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ADULT ADHD SELF-REPORT SCALE (ASRS-V1.1) SYMPTOM CHECKLIST

  • ADULT ADHD SELF-REPORT SCALE (ASRS-V1.1) SYMPTOM CHECKLIST

  • Date Format: MM slash DD slash YYYY
  • Please answer the questions below, rating yourself on each of the criteria shown using the scale. As you answer each question, select the box that best describes how you have felt and conducted yourself over the past 6 months.
  • PART A

  • PART B

  • This field is for validation purposes and should be left unchanged.