The ASD Assessment Scale/Screening Questionnaire

The questionnaire available below is an experimental screening tool based on the DSM-V criteria for ASD.

To take the ASD questionnaire, use the link below and open the separate page for the questionnaire. There are links on the page that define the grading and scoring to help you decide on the correct answers. After answering all questions, you click on “Score” at the end to reveal your score.

Once you have answered all questions and the score appears, you should print the page and bring the results to the physician appointment as one tool for discussing symptoms. The score is NOT indicative of a definitive diagnosis by itself.