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ADHD Sexual Intimacy Measure (ADHD-ASIM-24)*
The ADHD‑SIM‑24 is a self-assessment designed for adults with ADHD—or those who suspect they may have ADHD—who want to better understand how their neurotype may influence sexual experiences.
This tool focuses on the unique ways attention, impulsivity, emotional regulation, and communication styles shape intimacy, connection, and consent.
24 Questions
Who It’s For:
Adults (18+) with ADHD or ADHD traits interested in exploring how their neurotype may impact sexual dynamics, relational satisfaction, and self-awareness in intimate settings.
Duration:
Approximately 5–7 minutes
What It Measures:
The ADHD‑SIM‑24 assesses common strengths and challenges associated with ADHD across four domains that influence sexual and relational experiences:
1) Attention & Presence
Ability to stay engaged and connected during intimacy
2) Impulse Control & Risk
Balancing desire with pacing, safety, and long-term values
3) Boundaries & Consent
Comfort navigating and expressing personal and shared limits
4) Relationship Communication & Satisfaction
Expressing needs clearly and staying emotionally connected
Total Score Interpretation
Total Score Range: 24–120
24–56: High Support Needed
You may be navigating multiple barriers to safe, satisfying, or emotionally connected intimacy. Consider working with an ADHD-informed therapist to explore tailored strategies for support.
57–88: Growth Zone
You have a strong foundation in some areas, but others may still feel inconsistent or challenging. Targeted support, education, or practice can help deepen your confidence and connection.
89–120: Strong Foundation
You likely feel aware, confident, and connected in your intimate life. There may still be opportunities to expand your skills or deepen emotional and sensory awareness.
Subscale Score Interpretation
Each of the four subscales is scored from 6 to 30. Reviewing your subscale scores offers insight into specific strengths and areas that may benefit from further attention.
1) Attention & Presence
Assesses your ability to stay focused, emotionally attuned, and physically connected during intimate moments.
6–13: High Support Needed – Distraction or disconnection may be common
14–22: Growth Zone – Making progress, but attention shifts still occur
23–30: Strong Foundation – Grounded and present with self and partner
2. Impulse Control & Risk
Reflects your ability to pause, reflect, and make choices that align with your values and safety.
6–13: High Support Needed – Impulses may override caution, leading to regret
14–22: Growth Zone – Growing awareness, with occasional challenges
23–30: Strong Foundation – Thoughtful and balanced approach to risk and pacing
3. Boundaries & Consent
Measures how well you recognize, express, and uphold boundaries in intimate situations.
6–13: High Support Needed – Consent and boundary conversations may feel confusing or unclear
14–22: Growth Zone – Developing tools but still seeking confidence or clarity
23–30: Strong Foundation – Clear, respectful, and confident in boundary-setting and consent
4. Relationship Communication & Satisfaction
Evaluates your comfort and confidence in discussing needs, desires, and emotions during intimacy.
6–13: High Support Needed – Conversations may be avoided, disorganized, or emotionally intense
14–22: Growth Zone – Building communication skills with room for refinement
23–30: Strong Foundation – Engaged, expressive, and emotionally connected during intimate communication
Support for ADHD‑Informed Intimacy
ADHD can shape how you connect, communicate, and experience intimacy—and that’s not something you have to navigate alone.
A therapist who understands ADHD can help you develop personalized tools for connection, safety, and pleasure that honor both your neurotype and your needs.
👉 Curious to learn more? [Reach out through our contact form]—we’re here to support your growth.
*Disclaimer
This questionnaire is designed to offer helpful insights and support self-reflection. It can be a useful starting point to increase understanding and many individuals find it valuable for identifying patterns and starting meaningful conversations—whether with a partner, therapist, or coach.
That said, this tool is still in development and has not been validated through formal scientific research. While the questions are based on commonly reported experiences, the questionnaire’s reliability and accuracy have not been formally established. It is not intended to diagnose any condition or replace professional evaluation.
For personalized guidance, we encourage you to consult with a neurodivergent-affirming clinician.
©2025 Adult Autism Assessment Center, part of the New Path Family of Therapy Centers Inc. All rights reserved. No part of this questionnaire may be reproduced, redistributed, or otherwise used without explicit written permission from the Adult Autism Assessment Center.