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ASRS

 Instructions 

This is a standard set of questions about your health.

Please consider each question and answer as accurately as possible. 

This question requires a valid date format of MM/DD/YYYY.
calendar
Please answer the following questions. When answering, think about the time between now and your last visit with your medical provider:
4.

How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?

*This question is required.
5. How often do you have difficulty getting things in order when you have to do a task that requires organization? *This question is required.
6.

How often do you have problems remembering appointments or obligations?

*This question is required.
7.

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

*This question is required.
8. How often do you fidget or squirm with your hands or feet when you have to sit down for a long time? *This question is required.
9.

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

*This question is required.
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