Adult ADHD Questionnaire

For a Right to Choose ADHD assessment, some providers require a questionnaire to be done prior to the referral (ASRS).  

• Please could you give us a copy of this questionnaire if your provider requires it, if not – please complete this form.
• Please note that the ASRS questionnaire on this page is for adults only. If this referral is for your child and the provider you have selected does not have any questionnaire, there is no need to do anything else besides answer the following questions.