Adult ADHD Investigator Symptom Rating Scale (AISRS) Form Preview

About This Template

The Adult ADHD Investigator Symptom Rating Scale (AISRS) template is designed to help you quickly create professional healthcare & medical forms with ease. With 13 pre-configured fields, this template provides everything you need to get started collecting responses immediately.

Best Used For

  • Streamlining data collection
  • Professional information gathering
  • Automating your workflow

Included Fields (13)

Patient Name
Short Text
Date of Assessment
Date
Clinician Name
Short Text
Instructions
Statement
Difficulty sustaining attention in tasks
Scale
Does not seem to listen when spoken to directly
Scale
Fails to follow through on instructions
Scale
Difficulty organizing tasks and activities
Scale
Avoids tasks requiring sustained mental effort
Scale
Loses things necessary for tasks
Scale
Easily distracted by extraneous stimuli
Scale
Forgetful in daily activities
Scale
Clinical Notes
Long Text

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