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Adult Adaptive Behaviour Assessment (ABAS)
Assessment 1 of 244
Form Instructions & Things to Know
How to fill this form:
Read each question carefully before selecting an answer.
Select the most accurate option based on your observations.
Do not skip questions; every response helps in the assessment.
Things to know:
10-15 Mins
Estimated completion time.
Secure
Your data is fully encrypted.
Note:
This is a screening and assessment tool, not clinical (medical).
First, please provide your contact information.
Your Full Name
Email Address
Phone Number
Information about the individual being assessed.
Who are you filing for?
Choose relationship...
Self
Child
Partner
Family Member
Friend
Caretaker
Guardian
Teacher/Tutor
Name of Individual Being Assessed
Date of Birth
Age
Gender
*
Select Gender
Male
Female
School Grade (Optional)
Assessment Reasons / Reason for Assessment
1. Says the names of other people (for example, “Mama,” “Daddy,” or names of friends).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
2. Says “Hello” and “Good-bye” to others.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
3. Answers the telephone by saying “Hello or Hi or Greet.”
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
4. Uses sentences with a noun and verb (Example; Birds fly, The dog barks, She sings)
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
5. Names 20 or more familiar objects or items.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
6. States his or her home address, including zip code.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
7. Gives verbal instructions to others that involve two or more steps or activities.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
8. Speaks clearly and distinctly.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
9. States his or her mobile number.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
10. Shakes head or says “Yes” or “No” in response to a simple question (for example, “Do you want something to drink?”)
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
11. Looks at other people’s faces when they are talking to him or her
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
12. Says irregular plural nouns correctly (for example, says “feet” instead of “foots” and “men” instead of “mans”).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
13. Nods or smiles to encourage others when they are talking.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
14. Tells family, friends, or others about his or her favorite activities.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
15. Listens closely for at least 5 minutes when people talk.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
16. Uses up-to-date information to discuss current events.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
17. Starts conversations on topics of interest to others.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
18. Answers complex questions that require careful thought and opinion (for example, questions about politics or current events).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
19. Distinguishes truthful from exaggerated claims by friends, advertisers, or others.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
20. Repeats stories or jokes correctly after hearing them from others.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
21. Talks with others about complex topics for at least 10 minutes (for example, about politics or current events).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
22. Waits for others to finish what they are saying, without interrupting.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
23. Participates in conversations without talking too much or too little.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
24. Talks about realistic future educational or career goals.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
25. Explains the terms of a legal document to others (for example, a contract to buy a house or rent a car).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
26. Finds the restroom in public places.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
27. Finds a specific area in a store or business (for example, drink shelves in a store or customer service department in a bank).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
28. Looks both ways before crossing a street or parking lot.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
29. Orders own meals when eating out.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
30. Carries personal identification document when traveling to nearby places in the community.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
31. Relies on himself or herself for travel in the community (for example, walks or uses public transportation, a bicycle, or a car).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
32. Carries enough money to make small purchases (for example, a soft drink).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
33. States the general address of a travel destination (for example, “On 37 Hospital Avenue, near 37 Street”).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
