NovoPsych

Autism Spectrum Screening Questionnaire (ASSQ)

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
5
ambiguous 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

8 has a different voice or speech 0 1 2

expresses sounds involuntarily; clears

9
throat, grunts, smacks, cries or screams 0 1 2

is surprisingly good at some things

10
and surprisingly poor at others
0 1 2
uses language freely but fails to make
11 adjustment to fit social contexts or the 0 1 2
needs of different listeners

12 lacks empathy 0 1 2

makes naive and embarrassing

13
remarks
0 1 2

14 has a deviant style of gaze 0 1 2

wishes to be sociable but fails to

15
make relationships with peers
0 1 2

can be with other children but only

16
on his/her terms
0 1 2

17 lacks best friend 0 1 2

Page 1 of 2
 NovoPsych

No Somewhat Yes

18 lacks common sense 0 1 2

is poor at games: no idea of cooperating

19
in a team, scores "own goals" 0 1 2

has clumsy, ill coordinated, ungainly,

20
awkward movements or gestures
0 1 2

has involuntary face or body

21
movements
0 1 2
has difficulties in completing simple daily
22 activities because of compulsory 0 1 2
repetition of certain actions or thoughts
has special routines: insists on no
23
change
0 1 2

shows idiosyncratic attachment to

24
objects
0 1 2

25 is bullied by other children 0 1 2

has markedly unusual facial

26
expression
0 1 2

27 has markedly unusual posture 0 1 2

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.

Page 2 of 2

Powered by TCPDF (www.tcpdf.org)