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DSM 5 ADHD Symptom Checklist. Page 2. Scoring Instructions. To meet DSM-‐V criteria for ADHD in childhood, a child must have at least 6 responses of "Often" Refer to caddra.ca for latest updates. ADHD CHeCklist. SYMPTOMS: Check the appropriate box. Not at all Somewhat Pretty much Very much Diagnoses. Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist. Instructions. The questions on the back page are designed to stimulate dialogue between you and Adult Attention Deficit Disorder. This checklist was developed from the experience of many specialists in the field of Attention Disorders and. Is it ADHD? Symptom Checklist. Deciding if a child has ADHD is a several step process. There is no single test to diagnose ADHD, and many other.Please give this completed checklist to your healthcare professional to discuss during your appointment. Never. Rarely Sometimes Often. Very often. Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist. Please answer the questions below, rating yourself on each of v1-1.pdf Accessed March 15, 2012.