34. Recognizes when a store item is poorly made or too expensive.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
35. Asks a store sales person for help if an item cannot be found.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
36. Tells others about a store’s hours of operation (for example, “Opens 10 a.m. Close 9 p.m.”)
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
37. Follows another person’s directions to nearby places.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
38. Uses a bank card or mobile money for making purchases.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
39. Makes appointments by telephone, mobile device, or Internet.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
40. Uses paper or digital maps to find his or her way to desired locations.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
41. Obtains money from an Bank or ATM or Mobile Money.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
42. Before buying an item in a store, gives careful thought to the need for it and its cost.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
43. Calls a repair person when needed (for example, if the shoe or bag or air conditioner or heater stops working).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
44. Is responsible for his or her personal finances, such as Mobile money, bank account, credit card, or utility bill.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
45. Asks other people’s advice on where to shop.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
46. Uses the school library, public library, or Internet to get books or reference materials.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
47. Shops for friends or family who may be unable to shop.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
48. Uses printed or Internet resources to obtain information before making major purchases (for example, cars, appliances, computers).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
49. Walks or rides bike alone to locations within a 1-mile or 5-block radius of home or work.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
50. Writes and sends letters, personal notes, or emails.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
51. Writes or prints his or her first and last name.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
52. States the days of the week in order.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
53. Reads his or her name when written or printed.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
54. Writes his or her address, including street or house number.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
55. Reads menus at restaurants.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
56. Gives a sales person the necessary amount of money when buying items.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
57. Reads and obeys common signs (for example, Do Not Enter, Exit, Stop).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
58. Locates mobile numbers using a phone book or the Internet.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
59. Locates important dates on a calendar (for example, birthdays or holidays)
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
60. Weighs self or objects correctly using a Weighing scale.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
61. Finds names and mobile numbers for repair services or businesses using a phone contact list or the Internet search.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
62. Reads and follows a daily classroom or work schedule, without needing to be reminded by another person.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
63. Records dates and times for appointments and deadlines.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
64. Measures length and height.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
65. Checks for correct change (Money) after buying an item from a shop.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
66. Uses lists and reminders to remember important things.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
67. Completes written forms to apply for jobs or other applications.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
68. Completes forms for businesses or services (for example, open bank account, school form, exam form, loan form, to obtain a lease).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
69. Checks the accuracy of charges before paying a bill (when paying for an item).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
70. Reads important documents (for example, lease agreement, credit card applications or rental agreements).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
71. Budgets money to cover expenses for at least 1 week.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
72. Reads labels before purchasing products for important information about size, weight, and directions for use.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
73. Checks bank or other financial statements or mobile money at least monthly to be sure they are correct.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
74. Cleans bathroom with proper cleaning materials.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
75. Operates a microwave oven
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
76. Makes simple meals that require no cooking (for example, gari mix, cold milk tea, bread spreads, sandwiches or salads).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
77. Cooks simple foods on a stove (for example, eggs or Koko, hot tea).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
78. Wipes or clean up spills at home.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
79. Shows respect when using others’ possessions (for example, by keeping them clean and returning them undamaged when requested).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
80. Uses a clothes dryer or dry cloths drying line.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
81. Uses a washing machine to wash clothes or wash cloths by himself or herself.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
82. Washes dishes either by hand or with a dishwasher.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
83. Places dirty clothes in the proper place (for example, a hamper or clothes basket).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
84. Folds clean clothes.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
85. Assists in big cleanup exercise at home or work (for example, spring cleaning or cleaning storage rooms).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
86. Keeps working on important tasks at home, even when it is noisy.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
87. Takes out trash bin when is full.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
88. Clears the table completely after a meal.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
89. Puts things in their proper place when finished using them.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
90. Cleans his or her room or living quarters regularly.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
91. Makes his or her bed.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
92. Pays bills on time (for example, electricity or water bills or mobile).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
93. Dusts or clean furniture until it's clean
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
94. Follows a maintenance schedule for car or their home (for example, changes the car engine oil or the home furnace filter).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
95. Rent a home or other rental, or car insurance for himself or herself.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
96. Performs minor household repairs (for example, fixes broken tables and chair, drain blocked water flow, or leak tap).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
97. Uses electrical outlets or sockets safely.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
98. Shows caution around hot or dangerous items.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
99. Carries breakable objects safely and carefully.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
100. Displays safe behaviors at work or other public places.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
101. Fastens own seat belt in a car.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
102. Cares for own minor injuries (for example, paper cuts, knee scrapes, nosebleeds)
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
103. Swallows liquid medicines as needed.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
104. Carries scissors safely
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
105. Follows general safety rules at home.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
106. Uses tools and equipment safely.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
107. Refuses gifts and rides from strangers.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
108. Obeys requests from other people only if he or she knows and trusts them.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
109. Avoids people who might take advantage of him or her (for example, for money or sex).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
110. Takes medications without supervision on days and at times prescribed.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
111. Buys over-the-counter medications when needed for illness.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
112. Reads labels on his or her medications to make sure they have not expired.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
113. Takes temperature with a thermometer when feeling sick.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
114. Inspects contents of refrigerator and removes food that is spoiled or whose expiration date has passed.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
115. Makes his or her own appointments to see a physician for any day or monthly or annual checkups.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
116. Plans meals in order to get necessary nutrition.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
117. Waits for his or her turn in games and other fun activities.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
118. Follows the rules in games and other fun activities.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
119. Selects television programs or uses the Internet to keep up with an area of interest (for example, sports, music, nature).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
120. Listens to music for fun and relaxation.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
121. Listens to music for fun and relaxation.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
122. Plays with games or other fun items with others.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
123. Invites others to join him or her in playing games and other fun activities.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
124. Engages in a variety of fun activities instead of only one or two.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
125. Attends fun community activities with others (for example, a movie or concert).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
126. Attends fun activities at another’s home.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
127. Tells others when he or she needs free time to relax alone.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
128. Plays alone with games or does other fun activities.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
129. Initiates games or selects television programs liked by friends or family members.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
130. Plans ahead for fun activities on free days or afternoons.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
131. Plans ahead for extended leisure activities during breaks or vacations.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
132. Tries a new activity to learn about something new.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
133. Organizes a game or other fun activity for a group of friends without help from others.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
134. Invites others home for a fun activity.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
135. Makes travel arrangements for self and others.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
136. Reserves tickets in advance for activities such as concerts or sports events.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
137. Has a hobby or creative activity that requires making or building something (for example, sewing, carpentry, gardening, drawing, painting, other)).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
138. Joins an organized group without help from another person (for example, a club, sports team, or musical group or school team or association).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
139. Participates in an organized program for a sport or hobby (for example, practices basketball or takes a music class or football or others).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
140. Puts shoes on the correct feet.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
141. Buttons own clothing.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
142. Uses a fork to eat solid food.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
143. Uses washroom at home without help.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
144. Closes and locks the door before using public restrooms
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
145. Fastens and straightens clothing before leaving washroom.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
146. Dresses himself or herself.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
147. Washes hands with both soap and water.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
148. Uses public washroom alone.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
149. Blows and wipes nose with tissue or handkerchief.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
150. Combines hot and cold water for a shower or bath.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
151. Ties his or her own shoes.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
152. Selects correct clothes for cold or warm days.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
153. Brushes teeth before leaving for work or appointments.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
154. Cuts or files his or her own fingernails and toenails regularly.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
155. Selects appropriate clothes for different occasions (for example, casual activities or formal events).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
156. Bathes daily.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
157. Keeps hair neat during the day by brushing or combing.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
158. Cuts meats or other foods into bite-size pieces with a knife or spoon.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
159. Eats a variety of foods instead of preferring only one or two.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
160. Gets out of bed on time by himself or herself.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
161. Wears a variety of clothes, instead of the same or similar clothes most days.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
162. Engages in regularly haircuts/hairstyle on his or her own.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
163. Washes and rinses sink after brushing teeth.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
164. Avoids unhealthy foods and drinks.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
165. Exercises or works out at least 2 hours weekly.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
166. Works on one home or school activity for at least 15 minutes without reminders.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
167. Works independently and asks for help only when necessary.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
168. Personally calls work or other places if absent.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
169. Avoids situations at home or in the neighborhood that are likely to result in trouble.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
170. Resists pressure from others to do things that could endanger him or her.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
171. Stops a fun activity, without complaining, when time is up.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
172. Stands still when needed, without fidgeting or moving around.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
