0 of 6 answered
Check the box that best describes how you have felt and conducted yourself over the past 6 months. Please give the completed questionnaire to your healthcare professional during your next appointment to discuss the results.
- How often do you have difficulty getting things in order when you have to do a task that requires organization?
- How often do you have problems remembering appointments or obligations?
- When you have a task that requires a lot of thought, how often do you avoid or delay getting started?
- How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?
- How often do you feel overly active and compelled to do things, like you were driven by a motor?
Result
Your result and its explanation will appear here after you answer all 6 questions.
About this questionnaire
- The following questionnaire can be used as a starting point to help you recognize the signs/symptoms of Adult ADHD but is not meant to replace consultation with a trained healthcare professional. An accurate diagnosis can only be made through a clinical evaluation.
- This Adult Self-Report Scale-V1.1 (ASRS-V1.1) Screener is intended for people aged 18 years or older.
- The 6-question Adult Self-Report Scale-Version1.1 (ASRS-V1.1) Screener is a subset of the 18-question Adult ADHD Self-Report Scale-Version1.1 (Adult ASRS-V1.1) Symptom Checklist.
- The questions, answers and scoring on this page are those of the official form, without changes. As on the original form, answers at the screening level have a darker background. For the original form and the latest guidance, please refer to the Harvard NCS website.
Scoring
- Questions 1 to 3 meet the screening level at Sometimes or more often; questions 4 to 6 at Often or more often. Each counts as 1, so the total is from 0 to 6.
| Score | Result | Meaning |
|---|---|---|
| 0–3 | Below the screening threshold | Fewer than 4 of your answers meet the screening level. This is below the threshold of this questionnaire. |
| 4–6 | Screened positive | Four (4) or more checkmarks indicate that your symptoms may be consistent with Adult ADHD. It may be beneficial for you to talk with your healthcare provider about an evaluation. |
Crisis lines
If you feel distressed, cannot cope, or have thoughts of harming yourself, please contact one of the services below.
988 Suicide & Crisis Lifeline
Call or text 988, or chat at 988lifeline.org. Free and confidential, 24 hours a day, 7 days a week.
Crisis Text Line
Free, 24/7 support by text message. Crisis Text Line is a charity, not a government service.
Helpline details last checked: October 26, 2026.
Source and copyright
- Adult ADHD Self-Report Scale-V1.1 (ASRS-V1.1) 6-Question Screener
- Kessler, R.C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., Howes, M.J., Jin, R., Secnik, K., Spencer, T., Ustun, T.B., Walters, E.E. (2005). The World Health Organization Adult ADHD Self-Report Scale (ASRS). Psychological Medicine, 35(2), 245-256
- Copyright © New York University and President and Fellows of Harvard College. All rights reserved. Form: © New York University and Ronald C. Kessler, PhD. All rights reserved.
- The questions, answers and result sentence are the English form published on the Harvard NCS website.
- Harvard Medical School, National Comorbidity Survey: Adult ADHD Self-Report Scale (ASRS)
- Harvard Medical School, National Comorbidity Survey: ASRS-V1.1 6-Question Screener (English)
- Harvard Medical School, National Comorbidity Survey: ASRS-V1.1 6-Question Screener (Chinese (Mandarin))
Last checked: October 26, 2026.