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ADHD Hyperactivity & Impulsivity — the 9 ASRS Items Explained

The hyperactivity/impulsivity domain uses 9 ASRS items scored 0–4 each, for a total of 0–36. In adults, this often shows up as internal restlessness, difficulty waiting, interrupting, or trouble unwinding.

The items cover fidgeting during long sitting, feeling driven by a motor, leaving your seat, restlessness, difficulty relaxing, talking too much, finishing others’ sentences, difficulty waiting, and interrupting others.

Descriptive ranges

TotalRange
0–9Low
10–17Noticeable
18–26Elevated
27–36High
These are descriptive ranges, not clinical cut-offs. The validated reading is the Part A screen. This page is for self-awareness, not a medical diagnosis. ADHD can only be diagnosed by a qualified professional through a fuller evaluation.

FAQ

Is being energetic the same as hyperactivity?

No. Energy can be a strength. It becomes symptom-like when it feels hard to control and creates real costs in work, study, relationships, or daily routines.

Adults don't look hyperactive — why these items?

Adult hyperactivity is often internal restlessness and impulsive speech rather than running around. These ASRS items are designed to capture that adult surface.

Kessler et al. (2005), WHO Adult ADHD Self-Report Scale (ASRS v1.1).
Start the check (18 items)