Adult ADHD self-check: 18 questions from the WHO scale
Researchers at the World Health Organization and Harvard built the Adult ADHD Self-Report Scale (ASRS v1.1) from the 18 ADHD symptoms in the DSM. Answer for the past 6 months. You need about 5 minutes.
The scale screens for ADHD. Only a clinician can diagnose it or name its type. Your answers stay in this browser. Google Analytics gets the start, the finish, the result group and App Store taps.
The screener: the answers match the pattern it looks for
of 6 Part A answers fall in the range the WHO scoring counts. Four or more is consistent with ADHD in adults. A clinician can confirm it with a full assessment, so take these answers to the appointment.
The screener: the answers fall below its threshold
of 6 Part A answers fall in the range the WHO scoring counts, and the threshold is four. The screener misses some adults with ADHD. If focus trouble gets in the way of work or home life, ask a clinician.
Your profile by symptom group
Inattention 0 of 9
Hyperactivity and impulsivity 0 of 9
The mark at 5 shows the DSM-5 symptom count for adults.
Pattern: combined
Both groups reach five. The DSM-5 calls this the combined presentation: attention slips, and restlessness and quick actions show up too.
Pattern: mostly inattentive
Inattention reaches five and hyperactivity stays below it. The DSM-5 calls this the predominantly inattentive presentation, once known as ADD. You lose focus, miss details and misplace things, while outward restlessness stays low.
Pattern: mostly hyperactive-impulsive
Hyperactivity reaches five and inattention stays below it. The DSM-5 calls this the predominantly hyperactive-impulsive presentation: restlessness, talking over people, trouble waiting.
Pattern: neither group reaches five
Neither count reaches the DSM-5 line for adults. Sleep, anxiety, depression and stress can also break focus, and a clinician can tell these apart from ADHD.
A DSM-5 type also needs symptoms before age 12, in at least two settings such as work and home, and a clear cost to your life. A self-report can’t check any of that.
What Opora does
- A visual timer set to your own focus length, 12 minutes or 40.
- A first round of 5 minutes, short enough to start on a bad day.
- CBT and DBT skills for the moments you stall.
For iPhone with iOS 17 or later. Opora does not replace care from a specialist.
How the scoring works
Each question has a cut-off. Questions 1, 2, 3, 9, 12, 16 and 18 count from Sometimes. The other eleven count from Often.
counted
The screener result uses Part A only: four or more counted answers out of six match the pattern the WHO scoring looks for. The profile uses all 18 and splits them into the two DSM-5 groups, nine questions each.
Three presentations of ADHD
Inattentive
Focus drifts, details slip, things go missing. From the outside it can look like daydreaming.
Hyperactive-impulsive
A restless body, fast talk, trouble waiting. In adults the motor often moves inside and shows up as inner restlessness.
Combined
Both groups of symptoms at the same time.
Questions and scoring: Adult ADHD Self-Report Scale (ASRS v1.1) Symptom Checklist, World Health Organization. The symptom groups follow the DSM-5. The 5 of 9 mark is the DSM-5 adult threshold and sits outside the WHO scoring.