# Adult ADHD Self-Report Scale (ASRS)

ASRS

Status: LIVE
Price: $0.005 USDC
`GET /api/calc/asrs`
HTML: https://magentlab.com/docs/asrs
Markdown: https://magentlab.com/docs/asrs.md

Not a medical device. Not a diagnosis, dose, or listing recommendation.

## What it computes

Count Kessler 2005 clinically significant ASRS v1.1 Part A items (six caller-assigned 0-4 frequencies) and return whether four or more are in the published range.

## When to use

When an agent has already assigned Kessler 2005 0-4 integers for each of the six ASRS v1.1 Part A items and needs the published 4-of-6 screen, not an ADHD diagnosis or the 18-item ASRS.

## When not to use

- Not a medical device and not an ADHD diagnosis or treatment order.
- Each of the six Part A items is a caller-assigned integer 0-4 (0 never, 1 rarely, 2 sometimes, 3 often, 4 very often). magent does not interpret the items and does not interview the patient.
- This is Kessler 2005 ASRS v1.1 6-item screener (Part A) only. magent does not score the 18-item ASRS or later 0-24 sum cutoffs.
- wrap_up, organization, and remembering are clinically significant at sometimes or more (≥2). avoid_delay, fidget, and motor are clinically significant at often or more (≥3) (Kessler 2005 Table 1 footnotes). Screen-positive at ≥4 of 6 (Table 4 highest stratum). It is a screen, not a diagnosis.

## Formula

```
ASRS Part A = count of Kessler 2005 clinically significant items among wrap_up, organization, remembering, avoid_delay, fidget, motor; wrap_up/organization/remembering ≥2 (sometimes); avoid_delay/fidget/motor ≥3 (often); screen-positive at ≥4; max 6
```

## Citation

[The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population](https://doi.org/10.1017/s0033291704002892)
Kessler RC, Adler L, Ames M, et al.
Psychol Med. 2005;35(2):245-256
DOI: [10.1017/s0033291704002892](https://doi.org/10.1017/s0033291704002892)

## Worked example

### All items never

Given: `avoid_delay=0, fidget=0, motor=0, organization=0, remembering=0, wrap_up=0`

1. wrap_up 0, organization 0, remembering 0, avoid_delay 0, fidget 0, motor 0: none clinically significant
2. Score = 0 (max 6); screen_positive false (threshold is ≥4)


### Four clinically significant items at published floors

Given: `avoid_delay=3, fidget=0, motor=0, organization=2, remembering=2, wrap_up=2`

1. wrap_up 2, organization 2, and remembering 2 count (≥ sometimes); avoid_delay 3 counts (≥ often); fidget 0 and motor 0 do not
2. Score = 4; screen_positive true


## Also searched as

- Adult ADHD Self-Report Scale
- ASRS v1.1
- ASRS Part A
- Kessler ASRS
- 6-item ADHD screener
- ASRS 6-question screener
- adult ADHD screening scale
- ASRS score

## Parameters

- `wrap_up` (integer, required): Caller-assigned Kessler 2005 ASRS v1.1 Part A item 1 (integer 0-4): how often do you have trouble wrapping up the fine details of a project, once the challenging parts have been done? (0 never, 1 rarely, 2 sometimes, 3 often, 4 very often). Clinically significant at sometimes or more. magent does not interpret the item.
- `organization` (integer, required): Caller-assigned Kessler 2005 ASRS v1.1 Part A item 2 (integer 0-4): how often do you have difficulty getting things in order when you have to do a task that requires organization? Clinically significant at sometimes or more. magent does not interpret the item.
- `remembering` (integer, required): Caller-assigned Kessler 2005 ASRS v1.1 Part A item 3 (integer 0-4): how often do you have problems remembering appointments or obligations? Clinically significant at sometimes or more. magent does not interpret the item.
- `avoid_delay` (integer, required): Caller-assigned Kessler 2005 ASRS v1.1 Part A item 4 (integer 0-4): when you have a task that requires a lot of thought, how often do you avoid or delay getting started? Clinically significant at often or more. magent does not interpret the item.
- `fidget` (integer, required): Caller-assigned Kessler 2005 ASRS v1.1 Part A item 5 (integer 0-4): how often do you fidget or squirm with your hands or your feet when you have to sit down for a long time? Clinically significant at often or more. magent does not interpret the item.
- `motor` (integer, required): Caller-assigned Kessler 2005 ASRS v1.1 Part A item 6 (integer 0-4): how often do you feel overly active and compelled to do things, like you were driven by a motor? Clinically significant at often or more. magent does not interpret the item.

## Bulk (POST)

POST the same path with a JSON items array. The first item is the GET unit; each additional item is $0.002. Invalid items return HTTP 400 before settlement.

