Young's theorem is that
$$
\dfrac{\partial^2 f(x)}{\partial x_i \partial x_j} = \dfrac{\partial^2 f(x)}{\partial x_j \partial x_i}
$$
so that cross derivatives of differentiable functions do not depend on the order of differentiation. $A$ is the Hessian of a quadratic form, so it must be symmetric. To make this really explicit, if you multiplied it out as
$$
x'Ax = \sum_{i=1}^N \sum_{j=1}^N a_{ij} x_i x_j
$$
and took the cross partial you would get $a_{ij} $ or $a_{ji}$ depending on the order in which you did it, so you must conclude $a_{ij} = a_{ji}$ and $A$ is symmetric, or else $f(x) = x'Ax$ is violating Young's theorem.
Why does this matter?
Consider a vector field $F(x)$ and any piecewise smooth curve from $x$ to $x'$, so the line integral is
$$
\int_{0}^{1} F(\alpha(t)) d \alpha(t)
$$
where $\alpha(0) = x$ and $\alpha(1) = x'$. We might ask, ``does the vector field $F(x)$ characterize a proper function, so $F(x) = \nabla f(x)$?'' If so, we'll need it to be the case that
$$
f(x) - f(x') = \int_{0}^{1} F(\alpha(t)) d \alpha(t)
$$
for any piecewise smooth curve $\alpha$. Basically, does the fundamental theorem of calculus hold?
If $A \neq A'$, however, $2A'x$ cannot be the gradient of a function, because it will have curl and violate Young's theorem (sometimes people use $\frac{1}{2}(A+A')$ to ``symmetricize'' $A$). So a necessary condition for $2A'x$ to be the gradient of a function is that $A$ be symmetric. Otherwise, the vector field $A'x$ would not be conservative, and line integrals would depend on the path, so they could not be integrated to get a potential function that makes sense of the vector field. The answer is not that $A$ is not symmetric and the Hessian is $\frac{1}{2}(A'+A)$: it is that $A$ must be symmetric because the Hessian of $x'Ax$ is $A$, and if you wrote $A$ as non-symmetric, you might be lucky enough that the way you do the computations will correct it for you.