1. How often do you fidget with your hands or feet when you have to sit in class or in other situations?
Never Rarely Sometimes Often Very Often
2. How often do you have trouble sitting still when you need to be seated?
Never Rarely Sometimes Often Very Often
3. How often do you have to get up when you are supposed to be seated?
Never Rarely Sometimes Often Very Often
4. How often do you have difficulty staying still when you need to sit for a long time?
Never Rarely Sometimes Often Very Often
5. How often do you have difficulty playing or working quietly?
Never Rarely Sometimes Often Very Often
6. How often do you feel as if you were driven by a motor, unable to slow down?
Never Rarely Sometimes Often Very Often
7. How often do you have difficulty winding down at the end of the day?
Never Rarely Sometimes Often Very Often
8. 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
9. How often do you have trouble getting things done because you are so restless?
Never Rarely Sometimes Often Very Often
10. How often do you fidget or squirm when you are waiting for something to happen?
Never Rarely Sometimes Often Very Often
11. How often do you feel like you have to be on the go when you should be at rest?
Never Rarely Sometimes Often Very Often
12. How often do you have difficulty staying relaxed when you are supposed to be relaxed?
Never Rarely Sometimes Often Very Often
13. How often do you have trouble slowing down?
Never Rarely Sometimes Often Very Often
14. How often do you feel restless when you are supposed to be quiet?
Never Rarely Sometimes Often Very Often
15. How often do you find yourself moving when you shouldn't?
Never Rarely Sometimes Often Very Often
16. How often do you have difficulty sitting still for a long time?
Never Rarely Sometimes Often Very Often
17. How often do you feel like you have to keep moving?
Never Rarely Sometimes Often Very Often
18. How often do you feel impatient when you are waiting in line?
Never Rarely Sometimes Often Very Often
Kessler RC, Adler L, Ames M, et al. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med. 2005;35(2):245-256. Developed by WHO in collaboration with the Workgroup on Adult ADHD.