ADHD Context

ASRS v1.1 6-question screener result, threshold-hit count, and response-validity context.

Age of onset, setting-based impairment, occupational or academic impact, and collateral availability.

Differential and Next Steps

Screen for anxiety, depression, PTSD, sleep disorder, substance use, bipolar symptoms, TBI, and medication effects.

Plan formal evaluation, PCP/psychiatry referral, coaching supports, or accommodations as appropriate.

0/6 Score

0 of 6 Answered

Incomplete Four or more shaded-cell responses is a positive screen.

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?

Original ASRS v1.1 6-question rule: 4+ threshold hits is a positive screen; do not diagnose ADHD from the screener alone.

Onset before age 12:

Functional impairment domain and severity (work / home / social / academic):

Collateral source consulted:

Focus	Documentation
Screen interpretation	Record the ASRS 6-question screen status, threshold-hit count, impairment, and confidence in the response quality. ASRS screen status: Impairment / functional impact: Clinical interpretation:
Clinical follow-up	Tie the result to onset, cross-setting impairment, rule-outs, and the next clinical step. ADHD symptom pattern: Rule-outs / differential: Next step:
Follow-up	Set formal evaluation, collateral, referral, accommodation, and reassessment needs. Evaluation / collateral: Education / referral: Reassessment interval:

Focus

Documentation

Screen interpretation

Record the ASRS 6-question screen status, threshold-hit count, impairment, and confidence in the response quality.

ASRS screen status:

Impairment / functional impact:

Clinical interpretation:

Clinical follow-up

Tie the result to onset, cross-setting impairment, rule-outs, and the next clinical step.

ADHD symptom pattern:

Rule-outs / differential:

Next step:

Follow-up

Set formal evaluation, collateral, referral, accommodation, and reassessment needs.

Evaluation / collateral:

Education / referral:

Reassessment interval: