Autism Spectrum Screening (ASSQ) - Parent/Guardian

Assessment 1 of 30

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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Note: This is a screening and assessment tool, not clinical (medical).

First, please provide your contact information.

Information about the individual being assessed.

1. He or she is regarded as an “eccentric professor” by the other children
2. He or she lacks empathy
3. He or she makes naive and embarrassing remarks
4. He or she wishes to be sociable but fails to make relationships with peers
5. He or she can be with other children but only on his/her terms
6. He or she lacks best friend
7. He or he is poor at games: no idea of cooperating in a team, scores “own goals”
8. He or she is bullied by other children.
9. He or she has a literal understanding of ambiguous and metaphorical language
10. He or she has a deviant style of communication with a formal, fussy, old-fashioned or “robot-like” language
11. He or she invents idiosyncratic words and expressions
12. He or she has a different voice or speech
13. uses language freely but fails to make adjustment to fit social contexts or the needs of different listeners.
14. He or she has a deviant style of gaze
15. He or she has markedly unusual facial expression
16. She or he lives somewhat in a world of his/her own with restricted idiosyncratic intellectual interests
17. He or she accumulates facts on certain subjects (good rote memory) but does not really understand the meaning
18. He or she has difficulties in completing simple daily activities because of compulsory repetition of certain actions or thoughts
19. He or she has special routines: insists on no change
20. He or she shows idiosyncratic attachment to objects
21. He or she is old-fashioned or precocious
22. He or she expresses sounds involuntarily; clears throat, grunts, smacks, cries or screams.
23. He or she is surprisingly good at some things and surprisingly poor at others
24. He or she lacks common sense
25. He or ahshe has clumsy, ill coordinated, ungainly, awkward movements or gestures
26. He or she has involuntary face or body movements
27. He or she has markedly unusual posture