Autism Spectrum Disorder Screener Recommended age: Teens (12+) and adultsChild's First Name *Child's Last Name *Age *Date of Birth *School Attends *Parent InformationFirst Name *Last Name *Phone *Email Address *Examiner *Instructions: Rate each statement below as: 0 = Never/Rarely 1 = Sometimes 2 = Often/Always Q1. I struggle to understand social cues, like tone of voice or gestures *Never/RarelySometimesOften/AlwaysQ2. I find it hard to make or keep friendships *Never/RarelySometimesOften/AlwaysQ3. I have strong, highly focused interests *Never/RarelySometimesOften/AlwaysQ4. I dislike unexpected changes or disruptions to my routines *Never/RarelySometimesOften/AlwaysQ5. I repeat movements or phrases (e.g., rocking, hand-flapping) *Never/RarelySometimesOften/AlwaysTotal ScoreSubmit
