Autistic Burnout Trait Inventory (ABTI-24) Results Submission Form
Please provide your details to receive your results via email.
Full Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address (for results)
*
example@example.com
Please rate how often you have experienced each of the following in the past month.
1. Feeling physically and emotionally exhausted.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
2. Difficulty coping with daily routines.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
3. Increased need for solitude.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
4. Feeling disconnected from your own emotions.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
5. Trouble concentrating or focusing.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
6. Feeling overwhelmed by sensory input.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
7. Loss of interest in previously enjoyable activities.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
8. Increased irritability or frustration.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
9. Difficulty communicating needs to others.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
10. Withdrawal from social interactions.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
11. Feeling hopeless or defeated.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
12. Changes in sleep patterns.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
13. Increased anxiety or panic.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
14. Difficulty making decisions.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
15. Feeling numb or emotionally 'flat'.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
16. Physical symptoms (headaches, stomachaches, etc.) without clear cause.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
17. Decreased motivation to complete tasks.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
18. Feeling misunderstood by others.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
19. Difficulty managing daily responsibilities.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
20. Feeling detached from surroundings.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
21. Increased sensitivity to criticism.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
22. Feeling a loss of control over life.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
23. Difficulty maintaining self-care routines.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
24. Feeling like you are 'shutting down' or 'melting down' more easily.
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
Submit and Email My Results
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