Think Autism - Flexbility Questionnaire

Contact Information

Today's date *

First Name *

Last Name *

Email *

Childs name *

Unexpected changes to familiar routines and activities *

Encountering a different person than expected *

Visiting new settings without preparation *

Out of character actions taken by familiar people *

Close approach of unfamiliar (but non-threatening) strangers or animals *

Being interrupted while in the midst of highly favoured activities *

Having to stop tasks before completion and move on *

Making mistakes and errors *

Having less success with tasks than expected *

Being unable to find desired objects *

Being turned down after making requests *

Requests to sample new foods *

Adjusting to a new or substitute teacher, or new caregiver *

Adjusting to major changes made to familiar settings *

Having to play a familiar game, but with new rules *

Having to learn a new way to do a familiar task *

Going to familiar destination by novel routes *

Having to distinguish between important and unimportant parts of tasks. *

Adapting when original problem solutions do not work *

Losing games or contests *

Changing plans due to unexpected problems or events *

Being treated in a way he or she perceives as unfair *

Having someone point out mistakes or errors *