173. Controls disappointment when a favorite activity is canceled.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
174. Controls anger when another person breaks the rules in games and other fun activities.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
175. Completes routine household tasks within a reasonable amount of time.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
176. Returns on time when asked to be back in 1 hour
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
177. Saves money to buy something special (for example, a birthday present or special clothes).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
178. Refuses when another person asks him or her to do something foolish.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
179. Routinely arrives at places on time.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
180. Keeps working on hard tasks without becoming discouraged, quitting, or needing reminders.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
181. Controls temper when disagreeing with friends.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
182. Avoids behavior that could embarrass or bring shame to self or family.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
183. When leaving home, informs others of destination and return time.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
184. When leaving home, informs others of destination and return time.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
185. Controls feelings when not getting his or her own way.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
186. Plans home projects in logical steps.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
187. Makes important decisions only after careful consideration, without rushing.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
188. Calls family or others when he or she will be late (for example, in returning home, attending a social event, or arriving for an appointment).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
189. Plans ahead to allow enough time to complete big or small projects.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
190. Limits time playing computer games or other nonproductive activities.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
191. Completes large/small home projects on time.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
192. Says when he or she feels happy, sad, scared, or angry.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
193. Sends thank-you notes or emails after receiving a gift or help with an important task.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
194. Says “Thank you” when given a gift.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
195. Has one or more friends.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
196. Stands a comfortable distance from others during conversations (not too close).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
197. Laughs in response to funny comments or jokes.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
198. Moves out of the way of other people as needed on sidewalks, in corridors, passageway, or in hallways.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
199. Congratulates others when something good happens to them.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
200. Shows respect for persons in authority by following their rules and directions (for example, parents, teachers, police officers).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
201. Shows sympathy for others when they are sad or upset.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
202. Listens to friends or family members who need to talk about problems.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
203. Recognizes when someone is making an unreasonable request.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
204. Places reasonable demands on friends (for example, does not become upset when a friend goes out with another friend).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
205. Keeps a stable group of friends.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
206. Says “Please” when asking for something.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
207. Has good relationships with family members.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
208. Avoids friends and social settings that may be harmful or dangerous.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
209. Offers guests food or beverages or water.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
210. Shows good judgment in selecting friends.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
211. Seeks friendships with others in his or her age group.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
212. States when others seem happy, sad, scared, or angry.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
213. Refrains from saying or doing things that might embarrass or hurt others.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
214. Personally makes or buys gifts for family members on birthdays or major holidays.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
215. Tries to please others by doing something special or giving them a surprise.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
216. Selects specific locations for social activities with friends (for example, restaurants or movie theaters).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
217. Behaves safely at work so that no one will be harmed.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
218. Cares properly for work or office supplies and equipment.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
219. Follows daily work schedule without reminders from supervisor.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
220. Returns to work willingly after taking a break or lunch.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
221. Performs tasks at work neatly.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
222. Follows supervisor’s instructions when completing tasks or activities.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
223. Refuses when a coworker encourages him or her to do shoddy or unsafe work.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
224. Cleans up area after completing work
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
225. Is productive and cooperative as part of groups or teams.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
226. Completes work assignments within required time limits.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
227. Works quietly, without disturbing coworkers
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
228. Asks for directions, as needed, before beginning work tasks.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
229. Finds full-time or part-time jobs for himself or herself.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
230. Organizes tasks at work so that the most important are completed first.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
231. Takes the time needed to do a task well, without rushing.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
232. Checks own work to determine if improvements are needed.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
233. Keeps working efficiently and accurately, even with loud noises or distractions.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
234. Performs extra work on the job willingly.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
235. Seeks help from supervisor, as needed, when work-related problems or questions arise.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
236. Shows a positive attitude toward job.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
237. Keeps a stable part-time or full-time job for at least 1 year.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
238. Verifies wages to ensure that he or she is receiving the proper amount.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
239. Makes suggestions to supervisors (for example, how to have a safer or more productive workplace).
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
240. Trains and supervises others in the workplace.
Is not able
Never (or almost never) when needed
Sometimes when needed
Always (or almost always) when needed
ONLY if you Guessed
241. Comments
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