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ASRS_en

The document is a self-assessment questionnaire (ASRS-v1.1) designed to evaluate an individual's behaviors and feelings over the past six months related to attention and activity levels. It consists of 18 questions that ask respondents to rate their experiences using a frequency scale from 'Never' to 'Very often.' The aim is to identify patterns that may indicate attention-related issues.

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Alice Murteira Morgado
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10 views1 page

ASRS_en

The document is a self-assessment questionnaire (ASRS-v1.1) designed to evaluate an individual's behaviors and feelings over the past six months related to attention and activity levels. It consists of 18 questions that ask respondents to rate their experiences using a frequency scale from 'Never' to 'Very often.' The aim is to identify patterns that may indicate attention-related issues.

Uploaded by

Alice Murteira Morgado
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ASRS-v1.

Please answer the questions below, rating yourself on each of the criteria shown using the scale
on the right side of the page. As you answer each question, place an X in the box that best
describes how you have felt and conducted yourself over the past 6 months.

Never Rarely Sometimes Often Very


often
1. How often do you have trouble wrapping up the
final details of a project, once the challenging parts
have been done?
2. How often do you have difficulty getting things in
order when you have to do a task that requires
organization?
3. How often do you have problems remembering
appointments or obligations?
4. When you have a task that requires a lot of
thought, how often do you avoid or delay getting
started?
5. How often do you fidget or squirm with your
hands or feet when you have to sit down for a long
time?
6. How often do you feel overly active and
compelled to do things, like you were driven by a
motor?

7. How often do you make careless mistakes when


you have to work on a boring or difficult project?
8. How often do you have difficulty keeping your
attention when you are doing boring or repetitive
work?
9. How often do you have difficulty concentrating
on what people say to you, even when they are
speaking to you directly?
10. How often do you misplace or have difficulty
finding things at home or at work?
11. How often are you distracted by activity or
noise around you?
12. How often do you leave your seat in meetings
or other situations in which you are expected to
remain seated?
13. How often do you feel restless or fidgety?
14. How often do you have difficulty unwinding and
relaxing when you have time to yourself?
15. How often do you find yourself talking too much
when you are in social situations?
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?
17. How often do you have difficulty waiting your
turn in situations when turn taking is required?
18. How often do you interrupt others when they
are busy?

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