Could you have adult ADHD? A 5-minute self-screening.
This is the Adult ADHD Self-Report Scale (ASRS-v1.1), developed by the World Health Organization. It is the most widely used adult ADHD screening tool in the world. Your answers stay on your device. Nothing is saved or sent.
Validation: Kessler RC, Adler L, et al. (2005). Psychological Medicine 35(2):245-256. See full sources →
How to use this
- Set aside about 5 quiet minutes. There are 18 short questions.
- Answer based on how you have felt and behaved over the past 6 months. Not your worst week, not your best week.
- Be honest. There are no right or wrong answers.
- Your result appears below the questions and updates as you answer.
- If your screen is positive, book a session with an ElloMind psychologist for a proper evaluation.
The questions
Understanding your result
How is the score calculated?
The ASRS-v1.1 has 18 questions split into two parts.
Part A — the 6 core questions (the screener)
Researchers found that just six of the 18 questions are the most predictive of adult ADHD. These six questions decide your screening result. Each one has a specific frequency above which the answer counts.
| Question | Counts when answered |
|---|---|
| 1. Trouble wrapping up final details | Sometimes / Often / Very Often |
| 2. Difficulty getting things in order | Sometimes / Often / Very Often |
| 3. Problems remembering appointments | Sometimes / Often / Very Often |
| 4. Avoiding tasks that need a lot of thought | Often / Very Often |
| 5. Fidgeting when seated for long periods | Often / Very Often |
| 6. Feeling driven by a motor | Often / Very Often |
Official WHO scoring rule (verbatim): "Score Part A. If four or more marks appear in the darkly shaded boxes within Part A then the patient has symptoms highly consistent with ADHD in adults and further investigation is warranted." The Kessler et al. 2005 validation study found this cut-off correctly flags most people with adult ADHD while only rarely flagging people without it.
Part B — the 12 supporting questions
The other 12 questions do not produce a yes-or-no result on their own. They give a fuller picture of which symptoms you experience. The accepted clinical threshold for any ADHD symptom is "Often" or "Very Often" (per DSM-5, the standard diagnostic manual). The "symptoms endorsed strongly" count tells you how many of all 18 questions you marked at this clinically meaningful level.
Two symptom domains
ADHD symptoms split into two clusters. The breakdown above shows how many you endorsed in each:
- Inattention: trouble focusing, organizing, finishing tasks, remembering, getting distracted (questions 1, 2, 3, 4, 7, 8, 9, 10, 11)
- Hyperactive / impulsive: restlessness, fidgeting, talking too much, interrupting, difficulty waiting (questions 5, 6, 12, 13, 14, 15, 16, 17, 18)
Adults need 5 or more symptoms in either domain (at "Often" or "Very Often") to meet the symptom criterion under DSM-5. That is one of several criteria a clinician will check.
Why two thresholds for Part A?
The six Part A questions are weighted differently because researchers found that for some of them, even "Sometimes" was a strong predictor. For others, the answer needed to be "Often" or higher. The line under each option in the form reflects this.
What if my screen is positive?
A positive screen is not a diagnosis. It means your symptoms are worth a proper assessment with a psychologist.
An ADHD evaluation looks at:
- Whether your symptoms show up in more than one setting (work, home, relationships)
- Whether you had similar symptoms as a child (ADHD starts before age 12)
- How much your symptoms affect daily life
- Whether something else (anxiety, depression, sleep problems, thyroid issues, trauma) might explain what you are experiencing
ElloMind psychologists conduct ADHD evaluations in English and Malayalam. A first session takes about 50 minutes.
What if my screen is not positive but something still feels off?
Trust that. A screening tool only checks one possible explanation. Many things can cause attention or restlessness problems: anxiety, depression, sleep problems, burnout, life transitions, or thyroid issues.
If something feels off, talk to a psychologist. The conversation does not need to be about ADHD. It can be about whatever is actually bothering you.
Is the scoring official? Validation, accuracy, and sources
Where the scoring rules come from
Every scoring rule on this page is taken directly from the official published version of the ASRS-v1.1. Nothing has been modified, simplified, or interpreted.
| Scoring rule | Source |
|---|---|
| The 18 questions, verbatim | WHO Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist |
| Item-specific shading thresholds (Q1-3 count from "Sometimes", Q4-6 count from "Often") | Kessler et al., 2005, Psychological Medicine 35(2):245-256 |
| Cut-off of 4 or more in shaded zones = positive screen | WHO ASRS-v1.1 Symptom Checklist scoring instructions |
| Symptom criterion threshold ("Often" or "Very Often" = symptom present) | DSM-5, American Psychiatric Association, 2013 |
| Symptom domain mapping (Inattention vs Hyperactivity-Impulsivity) | DSM-IV-TR / DSM-5 ADHD diagnostic criteria |
| Adult diagnostic threshold (≥5 symptoms in either domain) | DSM-5, ADHD criterion A (adults) |
How accurate is the 6-item screener?
The 6-item screener was validated against full clinical assessment in the National Comorbidity Survey Replication, a representative US population sample. Results from Kessler et al. (2005):
- Sensitivity: 68.7%. When someone has ADHD, the screener correctly flags them about 69% of the time.
- Specificity: 99.5%. When someone does not have ADHD, the screener correctly does not flag them 99.5% of the time. False positives are rare.
- Total classification accuracy: 97.9%.
- Positive predictive value (PPV): 87.5%. If your screen is positive, there is roughly an 87% chance a clinician would confirm ADHD on full assessment.
- Negative predictive value (NPV): 96.6%. If your screen is negative, ADHD is unlikely but not impossible.
Who developed it
The ASRS-v1.1 was developed in conjunction with the World Health Organization (WHO) and the Workgroup on Adult ADHD:
- Lenard Adler, MD, Associate Professor of Psychiatry and Neurology, NYU Medical School
- Ronald C. Kessler, PhD, Professor, Department of Health Care Policy, Harvard Medical School
- Thomas Spencer, MD, Associate Professor of Psychiatry, Harvard Medical School
The instrument is in the public domain and used here without modification.
Limitations of any screening tool
Screening tools trade depth for speed. A 5-minute self-report can miss things a 60-minute clinical interview would catch:
- About 31% of people with ADHD answer in a way that does not trigger a positive screen (the false-negative rate). If symptoms are affecting your life, do not let a negative screen close the conversation.
- The screen looks at the past 6 months only. ADHD must also be present from childhood, which a clinician will assess separately.
- Conditions that overlap with ADHD (anxiety, depression, sleep disorders, thyroid problems, trauma) can produce similar answers. A clinician differentiates these.
- Self-report is honest but not perfect. We tend to underestimate or overestimate ourselves on different items.
Full citations
- Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychological Medicine. 2005;35(2):245-256.
- Adler LA, Spencer T, Faraone SV, Kessler RC, Howes MJ, Biederman J, Secnik K. Validity of pilot Adult ADHD Self-Report Scale (ASRS) to rate adult ADHD symptoms. Annals of Clinical Psychiatry. 2006;18(3):145-148.
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Washington, DC: APA Publishing; 2013.
- World Health Organization. Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist. Available from the WHO Composite International Diagnostic Interview materials.