Adult Dyspraxia Questionnaire

Do you CURRENTLY have difficulties with the following items:

Self-care tasks such as shaving or make up?

Never
Sometimes
Frequently
Always

Eating with a knife and fork/spoon?

Never
Sometimes
Frequently
Always

Hobbies that require good coordination?

Never
Sometimes
Frequently
Always

Writing neatly when having to write fast?

Never
Sometimes
Frequently
Always

Writing as fast as your peers?

Never
Sometimes
Frequently
Always

Reading your own writing?

Never
Sometimes
Frequently
Always

Copying things down without making mistakes?

Never
Sometimes
Frequently
Always

Organising/finding things in your room?

Never
Sometimes
Frequently
Always

Finding your way around new buildings or places?

Never
Sometimes
Frequently
Always

Have others called you disorganised?

Never
Sometimes
Frequently
Always

Do you have difficulties sitting still or appearing fidgety?

Never
Sometimes
Frequently
Always

Do you lose or leave behind possessions?

Never
Sometimes
Frequently
Always

Would you say that you bump into things, spill or break things?

Never
Sometimes
Frequently
Always

Are you slower than others getting up on the morning and getting to work or college?

Never
Sometimes
Frequently
Always

Do others find it difficult to read your writing?

Never
Sometimes
Frequently
Always

Do you avoid hobbies that require good coordination?

Never
Sometimes
Frequently
Always

Do you choose to spend your leisure time more on your own than with others?

Never
Sometimes
Frequently
Always

Do you avoid team games/sports?

Never
Sometimes
Frequently
Always

If you do a sport, is it more likely to be on your own, e.g. going to the gym, than with others?

Never
Sometimes
Frequently
Always

Do you/did you in your teens/twenties avoid going to clubs/dancing?

Never
Sometimes
Frequently
Always

Do you have difficulty preparing a meal from scratch?

Never
Sometimes
Frequently
Always

Do you have difficulty packing a suitcase to go away?

Never
Sometimes
Frequently
Always

Do you have difficulty folding clothes to put them away neatly?

Never
Sometimes
Frequently
Always

Do you have difficulty managing money?

Never
Sometimes
Frequently
Always

Do you have difficulties with performing two things at the same time (e.g. driving and listening or taking a telephone message)?

Never
Sometimes
Frequently
Always

Do you have difficulties with distance estimation (e.g. with regard to parking, passing through objects)?

Never
Sometimes
Frequently
Always

Do you have difficulty planning ahead?

Never
Sometimes
Frequently
Always

Do you feel you are losing attention in certain situations?

Never
Sometimes
Frequently
Always

ATOTAL

C_A_TOTAL

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Are you in the UK?*

Yes
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Where in the world are you?*

Where are you in the UK?*

English County?*

Scottish County?*

Northern Irish County?*

Welsh County?*

Name*

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Adult Dyspraxia Questionnaire

Questionnaire

Step 1 of 2 - Childhood history

As a child, did you:

Do you CURRENTLY have difficulties with the following items: