Autism Spectrum Self-Assessment

A 12-question screening tool based on DSM-5 ASD criteria across three domains: social communication, behavioral patterns, and sensory experience. Takes about 3 minutes. Not a diagnosis — a starting point.

This tool is for informational purposes only and does not constitute a medical diagnosis.

What Is the Autism Spectrum Disorder Screener?

This self-assessment is a 12-question screening tool designed for teenagers and adults (16+) who want to explore whether their experiences may be consistent with autism spectrum disorder (ASD). It is not a diagnostic test — it is a structured starting point that maps your responses to the three core domains used in DSM-5 ASD criteria: social communication, restricted and repetitive behaviors, and sensory processing.

The screener takes approximately 3 minutes to complete. Your answers are scored across each domain and returned immediately. A high score does not confirm autism; a low score does not rule it out. What the results give you is language and context to bring to a clinical evaluation — the only process that can produce a formal diagnosis.

Who is this screener for?

  • Adults who have always felt "different" but never had an explanation
  • People who have been previously diagnosed with anxiety or depression that didn't fully fit
  • Women and nonbinary individuals who may have been missed by traditional diagnostic criteria
  • Anyone who recognizes autistic traits in themselves after learning about late-identified autism
  • Parents or partners wanting to understand their own neurology before pursuing evaluations for family members

What does it measure?

The three domains correspond directly to DSM-5 diagnostic criteria: social communication and interaction (how you process and engage in social relationships), restricted and repetitive behaviors and interests (routines, rituals, and intense focus areas), and sensory sensitivity (how you respond to sensory input compared to neurotypical norms).

Autism Is Often Missed Until Adulthood

Many autistic adults — especially women and those with higher cognitive abilities — go undiagnosed for decades. Social masking, late-onset awareness, and outdated stereotypes mean that autism is frequently overlooked until significant distress leads someone to seek answers.

Social exhaustion
Social interactions feel effortful and draining — even enjoyable ones leave you depleted.
Need for sameness
Unexpected changes to plans, routines, or environments cause disproportionate distress.
Sensory sensitivity
Certain sounds, textures, lights, or smells that others ignore become overwhelming or unbearable.
Intense interests
Deep, focused passion for specific topics — sometimes called "special interests" — that feels different from typical hobbies.
Masking and camouflaging
Years of consciously studying and mimicking social behaviors to "pass" as neurotypical — an exhausting, often invisible effort.
Unwritten rules
Difficulty understanding implicit social expectations, sarcasm, or the "why" behind common conventions.

What Do the Results Mean?

This screener produces a score from 0 to 48 across three domains. Here is what each range indicates — and the important caveats that apply to every score.

Low
0–12
out of 48

Below the typical threshold for ASD indicators.

Responses do not strongly suggest autism spectrum traits at this time. If you still relate to many autistic experiences, consider that heavy masking — consciously suppressing and adapting behaviors — often lowers scores significantly. Social anxiety, ADHD, and sensory processing differences can produce similar experiences without an ASD diagnosis. A low score is not a definitive ruling-out.

Moderate
13–24
out of 48

Notable autistic traits across one or more domains.

This range commonly appears in late-identified adults — particularly women, nonbinary individuals, and high-IQ people who developed strong coping strategies early in life. A score here does not confirm autism, but it does suggest that a formal clinical evaluation is worthwhile. Many adults in this range receive an ASD diagnosis after years of being told they had anxiety or were "just introverted."

High
25–48
out of 48

Responses consistent with significant autistic traits.

A high score across social communication, behavioral patterns, and sensory experience is a strong indicator that a formal ASD evaluation is appropriate. This is not a diagnosis — only a licensed clinician can diagnose autism spectrum disorder — but it is a clear signal to pursue one. Adults who receive a formal diagnosis at this range often describe relief at finally having an accurate explanation for lifelong experiences.

Important — masking and score suppression: Autistic women, nonbinary people, and those with high cognitive ability consistently score lower on self-report measures because of learned social camouflaging. If you score in the low or moderate range but feel a strong personal resonance with autistic traits, tell your evaluating clinician. Your subjective experience is clinical data.

Rate Each Statement

Think about your experiences across your lifetime, not just right now. How often do each of the following apply to you?

