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Ritvo Autism and Asperger Diagnostic Scale-Revised- Adult Report
Assessment 1 of 17
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. It is difficult for me to understand how other people are feeling when we are talking.
True Now and When Young
True Only Now
True When I Was Young
Never True
2. It is difficult to figure out what other people expect of me.
True Now and When Young
True Only Now
True When I Was Young
Never True
3. When talking to someone, I have a hard time telling when it is my turn to talk or to listen.
True Now and When Young
True Only Now
True When I Was Young
Never True
4. It can be very hard to read someone’s face, hand, and body movements when we are talking.
True Now and When Young
True Only Now
True When I Was Young
Never True
5. I focus on details rather than the overall idea.
True Now and When Young
True Only Now
True When I Was Young
Never True
6. I take things too literally, so I often miss what people are trying to say.
True Now and When Young
True Only Now
True When I Was Young
Never True
7. It is very difficult for me to work and function in groups.
True Now and When Young
True Only Now
True When I Was Young
Never True
8. I often don’t know how to act in social situations.
True Now and When Young
True Only Now
True When I Was Young
Never True
9. I can chat and make small talk with people.
True Now and When Young
True Only Now
True When I Was Young
Never True
10. How to make friends and socialize is a mystery to me.
True Now and When Young
True Only Now
True When I Was Young
Never True
11. Some ordinary textures that do not bother others feel very offensive when they touch my skin.
True Now and When Young
True Only Now
True When I Was Young
Never True
12. When I feel overwhelmed by my senses, I have to isolate myself to shut them down.
True Now and When Young
True Only Now
True When I Was Young
Never True
13. Sometimes I have to cover my ears to block out painful noises (like vacuum cleaners or people talking too much or too loudly).
True Now and When Young
True Only Now
True When I Was Young
Never True
14. I get extremely upset when the way I like to do things is suddenly changed.
True Now and When Young
True Only Now
True When I Was Young
Never True
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