This is the 6-item Part A screener, the validated portion of the ASRS v1.1 used for symptom screening.
Please answer each question about how you have felt or behaved.
In the past month, how much were you bothered by each of the following problems?
This is a brief risk screener, not the full licensed C-SSRS. All responses are reviewed by clinical staff.
Please answer the following questions about your alcohol use over the past year.
The following questions concern information about your involvement with drugs, not including alcohol or tobacco, over the past 12 months.
The following statements refer to experiences that many people have in their everyday lives. Please select the option that best describes how much that experience has distressed or bothered you during the past month.
Please rate the CURRENT (i.e., last 2 weeks) severity of your sleep problem(s).
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