Method: `POST /api/calc/asrs`
Max items: 25
Price: unit_amount + extra_item_amount * (n - 1) (unit 5000 atomic, extra 2000 atomic)
Status: PREVIEW

- 1 to 25 items. Each item uses the same keys as the GET query parameters.
- POST of 1 item costs the same as GET. Lists longer than 25: chunk into multiple POSTs. Extra items still execute; do not pad dummy rows.
- The first invalid item fails the whole request (index in the 400 JSON). You are not charged.
- HTTP 200 is {count, path, items}. Each items[i] is the GET 200 body for that row.
- Catalog misses (empty matches, found=false) stay paid 200s inside that slot.
- x402 resource URL is this path plus n and body_sha256. Browsers that prefer text/html get the same paywall as GET; Pay retries POST with the same items.

Example request:

```json
{
  "items": [
    {
      "avoid_delay": "0",
      "fidget": "0",
      "motor": "0",
      "organization": "0",
      "remembering": "0",
      "wrap_up": "0"
    },
    {
      "avoid_delay": "0",
      "fidget": "0",
      "motor": "0",
      "organization": "0",
      "remembering": "0",
      "wrap_up": "0"
    }
  ]
}
```

Human paywall (two-item fixture): https://api.magentlab.com/paywall/bulk/asrs

Example 200:

```json
{
  "count": 2,
  "path": "/api/calc/asrs",
  "items": [
    {
      "components": [
        {
          "value": 0,
          "factor": "wrap_up",
          "points": 0,
          "present": false
        },
        {
          "value": 0,
          "factor": "organization",
          "points": 0,
          "present": false
        },
        {
          "value": 0,
          "factor": "remembering",
          "points": 0,
          "present": false
        },
        {
          "value": 0,
          "factor": "avoid_delay",
          "points": 0,
          "present": false
        },
        {
          "value": 0,
          "factor": "fidget",
          "points": 0,
          "present": false
        },
        {
          "value": 0,
          "factor": "motor",
          "points": 0,
          "present": false
        }
      ],
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "citation": {
        "authors": "Kessler RC, Adler L, Ames M, et al.",
        "doi": "10.1017/s0033291704002892",
        "id": "kessler-2005",
        "pmid": "15841682",
        "source": "Psychol Med. 2005;35(2):245-256",
        "title": "The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population"
      },
      "formula": "asrs",
      "formula_expression": "ASRS Part A = count of Kessler 2005 clinically significant items among wrap_up, organization, remembering, avoid_delay, fidget, motor; wrap_up/organization/remembering ≥2 (sometimes); avoid_delay/fidget/motor ≥3 (often); screen-positive at ≥4; max 6",
      "max_score": 6,
      "score": 0,
      "screen_positive": false
    },
    {
      "components": [
        {
          "value": 0,
          "factor": "wrap_up",
          "points": 0,
          "present": false
        },
        {
          "value": 0,
          "factor": "organization",
          "points": 0,
          "present": false
        },
        {
          "value": 0,
          "factor": "remembering",
          "points": 0,
          "present": false
        },
        {
          "value": 0,
          "factor": "avoid_delay",
          "points": 0,
          "present": false
        },
        {
          "value": 0,
          "factor": "fidget",
          "points": 0,
          "present": false
        },
        {
          "value": 0,
          "factor": "motor",
          "points": 0,
          "present": false
        }
      ],
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "citation": {
        "authors": "Kessler RC, Adler L, Ames M, et al.",
        "doi": "10.1017/s0033291704002892",
        "id": "kessler-2005",
        "pmid": "15841682",
        "source": "Psychol Med. 2005;35(2):245-256",
        "title": "The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population"
      },
      "formula": "asrs",
      "formula_expression": "ASRS Part A = count of Kessler 2005 clinically significant items among wrap_up, organization, remembering, avoid_delay, fidget, motor; wrap_up/organization/remembering ≥2 (sometimes); avoid_delay/fidget/motor ≥3 (often); screen-positive at ≥4; max 6",
      "max_score": 6,
      "score": 0,
      "screen_positive": false
    }
  ]
}
```

## Response fields

- `formula` (string): asrs
- `formula_expression` (string): Exact expression used
- `score` (integer): Count of Kessler 2005 clinically significant Part A items (0-6). Table 4 strata are 0-1, 2-3, and 4-6.
- `max_score` (integer): 6
- `screen_positive` (boolean): true iff score ≥ 4 (Kessler 2005 Table 4 highest stratum; 68.7% sensitivity and 99.5% specificity for the dichotomous 4-of-6 screen). Not a diagnosis.
- `components` (array): Per-item 1 point when in the published clinically significant frequency range
- `citation` (object): Kessler et al. Psychol Med 2005 citation
- `disclaimer` (string): Not-a-device notice

