Screening Measure

It is important to stress that this screening measure is not a diagnostic tool

Name

First NameLast Name

Email

example@example.com

Date of Birth:

DD/MM/YYYY

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

I find most social interactions exhausting and will generally take time by myself to recharge afterwards.

I don't like when plans change and would get a bit stressed.

I find normal lighting, for example the main light in the living room very intense, I prefer dimmer light.

I prefer to have regular contact with my friends.

I feel like I have put a lot of effort into thinking about and worrying why I'm not more like other people.

I find speaking to strangers or acquaintances difficult and draining.

I do not fidget regularly.

When I get interested in something, I get completely lost in it and tend to zone in and forget about everything else.

In noisy environments, the background noise makes it difficult for me to focus on the conversation.

I find most small talk tedious and pointless.

Through observing others, I have learnt how to act and what to do in certain situations.

I have no problem with being spontaneous.

I'm good at reading people's true intentions.

Eye contact with others feels natural for me.

Some textures like wool or certain foods make me really uncomfortable.

I prefer communicating by email or text as things are clearer.

I find some smells like artificial scents overwhelming.

I find it difficult to make friends.

I notice I move my hands or other parts of my body almost constantly.

I often monitor and worry about the things I say in conversations.

I agree to Branchfield Clinic emailing me the outcome of this screening measure in a password protected PDF document (while accepting that as with any email transmission, there is a small risk of a third party accessing this information).