Center for Learning Disabilities - Assessment Center

Self-Direction Adaptive Behaviour Assessment - ABAS

Assessment 1 of 28

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.

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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?

Date of Birth

Age

Gender *

Assessment Reasons / Reason for Assessment

1. 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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. Calls family or others when he or she will be late.

Is not able

Never (or almost never) when needed

Sometimes when needed

Always (or almost always) when needed

ONLY if you Guessed

13. 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

14. 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

15. 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

16. 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

17. 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

18. Saves money to buy something special.

Is not able

Never (or almost never) when needed

Sometimes when needed

Always (or almost always) when needed

ONLY if you Guessed

19. Plans home/other 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

20. 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

21. Plans ahead to allow enough time to complete big projects.

Is not able

Never (or almost never) when needed

Sometimes when needed

Always (or almost always) when needed

ONLY if you Guessed

22. 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

23. 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

24. 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

25. 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