## Example JSON

Frozen fixture. Not a live lookup.

```json
{
  "components": [
    {
      "value": 0,
      "factor": "wrap_up",
      "points": 0,
      "present": false
    },
    {
      "value": 0,
      "factor": "organization",
      "points": 0,
      "present": false
    },
    {
      "value": 0,
      "factor": "remembering",
      "points": 0,
      "present": false
    },
    {
      "value": 0,
      "factor": "avoid_delay",
      "points": 0,
      "present": false
    },
    {
      "value": 0,
      "factor": "fidget",
      "points": 0,
      "present": false
    },
    {
      "value": 0,
      "factor": "motor",
      "points": 0,
      "present": false
    }
  ],
  "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
  "citation": {
    "authors": "Kessler RC, Adler L, Ames M, et al.",
    "doi": "10.1017/s0033291704002892",
    "id": "kessler-2005",
    "pmid": "15841682",
    "source": "Psychol Med. 2005;35(2):245-256",
    "title": "The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population"
  },
  "formula": "asrs",
  "formula_expression": "ASRS Part A = count of Kessler 2005 clinically significant items among wrap_up, organization, remembering, avoid_delay, fidget, motor; wrap_up/organization/remembering ≥2 (sometimes); avoid_delay/fidget/motor ≥3 (often); screen-positive at ≥4; max 6",
  "max_score": 6,
  "score": 0,
  "screen_positive": false
}
```

## Errors

- HTTP 400 `invalid_asrs`: Each ASRS v1.1 Part A item must be an integer 0–4 (Kessler 2005 never to very often). Returned before settlement; you are not charged.
- HTTP 400 `invalid_items`: POST body must be a JSON object with only an items array Returned before settlement; you are not charged.
- HTTP 400 `invalid_item_count`: items must be an array of 1 to 25 objects Returned before settlement; you are not charged.
- HTTP 400 `invalid_item`: each items entry must be a JSON object Returned before settlement; you are not charged.

Shared HTTP 402 and 503: https://magentlab.com/docs/payments

## Related tools

- [PHQ-9](https://magentlab.com/docs/phq-9) — Sum nine caller-assigned Kroenke 2001 PHQ-9 integers (0-3) and return the published total (max 27), severity cutpoints, and ≥10 screen.
- [GAD-7](https://magentlab.com/docs/gad-7) — Sum seven caller-assigned Spitzer 2006 GAD-7 integers (0-3) and return the published 0-21 total, 5/10/15 severity cuts, and ≥10 case-finding flag.
- [CRAFFT](https://magentlab.com/docs/crafft) — Sum the six Knight 2002 CRAFFT items and return whether two or more answers are affirmative.

## Payment

Unpaid requests return HTTP 402 even if query parameters or POST items are missing or invalid, so CDP and agents can index the path. After a PAYMENT-SIGNATURE, invalid params return HTTP 400 JSON before settlement. magent does not charge. Fix the params, then request a new 402 quote for that complete URL. Catalog misses (empty matches, found=false) are valid paid 200s.

- GET the tool with Accept: application/json (do not send Accept: text/html unless you want the human paywall).
- HTTP 402 means you have not paid. Decode the base64 PAYMENT-REQUIRED header. HTTP 503 is not a new quote.
- Sign accepts[0] (exact, EIP-3009) with validBefore = now + maxTimeoutSeconds (600 seconds), or accepts[1] (batch-settlement deposit/voucher) on product GET. Ping and POST {items} stay exact. Magent retries transient facilitator 429/5xx before answering.
- Retry the same URL with PAYMENT-SIGNATURE (base64 JSON of accepted and payload). Magent attaches canonical extensions.bazaar on CDP verify/settle; echoing 402 bazaar is optional.
- Success is HTTP 200 JSON plus PAYMENT-RESPONSE. exact settles before the tool. batch-settlement verifies (and deposit-settles) before the tool and commits the charge after HTTP 2xx. HTTP 503: retry the same PAYMENT-SIGNATURE. Mint a new exact nonce only after a new HTTP 402.

- offered `exact` on eip155:8453: Fixed-price USDC on Base. The buyer authorizes the advertised amount (EIP-3009). magent settles before the tool runs (paymentFlow upfront). extra.assetTransferMethod=eip3009 extra.paymentFlow=upfront.
- offered `batch-settlement` on eip155:8453: Payment-channel vouchers claimed later in batches. Exact stays accepts[0]. Same-path POST {items} is still exact. extra.assetTransferMethod=eip3009 extra.paymentFlow=authorization.

- not offered `upto`: Not offered. Usage-based: buyer authorizes a ceiling, seller settles the actual amount after work. Reserved for a future metered tool. Not for current calculators or code search.

Same-path POST {items} is still scheme exact: one EIP-3009 authorization for GET unit plus $0.002 per extra item. That is not x402 batch-settlement (payment channels / vouchers).

Shared HTTP 402 and 503 table: https://magentlab.com/docs/payments

Stdio MCP (one process per host): https://magentlab.com/docs/mcp

## Guarantees

- HTTP 402 is unpaid, including a missing query. After PAYMENT-SIGNATURE, invalid parameters return HTTP 400 before settlement. You are not charged. HTTP 402 never includes the tool JSON.
- exact: settlement finishes before the tool (paymentFlow upfront). batch-settlement: verify/deposit before the tool; chargedCumulativeAmount commits after HTTP 2xx. Uncertain or failed settlement fails closed (HTTP 503). Retry the same PAYMENT-SIGNATURE.
- HTTP 402 is unpaid only. Do not sign a second authorization because of a 503.
- Execution is timeout-bounded and concurrency-capped.
- Calculator inputs are stored encrypted for allowlisted operators (Magent Console). They are not in public logs, SSH lookups, catalog, or rollups. Request logs store path without query.
