Important Notice:
This questionnaire is for information gathering purposes only and is not diagnostic. The responses you provide will be reviewed by your clinician as part of a comprehensive clinical assessment. Only a qualified healthcare professional can make diagnostic or treatment decisions. Please answer honestly based on your actual experiences.
Privacy: All data is processed locally on your device. Nothing is sent anywhere until you choose to download and share your results file with your clinician.
📝 Instructions: On the following pages is a list of statements about behaviors over the past month. Please answer all items the best you can. Indicate if each behavior is:
Never a problem
Sometimes a problem
Often a problem
0 of 75 items answered (75 skipped) (0%)
Your Information
BRIEF-A Items
During the past month, how often has each of the following behaviors been a problem?
N = NeverS = SometimesO = Often
0 of 75 items answered (75 skipped) (0%)
✓ Latest response recorded
✓ Questionnaire Complete
Thank you for completing this questionnaire
Your responses have been saved. Please send your results to Dr. Shah using one of the options below.
Your clinician will review these results and schedule the next step (a structured clinical interview) before any diagnostic conclusions can be reached.
Send Results to Dr. Shah:
Your results file is downloading now. Once it appears in your Downloads folder, attach it to the email that just opened and send.
Option 1: Click "Email Results" to open your email app with everything pre-filled. Just attach the file and send. Option 2: Download the file and email it to draanashah@protonmail.com yourself.