ADULT ASSESSMENT
Collateral Information
Adult Assessment – Collateral Questionnaire
To be completed by a partner, spouse, close family member, or someone who knows the individual wellConfidential and for clinical use only. The purpose of this questionnaire is to gather additional perspectives as part of a comprehensive assessment. There are no right or wrong answers. Please answer as accurately and honestly as possible.
SECTION A: About You
Name
First Name
Last Name
Your Relationship to the Individual
How long have you known them?
SECTION B: Social Communication and Interaction
1. How often do you interact with them (e.g., daily, weekly)?
2. How would you describe their general communication style (e.g., direct, indirect, formal, expressive)?
3.Do they sometimes understand or respond to things like facial expressions or tone of voice in a different way than others might expect?
4. How do they manage small talk or casual conversations?
5. Do they prefer one-to-one conversations or group settings?
6. Do they sometimes take things like jokes, sarcasm, or sayings (e.g., ‘it’s raining cats and dogs’) literally or in a different way than others expect?
7. In their own way, how do they show care or support when someone else is upset?
8. Do they sometimes talk in detail about a favourite topic, even if others aren’t as interested or don’t respond much?
9. Do they seem to mask or camouflage their differences in social situations? If so, how?
SECTION C: Relationships and Emotional Connection
1. How would you describe their ability to form and maintain close relationships?
2. Do they enjoy spending time with others, or do they prefer solitude?
3. Have you noticed any patterns of intense or highly focused friendships or interests in people?
4. Are there times they seem unsure how to respond in social situation
5. Have they ever said they feel different from others or feel like they don’t quite fit in socially?
SECTION D: Routines, Interests, and Flexibility
1. Do they have particular routines or rituals that they rely on?
2. How do they respond when plans change unexpectedly?
3. Do they have any interests or hobbies they’re really passionate about or spend a lot of time focusing on (e.g., trains, languages, history)?
4. Do they have any movements or behaviours they repeat, like hand movements, pacing, repeating words or sounds or conversations?
5. Have you noticed a strong preference for sameness or predictability?
SECTION E: Sensory Sensitivities
1. Are they especially sensitive to any sensory input (e.g., noise, light, textures, smells)?
2. Do they avoid certain environments or clothing due to sensory discomfort?
3. Are there any sensory inputs they actively seek out or find soothing?
SECTION F: Executive Functioning and Daily Planning
1. How do they manage time, organisation, and planning tasks?
2. Are there ever challenges with starting or finishing tasks, even those they intend to do?
3. Do they become overwhelmed by multiple-step instructions or competing demands?
4. How do they manage transitions or unexpected disruptions in routine?
SECTION G: Developmental History (if known)
1. Were there any early differences in social, communication, or sensory processing in childhood?
2. Did they have any early delays in language, motor development, or social skills?
3. Were they described as a “sensitive” or “different” child in any way?
4. Did they have difficulty with school transitions, group activities, or playground interactions?
SECTION H: Strengths and Insights
1. What are their key strengths or qualities that stand out to you?
2. How do they express creativity, empathy, or curiosity?
3. In what ways do you feel their neurodivergence contributes positively to their life or relationships?
4. Is there anything else you’d like us to know that you feel is relevant to the assessment?
Submit
Should be Empty: