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ADHDClinical Profile

Adult ADHD Assessment Profile

An adult ADHD questionnaire profile bringing current symptoms, childhood recollections and seven areas of daily life into one report. Read each result alongside your assessment interview.

Last reviewed: September 2026

Items
138
Duration
~29 min
Format
Self-report
Dimensions
7

The Adult ADHD Assessment Profile is a composite assessment that combines 6 validated instruments to support ADHD diagnosis. It covers DSM-5 symptom endorsement (ASRS), retrospective childhood symptoms (WURS-25), functional impairment across 7 life domains (WFIRS-S), and comorbidity screening for depression (PHQ-9), anxiety (GAD-7), and autism (AQ-10). Designed for GPs with prescribing rights and psychologists conducting ADHD evaluations.

The 7 Dimensions

Family

Functional impairment in family relationships — conflict, strain, and ability to fulfil family responsibilities.

WFIRS-S Family domain (Weiss, 2000)

Work

Work-related impairment — task completion, time management, interpersonal functioning in the workplace.

WFIRS-S Work domain (Weiss, 2000)

School

Academic functioning — concentration, assignment completion, and learning difficulties.

WFIRS-S School domain (Weiss, 2000)

Life Skills

Daily living skills — household management, finances, health care, and routines.

WFIRS-S Life Skills domain (Weiss, 2000)

Self-Concept

Self-perception — confidence, self-esteem, and feelings about personal effectiveness.

WFIRS-S Self-Concept domain (Weiss, 2000)

Social

Social functioning — friendships, social engagement, and interpersonal skills.

WFIRS-S Social domain (Weiss, 2000)

Risk

Risk-taking behaviours — driving, substance use, sexual behaviour, and legal difficulties.

WFIRS-S Risk domain (Weiss, 2000)

Scoring & Interpretation

Hybrid scoring model. The diagnostic summary uses categorical assessment: DSM-5 symptom endorsement counts for inattention and hyperactivity/impulsivity subscales, the WURS-25 childhood threshold, and comorbidity severity bands. Functional impairment is read on the WFIRS-S’s own 0–3 scale: each of the 7 life domains is read by the CADDRA 2025 domain rule (a mean of 1.5 or more, or the item ratings), and the report shows how many of the 7 domains have impairment suggested — a self-reported screening picture of where daily life is most affected, not a population percentile.

Scoring references for Adult ADHD Assessment Profile
Score / rangeReadingGuidance
Mean 1.5 or more, or 2 or more items rated 2, or 1 or more items rated 3Impairment suggestedThe published domain rule (CADDRA WFIRS-S Scoring Guide, 2025). It suggests where to look; it doesn’t decide.
None of the threeImpairment not suggestedRead the domain alongside the interview and history.
Every item marked not applicableNot scoredItems marked not applicable are left out of the mean (CADDRA Toolkit, 2018).

Read each instrument on its own scale. The worked example below shows score units, sources and limitations.

Worked report example

Fictional worked example · calculated from synthetic ratings

Assessment report Example

Adult ADHD Assessment Profile

Alex Morgan · fictional adult, age 34

Self-report example · school items marked not applicable

Current symptoms, childhood recollections and everyday functioning, ready to read together.

Screening and contextEach questionnaire keeps its own unit. A positive screen is not a diagnosis.
Measure / domainSelf-report
Current ADHD symptoms · Part AASRS v1.1Screen Positive · reference ≥4 of 65 itemsRange 0–6
Recalled childhood experiencesWURS-25Above the original study reference of 46; history still needs corroboration.50 pointsRange 0–100
Recent mood symptomsPHQ-9Mild symptom range · item 9 rated 0 in this example.8 pointsRange 0–27
Recent anxiety symptomsGAD-7Mild symptom range6 pointsRange 0–21
Autism screening contextAQ-10Below Threshold · does not exclude autism.3 pointsRange 0–10
Impact across daily lifeWFIRS-S · domain means, 0–3 · each domain read by the published domain rule (CADDRA 2025) · higher means more reported difficulty in the past month.
Measure / domainSelf-report
FamilyWFIRS-SImpairment suggested: 2 items rated 2 or 31.25 meanRange 0–3
WorkWFIRS-SImpairment suggested: mean 1.82 (1.5 or more); 8 items rated 2 or 3; 1 item rated 31.82 meanRange 0–3
SchoolWFIRS-SAll school items marked not applicable; no score calculated.Not scored
Life SkillsWFIRS-SImpairment suggested: mean 1.50 (1.5 or more); 6 items rated 2 or 31.50 meanRange 0–3
Self-ConceptWFIRS-SImpairment suggested: mean 1.60 (1.5 or more); 3 items rated 2 or 31.60 meanRange 0–3
SocialWFIRS-SImpairment not suggested0.78 meanRange 0–3
RiskWFIRS-SImpairment not suggested0.36 meanRange 0–3

Bar length shows position within the stated scale range. Read the number and unit; bars are not population percentiles.

