ASD – Adult Autism Spectrum Quotient (AQ-10)

If you have been advised by the surgery to submit an AQ form or an adult autism spectrum quotient, please use this form.

Adult Autism Spectrum Quotient (AQ-10)

We are currently only referring to the local Brighton & Sussex University Hospitals NHS trust for ASD assessments.

Please select one option below: *
Do you already have a diagnosis of Autistic Spectrum Condition, ADHD, Tourettes, Dyslexia or learning disability? *
Did you have any difficulties at school or attend a special school? *
Have you had any difficulties at work or University? *
Do you have any physical health conditions or high blood pressure? *
Do you take any medications? *
Do you take illicit drugs? *
Do you have a current or past history of mental health problems? *

Reason you are requesting an assessment

AQ-10 Questions

For each statement, please select the option that best suits you.

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

Interpreting Your AQ Score