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Sunflower Mental Health and Wellbeing
AQ-10 ( Child version)
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AQ-10 ( Child Version)
A quick referral guide for parents to complete about a child aged 4-11 years with suspected
autism who does not have a learning disability
Please tick one option per question only:
Q1:
S/he often notices small sounds when others
do not
*
Definitely agree
slightly agree
slightly disagree
definitely disagree
Required
Q2:
S/he usually concentrates more on the whole
picture, rather than the small details
*
Definitely agree
slightly agree
slightly disagree
definitely disagree
Required
Q3:
In a social group, s/he can easily keep track
of several different people’s conversations
*
Definitely agree
slightly agree
slightly disagree
definitely disagree
Required
Q4:
S/he finds it easy to go back and forth
between different activities
*
Definitely agree
slightly agree
slightly disagree
definitely disagree
Required
Q5:
S/he doesn’t know how to keep a
conversation going with his/her peers
*
Definitely agree
slightly agree
slightly disagree
definitely disagree
Required
Q6:
S/he is good at social chit-chat
*
Definitely agree
slightly agree
slightly disagree
definitely disagree
Required
Q7:
When s/he is read a story, s/he finds it difficult
to work out the character’s intentions or
feelings
*
Definitely agree
slightly agree
slightly disagree
definitely disagree
Required
Q8:
When s/he was in preschool, s/he used to
enjoy playing games involving pretending with
other children
*
Definitely agree
slightly agree
slightly disagree
definitely disagree
Required
Q9:
S/he finds it easy to work out what someone
is thinking or feeling just by looking at their
face
*
Definitely agree
slightly agree
slightly disagree
definitely disagree
Required
Q10:
S/he finds it hard to make new friends
*
Definitely agree
slightly agree
slightly disagree
definitely disagree
Required
How to count the score:
Only 1 point can be scored for each question. Score 1 point for Definitely or
Slightly Agree on each of items 1, 5, 7 and 10. Score 1 point for Definitely or Slightly Disagree
on each of items 2, 3, 4, 6, 8 and 9.
Score Interpretation
If the individual scores 6 or above, consider referring them for a specialist diagnostic assessment. Please go to your GP or mental health professionals for further assessment and support.
Kind Reminder
Please go to your GP or mental health professionals for further assessment and referral.
For the detailed interpretation of the assessment, please be free to contact us. If you want to book an initial 10 minutes free consultation, please be free to email us or give us a call. We will try to contact you ASAP.
Our email: admin@sunflowermentalhealth.com.au
Phone: 0426851395
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