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Adult · ASD screening questionnaire
ASD / Asperger Screening Questionnaire for Adults
This questionnaire explores several aspects of social functioning, communication, routines, interests and sensory differences. It considers both how you function now and your earlier history, because some characteristics may have been more visible in childhood or may have become less obvious through compensation or masking.
How should you answer? Copy the questions into a document or e-mail and answer underneath each one. To keep the analysis clear and precise, try to remain relatively concise, around four Word pages at most, without worrying if you go slightly over when certain details seem important.
Concrete examples are especially useful. They help show how the characteristic appears in everyday life and make the analysis more precise.
Your answers are personally analyzed by Luc MARTRENCHAR, a clinical psychologist specializing in Autism Spectrum profiles.
Terminology: the expression “Asperger syndrome” remains widely used, but it is no longer a distinct diagnosis in current classifications: it is included within Autism Spectrum Disorder (ASD). This questionnaire is designed to explore the possibility of ASD across its different presentations, not only the profile formerly referred to as Asperger syndrome.
General information and communication
0) How old are you?
1) At any point in your life, have you had difficulty expressing your emotions and/or interests?
2) At any point in your life, have you had difficulty understanding other people’s non-verbal communication, such as facial expressions or gestures?
3) Can you tell what other people are feeling, even when they do not talk about it?
4) At any point in your life, have you had difficulty expressing things non-verbally through gestures or facial expressions?
5) At any point in your life, have you had difficulty making eye contact with other people?
Social relationships
6) At any point in your life, have you had difficulty making friends?
7) Do you have friends who are more than casual acquaintances?
18) Do you find social relationships difficult?
19) Is it easy for you to know when to speak and when to listen?
Repetition, routines and change
8) At any point in your life, have you made certain movements repeatedly?
9) At any point in your life, did you echo what other people said or imitate exactly what other people did?
10) At any point in your life, have you had difficulty with change, even small changes, such as taking a different route to school or work?
11) Do you have, or did you previously have, rituals or routines?
12) Do you like doing things in the same way or talking about the same subjects repeatedly?
13) At any point in your life, have you had one or a few interests to which you devoted yourself very intensely, perhaps to the point of leaving little time for other things?
Sensory differences and interests
14) Are you very sensitive through certain senses, for example to some lights, smells, noises, clothing textures on the skin or food textures?
15) Are you unusually insensitive to pain, cold or strong smells?
16) Are you fascinated by numbers or dates?
17) Are you interested in license plate numbers or other similar kinds of information?
Imagination and coordination
20) At any point in your life, have you been physically clumsy?
21) Do you have a rich imagination?
22) For example, can you easily imagine what the characters in a novel might look like?
Previous assessments and family context
23) Have you ever taken an intelligence test such as the WAIS, WISC or WPPSI?
24) If so, what were the main scores, such as IQ, index scores and subtest scores?
25) To your knowledge, do other members of your family have Asperger syndrome / Autism Spectrum Disorder?
Finished?
Read through your answers once more to make sure they describe your experience as accurately as possible. You do not need to try to make your answers fit a particular profile.
This questionnaire is not, by itself, a diagnosis. Its purpose is to support an initial, reasoned assessment of how relevant the ASD hypothesis appears.
