Autism-Spectrum-Screening-Questionnaire-assq-PDF (1) N
Autism-Spectrum-Screening-Questionnaire-assq-PDF (1) N
Autism-Spectrum-Screening-Questionnaire-assq-PDF (1) N
Instructions:
Please read the statement below and indicate by tapping, No, Somewhat, or Yes if this child stands
out as different from other children of his/her age in the following ways:
No Somewhat Yes
1 is old-fashioned or precocious 0 1 2
is regarded as an "eccentric
2
professor" by the other children 0 1 2
lives somewhat in a world of his/her own
3 with restricted idiosyncratic intellectual 0 1 2
interests
accumulates facts on certain subjects
4 (good rote memory) but does not really 0 1 2
understand the meaning
has a literal understanding of ambiguous
5
and metaphorical language 0 1 2
has a deviant style of communication
6 with a formal, fussy, old-fashioned or 0 1 2
"robot like" language
invents idiosyncratic words and
7
expressions 0 1 2
12 lacks empathy 0 1 2
Page 1 of 2
No Somewhat Yes
Developer Reference:
Ehlers, S., Gillberg, C., & Wing, L. (1999). A screening questionnaire for Asperger syndrome and
other high-functioning autism spectrum disorders in school age children. Journal of autism and
developmental disorders, 29(2), 129-141.