Jeanne Holverstott, MS
About
Services
Blog
Forms & Fees
FAQ's
Say Hello
Diagnostic Questionnaire
"
*
" indicates required fields
Client Name
First
Last
Date of Birth
MM slash DD slash YYYY
I prefer to do things with others rather than on my own.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I prefer to do things the same way over and over again.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
If I try to imagine something, I find it very easy to create a picture in my mind.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I frequently get so strongly absorbed in one thing that I lose sight of other things.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I often notice small sounds when others do not.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I usually notice car number plates or similar strings of information.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
Other people frequently tell me that what I've said is impolite, even though I think it is polite.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
When I am reading a story, I can easily imagine what the characters might look like.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I am fascinated by dates.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
In a social group, I can easily keep track of several different people's conversations.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I find social situations easy.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I tend to notice details that others do not.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I would rather go to a library than a party.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I find making up stories easy.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I find myself drawn more strongly to people than to things.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I tend to have very strong interests and get upset about it if I can't pursue.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I enjoy social chitchat.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
When I talk, it isn't always easy for others to get a word in.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I am fascinated by numbers.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
When I am reading a story, I find it difficult to work out the characters' intentions.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I don't particularly enjoy reading fiction.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I find it hard to make new friends.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I notice patterns in things all the time.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I would rather go to the theater than to a museum.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
It does not upset me if my daily routine is disturbed.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I frequently find that I don't know how to keep a conversation going.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I find it easy to "read between the lines" when someone is talking to me.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I usually concentrate more on the whole picture, rather than the small details.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I am not very good at remembering phone numbers.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I don't usually notice small changes in a situation, or a person's appearance.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I know how to tell if someone listening to me is getting bored.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I find it easy to do more than one thing at once.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
When I talk on the phone, I am not sure when it's my turn to speak.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I enjoy doing things spontaneously.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I am often the last to understand the point of a joke.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I find 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
If there is an interruption, I can switch back to what I was doing very quickly.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I am good at social chitchat.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
People often tell me that I keep going on and on about the same thing.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
When I was young, I used to enjoy playing games involving pretending with other children.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I like to collect information about categories of things.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I find it difficult to imagine what it would be like to be someone else.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I like to plan any activities I participate in carefully.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I enjoy social occassions.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I find it difficult to work out people's intentions.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
New situations make me anxious.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I enjoy meeting new people.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I am a good diplomat.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I am not very good at remembering people's date of birth.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
I find it very easy to play games with children that involve pretending.
*
Definitely Agree
Slightly Agree
Slightly Disagree
Definitely Disagree
Jeanne Holverstott, MS
About
Services
Blog
Forms & Fees
FAQ's
Site design & development by Baseline Creative
X
Contact Jeanne
"
*
" indicates required fields
Name
*
First
Last
Email Address
*
Message
Phone
This field is for validation purposes and should be left unchanged.
facebook-square
twitter