How to read this example

Start with the screening result

ASRS Part A counts responses meeting the item-specific screening thresholds. Four or more of six is a positive screen. It prompts further assessment; it does not establish ADHD or the DSM-5 diagnostic criteria. [1]

Keep the childhood history in context

WURS-25 records recalled childhood experiences. Its original validation studied a cut-off of 46. A score above that reference adds information to the history; it cannot by itself confirm symptoms before age 12. [2]

Read the areas of daily life

WFIRS-S domain means use the 0–3 response scale and leave out items marked not applicable. Each domain is read by the published rule: impairment is suggested when the mean is 1.5 or more, two or more items are rated 2, or one item is rated 3. In this example that marks Family, Work, Life Skills and Self-Concept. Family is marked by its item ratings, although its mean is 1.25, so a low mean doesn’t hide a specific difficulty. A suggestion points to where the interview should look; it doesn’t decide. School stays unscored in this example. [3], [4]

Keep the other measures separate

PHQ-9 and GAD-7 describe recent mood and anxiety symptoms. AQ-10 provides autism screening context. Each keeps its own score and interpretation; none is added to an overall ADHD score. [5], [6], [7]

Sources and scoring references

  1. WHO / Harvard: ASRS v1.1 six-question screener and scoring
  2. Ward, Wender & Reimherr (1993): WURS validation
  3. CADDRA (2025): WFIRS-S Scoring Guide, the domain rule
  4. CADDRA Toolkit (2018): WFIRS-S, the 0–3 scale and items marked not applicable
  5. Kroenke, Spitzer & Williams (2001): PHQ-9 validation
  6. Spitzer et al. (2006): GAD-7 validation
  7. Allison, Auyeung & Baron-Cohen (2012): short autism screeners

Example calculations and source links checked September 2026.

Illustration only. Individual questionnaire evidence does not establish validation of a combined profile. No real patient information is shown.

When to Use the ADHD Profile

Use at initial adult ADHD assessment, pre-medication baseline, or as part of an AADPA guideline-aligned evaluation. The patient completes all 6 instruments in one session via a single link. For ongoing treatment monitoring, use individual instruments (ASRS, PHQ-9) rather than repeating the full profile.

Who It's For

Adults (18+) with suspected ADHD. Self-report. Suitable for both GP and psychology clinical contexts. Not validated for paediatric assessment — use Vanderbilt parent/teacher scales (VADPRS/VADTRS) for children.

Compared to Alternatives

ADHD Comprehensive Battery

A simpler 3-form battery (ASRS + WFIRS-S + AUDIT) with independent scoring. Use when you want quick individual scores without the composite report.

Individual instruments

Send ASRS, WFIRS-S, or PHQ-9 individually for targeted screening or treatment monitoring. The profile is for structured initial assessment.

Clinical interview only

The ADHD Profile complements, not replaces, clinical interview and observation.

The ADHD Profile is one of several composite assessment profiles for ADHD and autism. All composite profiles

Frequently Asked Questions

What instruments are included in the Adult ADHD Assessment Profile?

The profile combines 6 validated instruments: the Adult ADHD Self-Report Scale (ASRS, 18 items), Wender Utah Rating Scale (WURS-25, 25 items), Weiss Functional Impairment Rating Scale (WFIRS-S, 69 items), Patient Health Questionnaire (PHQ-9, 9 items), Generalised Anxiety Disorder scale (GAD-7, 7 items), and Autism Quotient-10 (AQ-10, 10 items). Together they cover 138 items across DSM-5 symptoms, childhood history, functional impairment, and comorbidity screening.

How is the ADHD Profile different from sending individual assessment forms?

The profile sends all 6 instruments as a single link with a unified patient experience. The clinician receives a composite diagnostic summary with DSM-5 symptom endorsement counts, a 7-domain functional impairment read (per-domain bars on the WFIRS-S 0–3 scale), and individual instrument scores — all in one PDF report. Sending forms individually requires manual collation and produces separate score reports.

What does the clinician receive after the patient completes the profile?

A clinical PDF report containing: a traffic-light diagnostic summary with DSM-5 inattention and hyperactivity/impulsivity subscale counts, a 7-domain functional impairment read (per-domain bars on the WFIRS-S 0–3 scale) across Family, Work, School, Life Skills, Self-Concept, Social, and Risk domains, comorbidity screening results (PHQ-9, GAD-7, AQ-10), and individual instrument scores. Not every instrument has published severity bands; WFIRS-S is read by domain and individual rating.

Is this assessment aligned with the AADPA guidelines?

The questionnaires contribute symptom screening, recalled childhood experiences, reported functional impairment and selected differential screening. They do not cover a complete diagnostic assessment on their own. Clinical interview, developmental history, collateral information and consideration of other explanations remain necessary.

Which professions can use the Adult ADHD Assessment Profile?

The profile is available to both General Practitioners (GPs with ADHD prescribing rights) and Psychologists. GPs use it for initial ADHD assessment and pre-medication baseline. Psychologists use it as part of comprehensive ADHD evaluations alongside clinical interview.

Use the ADHD Profile in your practice

Available on the Professional plan. Includes the full 138-item assessment, 7-dimension radar chart, and 4-page clinician PDF. Patients complete it on their phone or computer. Scored the moment they submit.

Start FreeView the GP Assessment Toolkit