This survey uses a trial version of the Alchemer platform and the user’s identity is not verified.
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Autism Survey

1. Did you have Psychosis/Hallucinations as a child? *This question is required.
2. Do you have insomnia? *This question is required.
3. Are you allergic to caffiene? *This question is required.
4. Have you ever experienced Hallucinations after consuming caffiene? *This question is required.
5. Have you ever experienced Hallucinations when tired? *This question is required.
6. Do you suffer from severe and frequent night-terrors? *This question is required.
7. Do you have Sensory processing disorder? *This question is required.
8. Do you have ADHD? *This question is required.
9. Do you have PTSD? *This question is required.
10. Do you have depression? *This question is required.
11. Do you have anxiety? *This question is required.
12. Do you have Psychosis/Schizophrenia? *This question is required.
13. Do you have Delusions? *This question is required.
14. Do you have executive dysfunction? *This question is required.
15. Are you non-verbal? *This question is required.
16. Do you have problems with aggression? *This question is required.
17. Do you have intrusive thoughts or paranoia? *This question is required.
18. Do you randomly have thoughts of murdering/Hurting others for no reason? *This question is required.
19. Do you experience different levels of Empathy? ( Some days too much, some days none) *This question is required.
20. Do you have Blackouts or lose time? (Not the same thing as fainting/passing out) *This question is required.
21. Have you experienced dissociation? *This question is required.
22. Have you been abused by your family/friend/caretaker? ( remember this is anonymous) *This question is required.
23. Do you have self-harming stims? *This question is required.
24. What P.O.V do you have dreams in? *This question is required.
25. Do you Lucid dream? *This question is required.
26. Do you have mirror-touch synesthesia? *This question is required.
27. Do you have another type of synesthesia? *This question is required.
28. Do you have poor facial recognition? *This question is required.
29. Do you have a poor memory? *This question is required.
30. Do you have IBS or other gastrointestinal problems? *This question is required.
31. Do you have irrational fears/Phobias? *This question is required.
32. Do you have OCD? *This question is required.
33. Do you feel the need to constantly close doors/windows and sit in corners? *This question is required.
34. How often do your special interests change? *This question is required.
35. What is your sexual orientation? *This question is required.
36. What is your romantic preference? *This question is required.
37. Are you transgender? *This question is required.
38. Are you otherkin? *This question is required.
39. What race are you? (Your real race, please don't say you Identify as Japanese/black etc) *This question is required.
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