Branchfield Clinic
Screening Measure
Name
*
First Name
Last Name
Email
*
example@example.com
I find most social interactions exhausting and will generally take time by myself to recharge afterwards.
Agree
Disagree
I don't like when plans change and would get a bit stressed.
Agree
Disagree
I find normal lighting, for example the main light in the living room very intense, I prefer dimmer light.
Agree
Disagree
I prefer to have regular contact with my friends.
Agree
Disagree
I feel like I have put a lot of effort into thinking about and worrying why I'm not more like other people.
Agree
Disagree
I find speaking to strangers or acquaintances difficult and draining.
Agree
Disagree
I do not fidget regularly.
Agree
Disagree
When I get interested in something, I get completely lost in it and tend to zone in and forget about everything else.
Agree
Disagree
In noisy environments, the background noise makes it difficult for me to focus on the conversation.
Agree
Disagree
I find most small talk tedious and pointless.
Agree
Disagree
Through observing others, I have learnt how to act and what to do in certain situations.
Agree
Disagree
I have no problem with being spontaneous.
Agree
Disagree
I'm good at reading people's true intentions.
Agree
Disagree
Eye contact with others feels natural for me.
Agree
Disagree
Some textures like wool or certain foods make me really uncomfortable.
Agree
Disagree
I prefer communicating by email or text as things are clearer.
Agree
Disagree
I find some smells like artificial scents overwhelming.
Agree
Disagree
I find it difficult to make friends.
Agree
Disagree
I notice I move my hands or other parts of my body almost constantly.
Agree
Disagree
I often monitor and worry about the things I say in conversations.
Agree
Disagree
Submit
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