Social Communication Difficulty Assessment Form
Please answer the following questions to help assess areas of social communication difficulty. Your responses are confidential and used solely for assessment purposes.
How often do you find it difficult to start a conversation with others?
*
Never
Rarely
Sometimes
Often
Always
How comfortable are you maintaining eye contact during conversations?
*
1
2
3
4
5
How challenging is it for you to understand jokes, sarcasm, or figurative language?
*
Not at all challenging
Slightly challenging
Moderately challenging
Very challenging
Extremely challenging
How often do you miss social cues (such as facial expressions or tone of voice)?
*
Never
Rarely
Sometimes
Often
Always
How confident do you feel when joining group conversations?
*
1
2
3
4
5
How often do you find yourself unsure of what to say during social interactions?
*
Never
Rarely
Sometimes
Often
Always
Please rate your difficulty with the following aspects of social communication:
*
Rows
No difficulty
Mild difficulty
Moderate difficulty
Severe difficulty
Understanding others' emotions
1
2
3
4
Expressing your own feelings
5
6
7
8
Adapting your communication style
9
10
11
12
Interpreting tone of voice
13
14
15
16
How often do you prefer communicating through text or email rather than speaking in person?
*
Never
Rarely
Sometimes
Often
Always
How comfortable are you asking for clarification if you do not understand something?
*
1
2
3
4
5
If you wish, briefly describe any specific challenges you experience with social communication.
Submit Assessment
Should be Empty: