utilized for the twelve questions.