AuDHD (ADHD + Autism Traits) Screener

1

How should we address you?* This field is required.Your results will be sent using this name

First Name

Last Name

2

Where should we send your child's result?* This field is required.Enter your email address

example@example.com

3

1.) My child has sensory issues (ie. overwhelmed or over-stimulated by textures, sounds, crowds etc.)

Never

Sometimes

Frequently

Always

4

2.) My child has a hard time following multi-series instructions or requires multiple reminders to complete a simple task (ie. hang up your towel).

Never

Sometimes

Frequently

Always

5

3.) My child has difficulty with transitions or new routines.

Never

Sometimes

Frequently

Always

6

4.) My child is unable to remain seated or stay on task; they are easily distracted.

Never

Sometimes

Frequently

Always

7

5.) My child seems "immature" for their age in some areas or situations.

Never

Sometimes

Frequently

Always

8

6.) My child seems to have more intense anxiety and phobias and also more fixations; becomes hyper-focused on areas of interest.

Never

Sometimes

Frequently

Always

9

7.) My child does not enjoy playing sports and recreational activities with peers.

Never

Sometimes

Frequently

Always

10

8.) My child is gifted in one area (ie. chess, math, puzzles etc.) but struggles greatly with focus, self-regulation and social-emotional skills.

Never

Sometimes

Frequently

Always

11

9.) My child appears clumsy, bumps into others/objects or is unaware of personal space and boundaries.

Never

Sometimes

Frequently

Always

12

10.) My child's handwriting is messy or hard to read and has a hard time getting ideas on paper.

Never

Sometimes

Frequently

Always

13

11.) My child has issues with balance, coordination, posture or gait

Never

Sometimes

Frequently

Always

14

12.) My child did not crawl or crawled atypically or did not crawl long.

Never

Sometimes

Frequently

Always

15

13.) My child doesn’t seem to have a good sense of time or rhythm.

Never

Sometimes

Frequently

Always

16

14.) My child is a picky eater and/or craves sugars/carbs.

Never

Sometimes

Frequently

Always

17

15.) My child had or has digestive issues (ie. constipation, diarrhea, tummy pain).

Never

Sometimes

Frequently

Always

18

16.) My child has trouble falling asleep, staying asleep or has nightmares.

Never

Sometimes

Frequently

Always

19

17.) My child has been on antibiotics.

Never

Sometimes

Frequently

Always

20

18.) My child has eczema, psoriasis, other skin issues or allergies.

Never

Sometimes

Frequently

Always

21

19.) My child has or had speech or hearing issues.

Never

Sometimes

Frequently

Always

22

20.) My child had recurring ear or throat infections.

Never

Sometimes

Frequently

Always

23

21.) I worry my child's focus/behaviour etc. will negatively impact their learning and hold them back in school and life.

Never

Sometimes

Frequently

Always

24

Calculation

25

Low Likelihood Result

26

Moderate Likelihood Result

27

High Likelihood Result

28

Result Description