Autonomic Symptoms Questionnaire Test

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- have your face become flushed
- have your face turn pale
- this does not happen
- the fingers or toes
- the whole hands or feet
- I do not experience this
- of the fingers or toes
- of the hands or feet as a whole
- does not occur
Autonomic Symptoms Questionnaire Test - Description and methodology of the test
People who notice recurring bodily changes may use the Autonomic Symptoms Questionnaire Test to organize their concerns and see how strongly the overall result reflects signs of autonomic changes. An autonomic symptoms assessment offers a structured way to examine that concern, while the single displayed score summarizes overall severity rather than ranking individual experiences.
What This Assessment Explores
Rather than focusing on one complaint, the questionnaire samples bodily reactions associated with autonomic changes. Items address heartbeat, breathing, digestion, sweating, skin color, numbness, faintness, headaches, sleep, fatigue, and work capacity. The displayed result is one overall severity measure, not separate subgroup scores.
A questionnaire for autonomic symptoms covers these areas, while its single scale supplies the result:
- The Signs of Autonomic Changes scale (0-60) assesses the severity of signs of autonomic changes; in healthy individuals, the total should not exceed 15. Results are shown as Within expected range 0-15 or Elevated signs 16-60; scores above 15 may indicate autonomic dystonia syndrome.
- Cardiovascular, respiratory, skin, temperature, and faintness experiences are represented by questions about heartbeat awareness, breathlessness, sweating, color changes, numbness, or near-fainting.
- Digestive, headache, sleep, fatigue, and work-capacity experiences show which everyday concerns the questions ask the respondent to consider.
Methodology and Scientific Basis
The response format combines yes-or-no items with choices that distinguish symptom forms or locations. A respondent may identify where numbness occurs, how skin color changes, or what kind of sleep difficulty is present. Thus, some answers record presence, while others add descriptive detail.
Answers in the autonomic symptom questionnaire are combined into the displayed total, but the online form does not state the points assigned to each option. Interpretation should therefore follow the stated scale and bands, not an assumed count of affirmative responses.
The closest named source is the questionnaire published in Vein’s 1998 book. The Freudly form is conceptually consistent with that source’s focus on autonomic or vegetative symptoms, but it is not presented as a direct adaptation. This source supplies conceptual context rather than psychometric evidence for the online form.
The displayed result is a structured self-report indicator; its meaning is limited to the stated severity bands. Current stress, illness, recall, and bodily awareness can affect responses, so persistent symptoms merit broader medical evaluation rather than a standalone conclusion.
- Vein A.M., Voznesenskaya T.G., Vorobyova O.V., et al. Vegetative Disorders: Clinic, Diagnosis, Treatment. Edited by A.M. Vein. Moscow: Medical Information Agency; 1998. 749 p. ISBN 5-89481-011-6.
- Pasiieshvili T.M. Vegetative accompaniment of the combined course of gastroesophageal reflux disease in young patients with autoimmune thyroiditis. Modern Gastroenterology. 2019;(3):26-32. 10.30978/MG-2019-3-26.
- Kazantseva T.V., Kolomiets O.I. The effect of myofascial release on heart rate variability in subjects with autonomic dysfunction: a randomized controlled trial. Bulletin of Rehabilitation Medicine. 2025;24(1):39-46. 10.38025/2078-1962-2025-24-1-39-46
Updated: