Please only complete this form if you have been asked to by a Clinician at Newton Drive Health Centre.
You can access more information about the Autism and the AQ-10 Autism Spectrum Quotient here: Embrace Autism | The ultimate autism resource
The AQ-10 consists of 10 statements, giving you 4 choices for each statement:
- Definitely Agree
- Slightly Agree
- Slightly Disagree
- Definitely Disagree
Note: it makes no difference to your score if you choose slightly or definitely, so just treat the statements as a simple choice of agree or disagree.
AQ-10 Autism Spectrum Quotient
Please answer the questions below, rating yourself on each of the criteria shown using the scale. As you answer each question, pick the option that best describes how you feel and how you conduct yourself. Once you have completed the form, click submit at the bottom and this will be sent to the GP involved in your care.