The Childhood Autism Spectrum Test (CAST) is designed for children ages 4 and older. Outside of this range, it will not be reliable.
Yes
No
Email address
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Child's Date of Birth
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Today Y-M-D
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If this is incorrect, please correct the date of birth provided.
Child's Gender
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male female other (please specify)
Other gender - please specify:
Has your child lost any skills (movement, language, etc...) that they once had?
Yes
No
Please describe the lost skills, and when this occurred.
Is your child in school (including preschool/nursery school)?
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Yes
No
Birth Order of Child:
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first-born second-born third-born fourth-born fifth-born sixth-born other (please specify)
Other birth order- please specify:
Was your child a multiple (twin, etc...) or a single birth?
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single birth
twin
other (please specify)
single birth
twin
other (please specify)
Other (triplet, etc...) please specify:
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Has your child been diagnosed with any of the following:
Child's other diagnosis (please specify):
Has your child's sibling been diagnosed with any of the following:
Other sibling diagnoses (please specify):
How many hours of screens does your child view per day, on average? (iPads, video games, TV, etc...)
Deaf or moderately-to-severely hearing impaired
Pervasive Developmental Disorder, Not Otherwise Specified
Attention Deficit Hyperactivity Disorder (ADHD)
Does your child have any unusual behaviors that concern you?
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Yes
No
Please describe your child's concerning behaviors.
Does s/he join in playing games with other children easily?
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yes
no
Does s/he come up to you spontaneously for a chat?
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yes
no
Was s/he speaking by 2 years old?
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yes
no
Does s/he enjoy sports?
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yes
no
Is it important to him/her to fit in with the peer group?
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yes
no
Does s/he appear to notice unusual details that others miss?
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yes
no
Does s/he tend to take things literally?
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yes
no
When s/he was 3 years old, did s/he spend a lot of time pretending (e.g., play-acting being a superhero, or holding teddy's tea parties)?
* must provide value
yes
no
Does s/he like to do things over and over again, in the same way all the time?
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yes
no
Does s/he find it easy to interact with other children?
* must provide value
yes
no
Can s/he keep a two-way conversation going?
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yes
no
Can s/he read appropriately for his/her age?
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yes
no
Does s/he mostly have the same interests as his/her peers?
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yes
no
Does s/he have an interest which takes up so much time that s/he does little else?
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yes
no
Does s/he have friends, rather than just acquaintances?
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yes
no
Does s/he often bring you things s/he is interested in to show you?
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yes
no
Does s/he enjoy joking around?
* must provide value
yes
no
Does s/he have difficulty understanding the rules for polite behavior?
* must provide value
yes
no
Does s/he appear to have an unusual memory for details?
* must provide value
yes
no
Is his/her voice unusual (e.g., overly adult, flat, or very monotonous)?
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yes
no
Are people important to him/her?
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yes
no
Can s/he dress him/herself?
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yes
no
Is s/he good at turn-taking in conversation?
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yes
no
Does s/he play imaginatively with other children, and engage in role-play?
* must provide value
yes
no
Does s/he often do or say things that are tactless or socially inappropriate?
* must provide value
yes
no
Can s/he count to 50 without leaving out any numbers?
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yes
no
Does s/he make normal eye-contact?
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yes
no
Does s/he have any unusual and repetitive movements (e.g. rocking, hand-flapping, etc...)?
* must provide value
yes
no
Is his/her social behaviour very one-sided and always on his/her own terms?
* must provide value
yes
no
Does s/he sometimes say "you" or "s/he" when s/he means "I"?
* must provide value
yes
no
Does s/he prefer imaginative activities such as play-acting or story-telling, rather than numbers or lists of facts?
* must provide value
yes
no
Does s/he sometimes lose the listener because of not explaining what s/he is talking about?
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yes
no
Can s/he ride a bicycle (even if with stabilizers or training wheels)?
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yes
no
Does s/he try to impose routines on him/herself, or on others, in such a way that it causes problems?
* must provide value
yes
no
Does s/he care how s/he is perceived by the rest of the group?
* must provide value
yes
no
Does s/he often turn conversations to his/her favourite subject rather than following what the other person wants to talk about?
* must provide value
yes
no
Does s/he have odd or unusual phrases?
* must provide value
yes
no
Have teachers/health visitors ever expressed any concerns about his/her development? if yes, please specify
yes
no
Yes - please specify:
* must provide value
Do you have any additional concerns about your child's development?
Yes
No
Please describe your additional concerns.
Childhood Autism Spectrum Test (CAST) Score:
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Your score will be interpreted for you after you submit the survey. Your results will also be emailed to you for your records.