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ASRS v1.1 screener printable
Download the six-question ASRS v1.1 adult screener with its original instructions, response scale, shaded boxes, and attribution. Fill it in on paper and bring this to your appointment. Screening is not diagnosis.
A blank page, ready for you
US Letter PDF. Print at actual size or fit to A4. Embedded fonts keep the layout consistent. Keep completed worksheets somewhere private.
Download PDFSource and reproduction terms: NYU ASRS v1.1 six-question screener. Attribution and copyright appear in the PDF. The official source-file comparison noted in our methodology remains a prelaunch review item.
Frequently asked questions
Is this an ADHD test?
The games and planning tools are not ADHD tests. They cannot diagnose ADHD or change an ASRS screening outcome. Only the separately labeled adult screener provides an official screening result, which is still not a diagnosis.
Where does my information go?
Games keep personal bests only in local storage on this browser. Task checklist text stays in this tab. Blank PDF downloads contain no personal data. Tool analytics send event names only, never your numbers or task text.
What do game numbers mean?
They describe this attempt on this device. Timing includes your device and input method. Interruptions, practice, and the way you play can change the numbers. There are no population comparisons or clinical interpretations.
Prepared by the ADHDFalcon editorial team. Reviewed 2026-10-28. No medical review has occurred.