Never Rarely Sometimes Often Very Often
Part 1 — Social Communication
I find it difficult to share my thoughts or feelings with others, even people I trust.
I feel overwhelmed, anxious, or exhausted in social situations — even ones I chose to be in.
I struggle to make friends or have little interest in socializing the way others seem to.
I have difficulty reading facial expressions, body language, or what is left unsaid in conversation.
I consciously study and practice social behaviors to appear "normal" in ways others seem to do automatically.
Part 2 — Patterns & Routines
I rely on specific routines or rituals and become significantly distressed when they are disrupted.
I engage in repetitive movements (e.g., rocking, tapping, pacing) that feel calming or self-regulating.
I have deep, intense interests in specific topics that I think about or engage with far more than others seem to.
I insist on specific ways of doing things and find it difficult to be flexible when circumstances change.
Part 3 — Sensory Experience
I am significantly more sensitive to sensory input — sound, light, texture, smell, or touch — than most people around me.
Certain sounds, fabrics, or environments that others tolerate easily feel genuinely unbearable to me.
I actively seek out or avoid specific sensory experiences in ways that others find unusual or hard to understand.

Understanding Your Results

Screener scores fall into three ranges. Here is what each range suggests — and why the number is only part of the picture.

Low (0–12)

Responses are below the typical threshold for autism spectrum traits. If you still relate strongly to autistic experiences, consider that heavy masking — consciously suppressing and hiding autistic behaviors — often lowers scores significantly. Social anxiety, ADHD, and sensory processing differences can also produce similar experiences without an ASD diagnosis.

Moderate (13–24)

Responses suggest several traits commonly associated with autism spectrum presentations. This range is frequently seen in late-identified adults — particularly those who developed strong coping strategies early in life. A formal evaluation is the most reliable way to determine whether ASD, ADHD, or another profile best accounts for your experiences.

High (25–48)

Responses are consistent with significant autistic traits across multiple domains. This does not constitute a diagnosis — only a licensed clinician can diagnose ASD — but a score in this range warrants a formal evaluation. Many adults in this range find that a diagnosis, even later in life, is clarifying and opens access to targeted support.

A note on masking: Research consistently shows that autistic women, nonbinary people, and high-IQ individuals score lower on self-report screeners due to learned social camouflaging. If you score in the low or moderate range but feel a strong personal resonance with autistic experiences, share that context with your evaluating clinician — it matters more than the number.

Getting an Autism Evaluation in New York

A screener result — high or low — is a reason to explore further, not a conclusion. Here is what a formal ASD evaluation looks like in New York.

1. Clinical interview

Your provider reviews your developmental history, current functioning, work and relationship patterns, and any prior diagnoses. This is the core of the evaluation — not a single test.

2. Standardized assessment

Validated instruments (such as the RAADS-R or ADOS-2 adapted for adults) provide structured data across social, behavioral, and sensory domains. These are used alongside the interview, not instead of it.

3. Differential diagnosis

Social anxiety, ADHD, OCD, and sensory processing disorder can resemble or co-occur with ASD. A thorough evaluation distinguishes between them and identifies the full picture.

4. Diagnosis and plan

You receive a clear summary of findings and, if applicable, a diagnosis. From there, your provider discusses what support looks like — therapy adapted for autistic adults, medication for co-occurring conditions, workplace accommodations, and more.

ArcadiaMinds provides ASD evaluations for adults via telehealth across New York State. Most insurance plans accepted. Appointments typically available within 48 hours.

Common Questions

Can adults be diagnosed with autism for the first time?
Yes. Adult autism diagnosis is increasingly common, particularly among women and people with high cognitive ability. Many adults spent decades adapting, masking, or being misdiagnosed with anxiety or depression before recognizing autism as the underlying explanation.
What does an autism evaluation actually involve?
A comprehensive evaluation includes a clinical interview reviewing developmental history, current functioning across multiple domains, standardized assessments, and ruling out other explanations. We look at the full picture — not just a questionnaire score.
I score low but still relate strongly to these traits. Does that mean I'm not autistic?
Not necessarily. Masking can suppress symptom scores significantly. If you identify strongly with autistic traits despite a low screener score, that is worth exploring with a clinician who understands the spectrum — particularly late-identified and masked presentations.
How is autism different from social anxiety or ADHD?
There is significant overlap — and co-occurrence is common. Social anxiety involves fear of negative evaluation; autism involves differences in how social interaction is processed neurologically. ADHD and autism frequently co-occur. A proper evaluation distinguishes between them and identifies what is actually present.
What happens after a diagnosis?
A diagnosis opens access to targeted support: therapies adapted for autistic adults (CBT-A, social skills groups), accommodations at work or school, medication for co-occurring ADHD or anxiety, and simply the self-understanding that comes with knowing why certain things have always felt harder.

Ready to get clarity?

Our psychiatric providers evaluate adults for autism spectrum disorder via telehealth across New York. Appointments available within 48 hours.

Book an ASD Evaluation