- MHScales

WFIRS-S [Weiss Functional Impairment Rating Scale - Self-Report]

The WFIRS-S is designed to assess the degree of functional impairment related to ADHD symptoms, across a variety of domains. It is commonly used both for screening and monitoring purposes.

Created by Dr. Margaret Weiss. The scale can be used by clinicians and researchers free of charge and can be posted on the Internet or replicated as needed. This scale is copyrighted by Margaret Danielle Weiss, MD PhD.

More: caddra.ca

Pick the answer that best describes how your emotional or behavioural problems have affected each item in the last month.

	Never	Sometimes	Often	Very Often	N/A
A. Family
1. Having problems with family
2. Having problems with spouse/partner
3. Relying on others to do things for you
4. Causing fighting in the family
5. Makes it hard for the family to have fun together
6. Problems taking care of your family
7. Problems balancing your needs against those of your family
8. Problems losing control with family
B. Work	Never	Sometimes	Often	Very Often	N/A
1. Problems performing required duties
2. Problems with getting your work done efficiently
3. Problems with your supervisor
4. Problems keeping a job
5. Getting fired from work
6. Problems working in a team
7. Problems with your attendance
8. Problems with being late
9. Problems taking on new tasks
10. Problems working to your potential
11. Poor performance evaluations
C. School	Never	Sometimes	Often	Very Often	N/A
1. Problems taking notes
2. Problems completing assignments
3. Problems getting your work done efficiently
4. Problems with teachers
5. Problems with school administrators
6. Problems meeting minimum requirements to stay in school
7. Problems with attendance
8. Problems with being late
9. Problems with working to your potential
10. Problems with inconsistent grades
D. Life Skills	Never	Sometimes	Often	Very Often	N/A
1. Excessive or inappropriate use of internet, video games or TV
2. Problems keeping an acceptable appearance
3. Problems getting ready to leave the house
4. Problems getting to bed
5. Problems with nutrition
6. Problems with sex
7. Problems with sleeping
8. Getting hurt or injured
9. Avoiding exercise
10. Problems keeping regular appointments with doctor/dentist
11. Problems keeping up with household chores
12. Problems managing money
E. Self-Concept	Never	Sometimes	Often	Very Often	N/A
1. Feeling bad about yourself
2. Feeling frustrated with yourself
3. Feeling discouraged
4. Not feeling happy with your life
5. Feeling incompetent
F. Social	Never	Sometimes	Often	Very Often	N/A
1. Getting into arguments
2. Trouble cooperating
3. Trouble getting along with people
4. Problems having fun with other people
5. Problems participating in hobbies
6. Problems making friends
7. Problems keeping friends
8. Saying inappropriate things
9. Complaints from neighbours
G. Risk	Never	Sometimes	Often	Very Often	N/A
1. Aggressive driving
2. Doing other things while driving
3. Road rage
4. Breaking or damaging things
5. Doing things that are illegal
6. Being involved with the police
7. Smoking cigarettes
8. Smoking marijuana
9. Drinking alcohol
10. Taking street drugs
11. Sex without protection (birth control, condom)
12. Sexually inappropriate behaviour
13. Being physically aggressive
14. Being verbally aggressive

WFIRS-S Score:

Self-report scales are for screening purposes only, and must be interpreted by a qualified health professional in conjunction with clinical assessment. They cannot be used alone for diagnostic or treatment purposes.