Pre‑School Autism Social Responsiveness Assessment (SRS‑2)

Assessment 1 of 68

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).

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Information about the individual being assessed.

1. Seems much more fidgety in social situations than when alone.
2. Expressions on his or her face don’t match what he or she is saying
3. Seems self-confident when interacting with others.
4. When under stress, child seems to go on “autopilot” (for example, shows rigid or inflexible patterns of behavior that seem odd).
5. Doesn’t recognize when others are trying to take advantage of him or her
6. Would rather be alone than with others
7. Is aware of what others are thinking or feeling.
8. Behaves in ways that seem strange or bizarre.
9. Clings to adults, seems too dependent on them.
10. Unable to pick up on any of the meaning of conversations of older children or adults.
11. Has good self-confidence.
12. Is able to communicate his or her feelings to others in words or gestures.
13. Is slow or awkward in turn-taking interactions with peers.
14. Is not well coordinated in physical activities.
15. Is able to understand the meaning of other people’s tone of voice and facial expressions.
16. Avoids eye contact or has unusual eye contact.
17. Recognizes when something is unfair.
18. When on the playground or in a group with other young children, child does not attempt to interact with other children.
19. Gets frustrated trying to get ideas across in conversations
20. Has a strange way of playing with a toy.
21. Is able to imitate others’ actions
22. Plays appropriately with children his or her age.
23. Does not join group activities unless told to do so
24. Has more difficulty than other children with changes in his or her routine.
25. Doesn’t seem to mind being out of step with or “not on the same wavelength” as others
26. Offers comfort to others when they are sad
27. Avoids starting social interactions with peers or adults
28. Thinks or talks about the same thing over and over
29. Is regarded by other children as odd or weird.
30. Becomes upset in a situation with lots of things going on
31. Can’t get his or her mind off something once he or she starts thinking about it.
32. Wants to be changed when diaper or underwear is soiled or wet.
33. Is socially awkward, even when he or she is trying to be polite
34. Avoids people who want to be emotionally close to him or her.
35. Has trouble keeping up with the flow of normal interaction with other children
36. Has difficulty relating to adults
37. Has difficulty relating to peers
38. Responds appropriately to mood changes in others (for example, when a friend’s or playmate’s mood changes from happy to sad)
39. Has a restricted (or unusually narrow) range of interests.
40. Is imaginative, good at pretending (without losing touch with reality).
41. Wanders aimlessly from one activity to another
42. Seems overly sensitive to sounds, textures, or smells.
43. Separates easily from caregivers.
44. Doesn’t understand how events are related to one another the way other children his or her age do.
45. Focuses his or her attention to where others are looking or listening.
46. Has overly serious facial expressions.
47. Is too silly or laughs inappropriately.
48. Has a sense of humor, understands jokes.
49. Does extremely well at a few tasks, but does not do as well at most other tasks.
50. Has repetitive, odd behaviors such as hand flapping or rocking.
51. Responds to clear, direct questions in ways that don’t seem to make any sense.
52. Knows when he or she is talking too loud or making too much noise
53. Talks to people with an unusual tone of voice (for example, talks like a robot or like he or she is giving a lecture).
54. Seems to react to people as if they are objects.
55. Knows when he or she is too close to someone or is invading someone’s space
56. Walks in between two people who are talking.
57. Other children do not like to play with him or her.
58. Concentrates too much on parts of things rather than seeing the whole picture. For example, spins the wheels of a toy car but doesn’t play with it as a car, or plays with doll’s hair but not with the whole doll.
59. Is overly suspicious.
60. Is emotionally distant, doesn’t show his or her feelings.
61. Is inflexible, has a hard time changing his or her mind
62. Gives unusual or illogical reasons for doing things
63. Touches others in an unusual way (for example, he or she may touch someone just to make contact and then walk away without saying anything).
64. Is too tense in social settings.
65. Stares or gazes off into space.