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Autism Spectrum Quotient (AQ)- Self Report
Assessment 1 of 53
Form Instructions & Things to Know
How to fill this form:
Read each question carefully before selecting an answer.
Select the most accurate option based on your observations.
Do not skip questions; every response helps in the assessment.
Things to know:
10-15 Mins
Estimated completion time.
Secure
Your data is fully encrypted.
Note:
This is a screening and assessment tool, not clinical (medical).
First, please provide your contact information.
Your Full Name
Email Address
Phone Number
Information about the individual being assessed.
Who are you filing for?
Choose relationship...
Self
Child
Partner
Family Member
Friend
Caretaker
Guardian
Teacher/Tutor
Name of Individual Being Assessed
Date of Birth
Age
Gender
*
Select Gender
Male
Female
School Grade (Optional)
Assessment Reasons / Reason for Assessment
1. When I’m reading a story, I find it difficult to work out the characters’ intentions.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
2. I prefer to do things with others rather than on my own.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
3. I find social situations easy.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
4. I would rather go to a library than to a party.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
5. I find myself drawn more strongly to people than to things.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
6. I find it hard to make new friends.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
7. I am good at social chitchat.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
8. I enjoy social occasions.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
9. I enjoy meeting new people.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
10. I am a good diplomat.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
11. I find it very easy to play games with children that involve pretending.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
12. I prefer to do things the same way over and over again.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
13. I frequently get so strongly absorbed in one thing that I lose sight of other things.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
14. In a social group, I can easily keep track of several different people’s conversations.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
15. I tend to have very strong interests, which I get upset about if I can’t pursue.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
16. It does not upset me if my daily routine is disturbed.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
17. I find it easy to do more than one thing at once.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
18. I enjoy doing things spontaneously.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
19. If there is an interruption, I can switch back to what I was doing very quickly.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
20. I like to carefully plan any activities I participate in.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
21. New situations make me anxious.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
22. I often notice small sounds when others do not.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
23. I usually notice car number plates or similar strings of information.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
24. I am fascinated by dates.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
25. I tend to notice details that others do not.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
26. I am fascinated by numbers.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
27. I notice patterns in things all the time.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
28. I usually concentrate more on the whole picture, rather than on the small details.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
29. I am not very good at remembering phone numbers.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
30. I don’t usually notice small changes in a situation or a person’s appearance.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
31. I am not very good at remembering people’s date of birth.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
32. Other people frequently tell me that what I’ve said is impolite, even though I think it is polite.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
33. I enjoy social chitchat.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
34. When I talk, it isn’t always easy for others to get a word in edgewise.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
35. I frequently find that I don’t know how to keep a conversation going.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
36. I find it easy to “read between the lines” when someone is talking to me.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
37. I know how to tell if someone listening to me is getting bored.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
38. When I talk on the phone, I’m not sure when it’s my turn to speak.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
39. I am often the last to understand the point of a joke.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
40. People often tell me that I keep going on and on about the same thing.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
41. I like to collect information about categories of things (e.g., types of cars, birds, trains, plants).
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
42. If I try to imagine something, I find it very easy to create a picture in my mind.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
43. When I’m reading a story, I can easily imagine what the characters might look like.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
44. I find making up stories easy.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
45. I don’t particularly enjoy reading fiction.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
46. I would rather go to the theater than to a museum.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
47. I find it easy to work out what someone is thinking or feeling just by looking at their face.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
48. When I was young, I used to enjoy playing games involving pretending with other children.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
49. I find it difficult to imagine what it would be like to be someone else.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
50. I find it difficult to work out people’s intentions.
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
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