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Autistic Sexual Intimacy Measure (ASIM-24)*
Take this screener if…
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You struggle to understand or express your emotional or physical needs in intimate situations.
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You feel misunderstood or disconnected during sexual or romantic interactions.
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You frequently experience anxiety related to physical intimacy or sensory sensitivity.
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Clear communication about consent, boundaries, or desire feels especially challenging.
About this test:
The ASIM‑24 is a self-assessment designed for autistic adults—or those who suspect they may be autistic—who want to better understand how their neurotype may influence sexual experiences.
Unlike traditional sexual health assessments, this tool centers neurodivergent perspectives, exploring how sensory needs, communication styles, and emotional processing affect intimacy.
24 Questions
Who It’s For:
Autistic adults (18+) or late-identified neurodivergent individuals interested in exploring their sexual self-awareness, relational patterns, and areas for support or growth.
Duration:
Approximately 5–7 minutes
What It Measures:
The ASIM‑24 assesses strengths and challenges across four domains commonly impacted by autism in the context of intimacy and sexual well-being:
1) Sexual Knowledge & Understanding
Comfort with your body, sexual health, and preferences
2) Sensory Comfort & Regulation
Awareness and management of sensory input during intimacy
3) Boundaries & Consent Self‑Advocacy
Ability to assert needs, limits, and consent clearly
4) Relationship Communication Confidence
Comfort expressing emotions, needs, and desires in intimate relationships
Total Score Interpretation
Score Range: 24–120
24–56: High Support Needed
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You may be navigating multiple challenges around sexual comfort, communication, and emotional safety. Consider working with a neurodivergent-affirming therapist to explore these areas in a supportive, individualized way.
57–88: Growth Zone
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You have a solid foundation but may notice gaps in specific subscales. Focusing on those areas with curiosity, support, or education can promote stronger relational experiences and self-trust.
89–120: Strong Foundation
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You likely feel comfortable, confident, and attuned to your needs and values in intimate contexts. There may still be opportunities to expand your experiences, pleasure, or emotional connection.
Subscale Score Interpretation
Each of the four subscales is scored from 6 to 30. Reviewing subscale scores helps identify specific strengths and areas that may benefit from more focused support.
1) Sexual Knowledge & Understanding
Reflects your awareness of your own body, sexual responses, and access to affirming information.
6–12: High Support Needed – Uncertainty around sexual identity, response, or safety
13–17: Growth Zone – Developing knowledge, with some remaining gaps
18–30: Strong Foundation – Informed, confident, and connected to your sexual self
2) Sensory Comfort & Regulation
Assesses your ability to manage and respond to sensory input during intimacy.
6–12: High Support Needed – Sensory input may feel unpredictable or overwhelming
13–17: Growth Zone – Mixed comfort depending on environment or relationship
18–30: Strong Foundation – Clear awareness of what feels regulating vs. dysregulating
3) Boundaries & Consent Self‑Advocacy
Measures how effectively you identify and express limits in intimate situations.
6–12: High Support Needed – May struggle to assert or uphold boundaries
13–17: Growth Zone – Improving confidence but may still hesitate in some situations
18–30: Strong Foundation – Clear, assertive communication around consent and boundaries
4) Relationship Communication Confidence
Reflects your comfort navigating intimate conversations and expressing emotional needs.
6–12: High Support Needed – Communication may feel confusing or intimidating
13–17: Growth Zone – Some clarity, but difficulty with timing or emotional nuance
18–30: Strong Foundation – Grounded, clear, and confident communication
Support for a More Connected Intimacy
The intersection of autism and sexual intimacy can be layered, vulnerable, and deeply personal. You don’t have to navigate it alone.
A neurodivergent-affirming therapist can help you explore these experiences with curiosity, compassion, and clarity—supporting your growth in pleasure, safety, and connection.
👉 Ready to take the next step? [Reach out through our contact form]—we’re here to help.
*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.