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Welcome to our FREE screening form for Autism (and Autism with the PDA profile)



Once you have completed this screening, you will receive an automatic email with a link to your screening feedback. In addition to the feedback itself, you will also receive full details of our assessment prices (including various options), information on the assessment, the assessment process, and a link to our FAQs.

Please follow the instructions below and provide as much detail as possible in order for us to provide you with the most appropriate feedback.

Should you wish to stop at any point, please click the above 'back to site' button to go back to the free screening information page. However this will reset your form and you'll need to restart.

We wish to make it clear that this screening is totally free of charge, and does not oblige you to book a formal assessment with us, even though the feedback may suggest an assessment is warranted.

PLEASE NOTE - we recommend that you allow up to 15 minutes for completing this form as we cannot save or accept partially submitted forms. As part of our security policy regarding personal data, everything submitted is automatically erased from our website after 24 hours and Help for Psychology Services will only store your results data for a period of 30 days, should you decide to proceed with any of our services.

Under NICE Guidelines, anyone under the age of 19 must be considered and assessed as a child/young person. If you are under 19, please use our Child/Young Person screening form by clicking on this link



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Consent(Required)
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School

Did you have any difficulty with reading, writing or spelling?(Required)
Did you attend to a special school or have any extra help?(Required)
Did you find it difficult to attend school?(Required)
Were you ever excluded from school?(Required)
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Employment

Are you currently employed?(Required)
Is this a choice, or are you unable to work due to poor physical and/or mental health?(Required)
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Birth and Early Development

It is helpful if this information can be provided by a parent. However, if this is not possible, please tick ‘Not known’ in the applicable questions.
Were there any concerns during your mother’s pregnancy?(Required)
Please select the applicable concern:(Required)
Were you born:(Required)
Was labour straightforward?(Required)
Did you sleep well as a baby?(Required)
Were there any difficulties with feeding as a baby?(Required)
Please tell us which difficulties were experienced:(Required)
Was there any delay in you reaching developmental milestones (e.g. walking)?(Required)
Were you interested in people/other children as a baby?(Required)
Did you bring toys or books to share with your parents/carers as an infant?(Required)
Did you point to share interest?(Required)
Did you suffer from any serious illnesses as a baby?(Required)
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Early Language and Communication

Did you babble and coo as an infant?(Required)
Was there any delay in you learning to speak?(Required)
Were there ever any concerns about your hearing?(Required)
Were there ever any concerns about your understanding of language?(Required)
Did you need support from a Speech and Language therapist?(Required)
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Language and Current Communication

Do you find it difficult to follow a conversation, particularly if it is noisy or several people are talking?(Required)
Do you always know when to join in with conversations?(Required)
Do you sometimes find it hard to know what to say to people?(Required)
Do you enjoy ‘small talk’ and unstructured conversations?(Required)
Do you ever go over conversations in your head and worry that you may have said something wrong?(Required)
Do you tend to have a ‘script’ for what you want to say in various situations?(Required)
Has anyone ever said that you try to dominate conversations or interrupt when others are talking?(Required)
If something really interests you, do you find it hard to stop talking about it?(Required)
Have you ever been told that you are being rude when you feel you are just being honest?(Required)
Do you always ‘get’ the joke when people are laughing?(Required)
Does it annoy you when people don’t always say exactly what they mean?(Required)
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Social Interaction and Relationships

Do you enjoy socialising?(Required)
Do you find that too much social activity makes you feel very tired?(Required)
Have you ever found it difficult to make, or keep, friends?(Required)
Are you in a long-term relationship?(Required)
At a social event would you tend to be(Required)
Do you often feel that people are treating you unfairly or misjudging you?(Required)
Does it sometimes feel as if people do not respect your opinions?(Required)
Do you find it easy to tell when someone is sad or angry?(Required)
Do you always recognize different tones of voice, for example when someone is angry or upset?(Required)
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Play and Imagination

What kind of toys did you play with when you were younger?(Required)
As a younger child, did you like to(Required)
What would happen if other children wanted to play a game differently to the way that you did?(Required)
What do you enjoy doing now during your spare time?(Required)
Do you have any particular interests that take up a lot of your time?(Required)
Could this interest be described as an obsession?(Required)
Do (or did) you have favourite TV programmes you like to watch over and over again?(Required)
Do you enjoy fantasy games or enjoy pretending to be a different person?(Required)
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Routines and Resistance (Inflexibility of thought)

Do you like to know exactly what is going to be happening every day?(Required)
Do you function better if you have a plan for the day (even if this is your own plan)?(Required)
Is there anything you insist on doing every day or in the same way every time?(Required)
If you want to have, or do something, would you find it hard to move on from talking about it?(Required)
Can this sometimes lead to you not being able to think about anything else?(Required)
What happens if a plan has to change suddenly at the last minute?(Required)
If someone upsets you, do you hold a grudge/ find it hard to forgive and move on?(Required)
If you disagree with someone’s opinion, would you find it hard not to tell them, even if that person was a person in authority (an employer, a doctor or a teacher for example)?(Required)
If you feel you have been treated unfairly, does this continue to bother you for a long time?(Required)
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Emotions and Behaviour

Did you experience any Adverse Childhood Events (ACE’s). Examples of this might be the loss of a significant person within the family through divorce or death, witnessing domestic violence, or periods of instability/uncertainty during childhood.(Required)
Have you experienced any significant trauma as an adult? (This may be multiple smaller events, not necessary one major trauma)(Required)
Do you find it hard to comply with other people’s demands and boundaries?(Required)
Do you (or have you ever) subtly avoid having to do what you have been asked (e.g., you may ‘almost do something’ or continually put it off?)(Required)
Do you tend to make excuses for why you are unable to comply with instructions or complete tasks?(Required)
Do you ever miss out on activities you would have enjoyed because you are unable to get ready or leave the house?(Required)
Do you experience sudden intense emotional reactions (maybe leading to a ‘meltdown’)?(Required)
Is it always clear what the triggers are for these intense reactions?(Required)
Do you have concerns that you may become aggressive towards others?(Required)
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Mental Health and Wellbeing

Have you ever self-harmed?(Required)
Have you ever experienced suicidal thoughts?(Required)
Have you ever made a serious attempt on your own life?(Required)
Do you have concerns about your eating?(Required)
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Sensory Issues

Do unexpected loud noises bother you?(Required)
Do you find it difficult to concentrate when it is noisy?(Required)
Do you ever find that smells are too strong, and make you feel sick?(Required)
Do you eat a varied diet?(Required)
Have you ever expressed a significant dislike for certain textures of food, such as meat, lumpy mashed potato or yoghurt with ‘bits’ in?(Required)
Do you prefer to wear loose clothing?(Required)
Do labels in clothes irritate you?(Required)
Do you react very badly when people brush up against you or touch you unexpectedly?(Required)
Do you feel agitated or restless if you have to sit still for too long?(Required)
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Self-care and Independence

Do you find it easy to maintain your personal hygiene(Required)
Do you manage to go shopping for things you need?(Required)
Are you able to manage money?(Required)
Do you drive?(Required)
Do you feel comfortable using public transport?(Required)
Have you ever received a police caution?(Required)
Have you ever spent time in prison/youth offending institute?(Required)
Do you use recreational drugs?(Required)
Do you regularly drink more than the recommended amount of alcohol?(Required)
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About you

Your Name(Required)
Your Email(Required)

How did you hear about us?

Where did you hear about Help for Psychology?(Required)

Marketing and Special offers
For more information about how we use your data, take a look at our Privacy Policy and Cookie Policy.
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