Trinity Medical Centre

1 Goldstone Villas, Hove, BN3 3AT

Telephone: 01273 736030

sxicb-bh.thetrinitymedicalcentre@nhs.net

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Adult Autism Screening Questionnaire

Adult Autism Screening Questionnaire 

This questionnaire is suitable for patients aged 16 and over. Please answer the questions below, rating yourself on each of the criteria.

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Part A

1. I often notice small sounds when others do not
2. I usually concentrate more on the whole picture, rather than the small details
3. I find it easy to do more than one thing at once
4. If there is an interruption, I can switch back to what I was doing very quickly
5. I find it easy to ‘read between the lines’ when someone is talking to me
6. I know how to tell if someone listening to me is getting bored
7. When I’m reading a story, I find it difficult to work out the characters’ intentions
8. I like to collect information about categories of things (e.g. types of car, types of bird, types of train, types of plant etc)
9. I find it easy to work out what someone is thinking or feeling just by looking at their face
10. I find it difficult to work out people’s intentions

Thank you for completing the questionnaire.

Please ensure you have sent details of your chosen Right to Choose provider along with your statement to sxicb-bh.trinity-adhd.autismreferrals@nhs.net