McArthur Counseling Center Anxiety Screening Form

This is a screening form for anxiety. Rate the person to be evaluated on each of the symptoms listed below using the following scale: 16 questions.

1 Never       2 Rarely       3 Occasionally       4 Frequently       5 Very Frequently

Adult ADHD

  • Scoring Key:
    5 or more items that are scored with "4's" and "5's" are significant.The individual should seek more in depth testing.
    3 or 4 items that are scored with "4's" or "5's" are suspicious. Further testing should be considered.
    If more than half of the items have at least a score of "3", the diagnosis should be at least ruled out. Testing should be considered.