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adult questionaire -


Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page. As you answer each question, place an X in the box that best describes how you have felt and conducted yourself over the past 6 months. Please give. 12/13/14 3 RECOVERY AND FUNCTIONING Now I am going to read a series of statements. As I read each statement, please indicate how much you agree with .

Adult Self-Report Scale (ASRS) Symptom Checklist Please answer the questions below,rating yourself on each of the criteria shown using the scale on the right side of the page. As you answer each question,circle the correct number that best describes how you have felt and conducted yourself over the past 6 months.Please give this. Screening Checklist for Contraindications to Vaccines for Adults patient name date of birth / / For patients: The following questions will help us determine which vaccines you may be given today. If you answer “yes” to any question, it does not necessarily mean you should not be vaccinated.

Adult Attention Deficit Hyperactivity Disorder (ADHD) is a relatively common, often unrecognized condition. It affects 4.4% of U.S. adults, but most adults with ADHD live with the symptoms and suffer the often-devastating effects of ADHD in their lives without identifying the source of their struggles. PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive.