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ASRS-V11

Please answer the questions below, rating yourself on each of the criteria using the scale. How often do you…

1. 1.have trouble wrapping up the final details of a project, once the challenging parts have been done?

   • [0]Never
   • [1]Almost never
   • [2]Sometimes
   • [3]Fairly often
   • [4]Very often

2. 2.have difficulty getting things in order when you have to do a task that requires organization?

   • [0]Never
   • [1]Almost never
   • [2]Sometimes
   • [3]Fairly often
   • [4]Very often

3. 3.have problems remembering appointments or obligations?

   • [0]Never
   • [1]Almost never
   • [2]Sometimes
   • [3]Fairly often
   • [4]Very often

4. 4.when you have a task that requires a lot of thought, how often do you avoid or delay getting started?

   • [0]Never
   • [1]Almost never
   • [2]Sometimes
   • [3]Fairly often
   • [4]Very often

5. 5.how often do you fidget or squirm with your hands or feet when you have to sit down for a long time?

   • [0]Never
   • [1]Almost never
   • [2]Sometimes
   • [3]Fairly often
   • [4]Very often

6. 6.how often do you feel overly active and compelled to do things, like you were driven by a motor?

   • [0]Never
   • [1]Almost never
   • [2]Sometimes
   • [3]Fairly often
   • [4]Very often