Adult ADHD Screening Test

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Please note

This is not a diagnostic tool. It is an exercise to assess for symptoms that could suggest ADHD in adults.

The basis of this screening test is the World Health Organization (WHO) Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist.

If you share your test results with your GP or Doctor, it will help them to decide whether formal assessment is required 👩‍⚕️

Please read the following carefully before starting.

Take your time answering the questions. Accuracy is more important than speed ⌚

There are no right or wrong answers 😎

Give as much detail as you can. Detailed answers will help your GP or Doctor to determine the best course of action ✍

Unless otherwise directed, answer the questions based on how you have felt and conducted yourself over the past 6 months

It is your decision over whether you share your results with your GP or Doctor 🔒

What happens at the end of the test?

A summary of your assessment, including your score on the ASRS scale, will be emailed to you in PDF format.

The PDF document will include recommendations for your GP or Doctor on the possible next steps.

Sharing the report with them will allow them to make a decision over whether a referral is appropriate 😎

Start by telling us your age.

18-29 years

30-39 years

40-49 years

50-59 years

60-69 years

70+ years

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

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

Never

Rarely

Sometimes

Often

Very Often

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How often do you have problems remembering appointments or obligations?

Never

Rarely

Sometimes

Often

Very Often

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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

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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

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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

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

Never

Rarely

Sometimes

Often

Very Often

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

Never

Rarely

Sometimes

Often

Very Often

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

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

Never

Rarely

Sometimes

Often

Very Often

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

Never

Rarely

Sometimes

Often

Very Often

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

How often do you feel restless or fidgety?

Never

Rarely

Sometimes

Often

Very Often

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

Never

Rarely

Sometimes

Often

Very Often

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

Never

Rarely

Sometimes

Often

Very Often

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

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

Never

Rarely

Sometimes

Often

Very Often

How often do you interrupt others when they are busy?

Never

Rarely

Sometimes

Often

Very Often

The next section will ask about your symptoms.

Please answer the questions thoroughly, giving as much detail as you can ✍

If you need help with this section, try asking a parent, friend or somebody else who knows you well for help. Often, their insights are extremely helpful.

Do any of these symptoms apply to you?

Select as many or few options as you like.

Lack of attention to detail

Trouble staying focused

Frequent spaciness

Difficulty following instructions

Lack of organization

Easily distracted

Forgetfulness

Often misplacing possessions

Difficulty sustaining mental effort

Procrastination

Difficulty starting tasks

Difficulty completing tasks

Lack of motivation

Difficulties with time planning

Chronic lateness

Low self-esteem

Hard to stay focused

Difficulty controlling emotions

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Hidden-Do any of these

Nil input

If there are other symptoms you feel we have missed from our list, please list them here.

Enter as much detail as you can. The more information you give, the more likely it is that you will benefit from an accurate assessment.

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Hidden-Other symptoms

Nil input

Give some examples of how your symptoms have recently impacted you (at work, at home, relationships etc).

Enter as much detail as you can. The more information you give, the more likely it is that you will benefit from an accurate assessment.

Are you currently struggling with any of the following mental health issues?

Select as many or few options as you like.

Anxiety

Depression

Obsessive-Compulsive Disorder

Sleep disorders

Post-traumatic stress disorder (PTSD)

Describe any other mental health issues you are experiencing.

Enter as much detail as you can. The more information you give, the more likely it is that you will benefit from an accurate assessment.

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Nil health issues

Nil

Have you ever been in trouble with the police?

Yes

Please summarise the trouble you have been in with the police.

Enter as much detail as you can. The information will assist in achieving an accurate assessment.

Have you ever experienced any heart problems?

Yes

Please provide details of the heart problems.

Enter as much detail as you can. The information will assist in achieving an accurate assessment.

School experience

It is important that you answer this section thoroughly as possible.

Inadequate information regarding early years and schooling is one of the most common causes for a GP referral to be rejected by the psychiatry team.

Approximately how old were you when you first began to notice symptoms?

Infancy (under 4 years)

Early primary school (4 – 7 years)

Later primary school (7 – 11 years)

Early secondary school (11 – 14 years)

Later secondary school (14 – 16 years)

17+ years

How would you summarise your school experience and behaviour?

Select as many or few options as you like.

Class clown

Poor academic attainment

Hyperactivity

Couldn’t sit still

Dismissed from class frequently

Difficulty focusing

Suspended / excluded form school

Made to work in isolation

Frequently told off for talking in class

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Hidden-Summarise school

Nil input

In your own words, describe the particular struggles your symptoms caused you at school.(Required)

Enter as much detail as you can. The more information you give, the more likely it is that you will benefit from an accurate assessment.

This field is hidden when viewing the form

Hidden-anythingelse

Nil input

Did parents, teachers or fellow pupils comment on your behaviour?

Yes

What did they say?(Required)

Enter as much detail as you can. The more information you give, the more likely it is that you will benefit from an accurate assessment.

Select your highest level of academic achievement.

GCSEs

A Levels / IB Diploma

BTEC

NVQ / Apprenticeship

HND

HNC

Degree

Postgraduate Degree

None

Why did you decide to embark on a journey towards managing your symptoms?

Select as many or few options as you like.

Understanding if I have a diagnosable condition

Become more productive

Perform better at work

Learn to create healthy relationships

Improve mental health

Eliminate impulsive behaviour

Eliminate stress and anxiety

Become a better student

Learn to act on long-term goals

Be able to maintain focus

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Hidden- Motivations

Nil input

Is there anything else that you would like to mention that you feel you haven't shared?

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Hidden-Other input

Nil input

Your ASRS Self Test and Symptom History Report pack (6-page PDF) is almost ready 👩‍⚕️

To generate your report pack and see your results, please enter your details below.

We recommend forwarding your report to your GP or Doctor. Therefore please make sure the information you provide below is correct ✍

If no email is received after you click ‘Generate Report’, try checking your spam folder.

Your title(Required)

Your name(Required)

First Name Surname

Your home address

Address Line 1 Address Line 2 City County Postcode

Your date of birth (dd/mm/yyyy)(Required)

Day

Month

Year

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TodayDateHidden

DD slash MM slash YYYY

Your email address(Required)

Note: Your 6-page PDF Self Test and Symptom History Report pack will be sent to this email address.

Enter Email Confirm Email

GP Surgery name

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ScoreCalculation

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