ADULT ADHD SELF-REPORT SCALE

ADULT ADHD SELF-REPORT SCALE (ASRS-V1.1) SYMPTOM CHECKLIST

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ADULT ADHD SELF-REPORT SCALE (ASRS-V1.1) SYMPTOM CHECKLIST

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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 this completed checklist to your healthcare professional to discuss during your appointment.

Adult ADHD Self-Report Scale | Clearwater Aesthetics

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Formerly Clearwater

  • Phone: 727-477-3636
  • Email: Info@clearwateraesthetics.com
  • Office Address: 818 Chestnut St, Clearwater, FL 33756

Port Richey

  • Phone:+1 (727) 477 3380
  • Email: appointment@epicaesthetix.com
  • Office Address: Port Richey,6652 Ridge Rd, Port Richey, Florida 34668

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  • Phone:+1 (352) 352 8866
  • Email: appointment@epicaesthetix.com
  • Office Address: Spring Hill, 7351 Spring Hill Drive Unit 7, Spring Hill, Florida 34606

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  • Phone:+1 (352) 352 9800
  • Email: appointment@epicaesthetix.com
  • Office Address: Brooksville, 20126 Cortez Boulevard, Brooksville, Florida 34601

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  • Phone:+1 (352) 352 9045
  • Email: appointment@epicaesthetix.com
  • Office Address: Weeki Wache, 6254 Commercial Way, Spring Hill, Florida 34613

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  • Phone:+1 (727) 477 3383
  • Email: appointment@epicaesthetix.com
  • Office Address: St. Petersburg, 10410 Roosevelt Blvd N, St. Petersburg, Florida 33716

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