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Sachs Autism Assessment

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This test was designed for all adults (18+) but with a focus on adult women, BIPOC and Non-Binary adults. Pick the answer that best matches your feelings about yourself.

A score of 10 or more indicates you have many symptoms common with someone diagnosed with Autism. Further assessment is suggested to clarify a diagnosis of Autism.

1. I’ve always felt a bit different from others, even if I couldn’t explain why.*
2. I find it hard to start or keep a conversation going, even if I want to connect with people.*
3. I often miss social cues, like when someone is joking or being sarcastic, and only realize it later.*
4. I feel overwhelmed or anxious in group settings, even if I seem to fit in on the surface.*
5. I’ve been told I come across as blunt, shy, or awkward, even when I don’t mean to.*
6. People assume I’m good at socializing because I’ve learned to adapt, but it takes a lot of effort.*
7. I prefer one-on-one interactions over group hangouts because they’re easier to manage.*
For the purpose of this question, imagine you have to talk in both situations, including the group hangout.
8. I get deeply focused on specific topics or hobbies, sometimes to the point where it surprises others.*
9. I feel unsettled if my daily routine changes unexpectedly, even if it’s a small thing.*
10. I repeat certain actions, phrases, or movements (like tapping, pacing, or fidgeting) to feel calm.*
11. I have intense interests that I could talk about for hours, even if others lose interest.*
12. I notice details—like patterns, sounds, or textures—that others seem to overlook.*
13. Certain sounds, lights, or textures bother me more than they seem to bother other people.*
14. I need time alone to recharge after being around people or in busy places.*
15. I feel overwhelmed by crowded or noisy environments, even if I try to push through it.*
16. I struggle to explain my emotions to others or figure out what I’m feeling in the moment.*
17. I overthink social situations afterward, wondering if I said or did the right thing.*
18. I’ve developed ways to “fit in” (like copying others’ behavior) that feel exhausting over time.*
19. I connect deeply with fictional characters, animals, or ideas more than with people sometimes.*
20. I often feel like the stereotypical gender role in which I was born doesn’t fit me.*
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