Friendship Exit Survey - Autistic Wanderings

Required Information

Thank you for taking the time to complete this survey. It should only take a few minutes and is designed to allow me to learn more about why things did not work out between us and what could be done to foster more successful relationships in the future.

To get started, please answer the required questions below to the best of your ability.

First name

Last name

E-mail address

How long did this friendship last?

Why did you initially want to become my friend?

Briefly describe your first impressions of me. How did they change or evolve during the lifetime of our friendship?

I have been diagnosed as a high-functioning autistic individual. Have I exhibited any of the following characteristics typical of a person on the autism spectrum?

Aloofness

Aggressiveness

Being too forward

Creepiness

Lack of an immediate or correct emotional response

Please select all that apply. Learn more about the traits I exhibit while on the autism spectrum.

Why do you think the friendship ended?

We didn’t get along as expected

Our personalities clashed

I made you uncomfortable

I texted, called, or otherwise tried to communicate with you too often

Please select all that apply.

Please elaborate on your selections from the previous question.

Briefly describe what you think I should do differently if this particular friendship were to be reinstated in the future. What would you do differently?

In your opinion, what changes do you think I should make to avoid future deterioration of friendships similar to ours?

Below are several qualities many people say they like about me. Do you agree with any of these, or have you seen them displayed during this friendship?

Please select all that apply.

How likely are you to want to reinstate this friendship in the future?

Very likely, if issues are resolved or changes are made

Somewhat likely

Slightly likely

Not likely

Never likely

Optional Information

Please answer each of the questions below to the best of your ability. These answers are not required for the successful completion of this survey.

If you had to describe me to anyone else, and could only use one sentence or less, what would you say?

Please describe your experiences with or understanding/awareness of autism. Did you have any experience with people on the autism spectrum before you met me?

What was the first thought you had after receiving this exit survey?

Please describe your experience taking this survey.

Did it take you a long time to complete? Have you taken friendship exit surveys given by anyone else with whom you have terminated a friendship? If so, what was the experience like?

What, if anything, would you improve in regards to this survey?

Agreement

Please read and signify your acknowledgement of and agreement to the important information below before submitting this exit survey.

Agreement Acknowledgement

By submitting, you signify that you have answered each required question to the best of your ability. Furthermore, you signify that any information you have provided, voluntarily or otherwise, is accurate to the best of your knowledge, and that you received no outside assistance, compensation, consultation, or other such services while taking this survey. Additionally, you acknowledge that any and all information you share by way of this survey will be kept strictly confidential and will not be sold, shared, leased, rented, or otherwise distributed to anyone.