Autism Spectrum Quotient (AQ) Form A quick referral guide for adults with suspected autism who do not have a learning disability. Name First Last Please tick one option per question only:I often notice small sounds when others do notPlease select an optionDefinitely agreeSlightly agreeSlightly disagreeDefinitely disagreeI usually concentrate more on the whole picture, rather than the small detailsPlease select an optionDefinitely agreeSlightly agreeSlightly disagreeDefinitely disagreeI find it easy to do more than one thing at oncePlease select an optionDefinitely agreeSlightly agreeSlightly disagreeDefinitely disagreeIf there is an interruption, I can switch back to what I was doing very quicklyPlease select an optionDefinitely agreeSlightly agreeSlightly disagreeDefinitely disagreeI find it easy to ‘read between the lines’ when someone is talking to mePlease select an optionDefinitely agreeSlightly agreeSlightly disagreeDefinitely disagreeI know how to tell if someone listening to me is getting boredPlease select an optionDefinitely agreeSlightly agreeSlightly disagreeDefinitely disagreeWhen I’m reading a story I find it difficult to work out the characters’ intentionsPlease select an optionDefinitely agreeSlightly agreeSlightly disagreeDefinitely disagreeI like to collect information about categories of things (e.g. types of car, bird, train, plant etc.)Please select an optionDefinitely agreeSlightly agreeSlightly disagreeDefinitely disagreeI find it easy to work out what someone is thinking or feeling just by looking at their facePlease select an optionDefinitely agreeSlightly agreeSlightly disagreeDefinitely disagreeI find it difficult to work out people’s intentionsPlease select an optionDefinitely agreeSlightly agreeSlightly disagreeDefinitely disagreeSCORING: Only 1 point can be scored for each question. Score 1 point for Definitely or Slightly agree on each of items 1, 7, 8, and 10. Score 1 point for Definitely or Slightly Disagree on each of items 2, 3, 4, 5, 6, and 9. If the individual scores more than 6 out of 10, consider referring them for a specialist diagnostic assessment. This test is recommended in ‘Autism: recognition, referral, diagnosis and management of adults on the autism spectrum’ (NICE clinical guideline CG142). www.nice.org.uk/CG142 Key reference: Allison C, Auyeung B, and Baron-Cohen S, (2012) Journal of the American Academy of Child and Adolescent Psychiatry 51(2):202-12Name OptionalThis field is for validation purposes and should be left unchanged.