Autistic Sexual Intimacy Measure (ASIM-24) Results Submission Form
Please provide your contact 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 the following statements based on your experiences.
I feel comfortable discussing sexual topics with my partner.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I find it easy to express my sexual needs.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am satisfied with the level of intimacy in my relationships.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I feel anxious about physical intimacy.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am comfortable with my sexual identity.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I find it difficult to initiate sexual activity.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I feel understood by my partner(s) regarding my sexual needs.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am able to set boundaries in intimate situations.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I feel pressure to engage in sexual activity.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am able to recognize my own sexual preferences.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I feel comfortable seeking support for sexual concerns.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am satisfied with my sexual experiences.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I find it difficult to communicate about sexual boundaries.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I feel respected by my partner(s) regarding my sexual boundaries.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am able to identify and communicate my sexual likes and dislikes.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I feel anxious about discussing sexual topics.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am comfortable seeking information about sexual health.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I feel confident in navigating intimate situations.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I find it difficult to trust my partner(s) in intimate situations.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am able to express affection in ways that feel comfortable to me.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I feel my sensory needs are respected during intimacy.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am able to communicate my sensory preferences to my partner(s).
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I feel overwhelmed by physical sensations during intimacy.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
I am able to advocate for my needs in intimate situations.
*
1 - Strongly Disagree
2 - Disagree
3 - Neutral
4 - Agree
5 - Strongly Agree
Submit
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