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Asperger's Screening Tool

Social Challenges Screening Questionnaire

This screening questionnaire may yield a recommendation to seek a formal evaluation for autism spectrum disorder based on the responses provided. Please note: this does not replace a comprehensive diagnostic assessment.

Version 3.1

Does your child...

Have difficulty with fine or gross motor coordination (handwriting, throwing or catching balls, riding a bike, etc.)? Yes No

Have unusual speech at times (too slow or loud, formal or "little professor-like", monotone, robotic etc.)? Yes No

Have difficulty playing with others (Disrupts play, controls the activity, etc.)? Yes No

Have trouble making or keeping friends? Yes No

Seem socially awkward at times (rude, inappropriate comments, unaware of social cues)? Yes No

Have interests that seem overly intense and are expressed in conversation, play, and thoughts? Yes No

Have trouble organizing or completing school work? Yes No

Find jokes or sarcasm difficult to understand? Yes No

Have few or unusual facial expressions? Yes No

Often act without thinking (interrupts often, takes things from others without asking, etc.)? Yes No

Have difficulty following instructions or the flow of simple conversations? Yes No

Become overly distressed when routines are changed at home or school? Yes No

Have trouble following rules of personal space and boundaries (excessive touching, stands too close, etc.)? Yes No

Have poor eye contact? Yes No

Have exceptional skills (advanced language development, early letter or number recognition, memorization of facts, etc.)? Yes No

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Monday - Friday, 8:00am - 5:00pm

Phone: (602) 340-8717
Fax: (602) 340-8720
Email: sarrc@autismcenter.org

SARRC's Sybil B. Harrington Campus for Exceptional Children
300 N 18th Street
Phoenix, AZ 85006 (map)

SARRC's Colonel Harland D. Sanders Center for Autism Studies
2225 N 16th Street
Phoenix, AZ 85006 (map)

SARRC's Vocational & Life Skills Academy
2225 N 16th Street
Phoenix, AZ 85006 (map)

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