Autism Spectrum Quotient (AQ)
A quick referral guide for adults with suspected autism who do not have a learning disability.
Name
First Name
Last Name
Gender
Please Select
Male
Female
Email
example@example.com
Phone Number
*
Please enter your GP's name and post code
*
GP Surgery Name
GP Surgery Address
City
State / Province
Postal / Zip Code
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I often notice small sounds when others do not.
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Definitely agree
Slightly agree
Slightly disagree
Definitely disagree
I usually concentrate more on the whole picture, rather than the small details.
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Definitely agree
Slightly agree
Slightly disagree
Definitely disagree
I find it easy to do more than one thing at once
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Definitely agree
Slightly agree
Slightly disagree
Definitely disagree
If there is an interruption, I can switch back to what I was doing very quickly
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Definitely agree
Slightly agree
Slightly disagree
Definitely disagree
I find it easy to ‘read between the lines’ when someone is talking to me
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Definitely agree
Slightly agree
Slightly disagree
Definitely disagree
I know how to tell if someone listening to me is getting bored
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Definitely agree
Slightly agree
Slightly disagree
Definitely disagree
When I’m reading a story I find it difficult to work out the characters’ intentions
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Definitely agree
Slightly agree
Slightly disagree
Definitely disagree
I like to collect information about categories of things (e.g. types of car, bird, train, plant etc.)
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Definitely agree
Slightly agree
Slightly disagree
Definitely disagree
I find it easy to work out what someone is thinking or feeling just by looking at their face
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Definitely agree
Slightly agree
Slightly disagree
Definitely disagree
I find it difficult to work out people’s intentions
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Definitely agree
Slightly agree
Slightly disagree
Definitely disagree
TOTAL
*
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