Please fill out this questionnaire to provide some background information about you and the issues you have been experiencing. If you need extra time, you can always save the answers and revist them later.
Do you have any of the following? This can be either diagnosis or self-diagnosed. Choose as many as option as you like, or none if not applicable.
When you’re having a conversation with someone, do you prefer to look:
Would you say you follow the same schedule every day of the week, and don’t like unexpected events?
Do you have trouble understanding what people mean when they say they feel embarrassed for someone else?
Do you make careless mistakes in your work or during other activities? And how was that during childhood (in schoolwork or during other activities)?
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
Or often fail to finish chores or duties in the workplace? And how was that during childhood (in schoolwork)?
Examples adulthood
Examples childhood
Examples adulthood
Examples Childhood
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
Examples adulthood
Examples childhood
.. and how was that during childhood?
Examples adulthood
Examples childhood
.. and how was that during childhood?
Examples adulthood
Examples childhood
.. and how was that during childhood?
Examples adulthood
Examples childhood
Examples adulthood: Work/education
Examples childhood: Education
Examples adulthood: Relationship and/or family
Examples childhood: Family
As part of your assessment, you would need to answer a few more questions.