What is the theory behind this Autism Spectrum Disorder Observation Worksheet?
Autism Spectrum Disorder (ASD) is a group of developmental disabilities that causes a host of social, communication and behavioural issues. People with ASD have difficulty in social interactions and perceiving social cues. They also engage in repetitive or restricted behaviours that may appear unusual or odd to others.
How will the worksheet help?
The worksheet will provide a summarised checklist based on the Autism Communication Tool, of some major signs and symptoms that can be observed in children with ASD. It can help parents and teachers identify the presence of ASD in children so that they can get the right professional help for their condition as earliest as possible.
How to use the worksheet?
This worksheet can be used after careful and thorough observation of the child’s everyday routine.Write your relationship to the child and mention the end date of the observation. Mark the presence of each symptom or sign as mentioned in the observation checklist. Leave any other observations in the comment section.
Autism Spectrum Disorder Observation Worksheet
Observe your child and use the checklist to indicate the presence of the following major signs of Autism Spectrum Disorder
Child’ s name: _______________________ D.O.B: _________________
Relationship to child: __________________ Observation completed on: ______________
| Communication | |
| Delay in, or total lack of, the development of spoken language | |
| Difficulty holding conversation | |
| Unusual or repetitive language | |
| Play that is not developmentally appropriate | |
| Restricted, Repetitive, Stereotyped Behaviours/Movements | |
| Interests that are narrow in focus, intense, or unusual | |
| Unreasonable insistence on sameness/routines | |
| Preoccupation with parts of objects | |
| Repetitive motor mannerisms | |
| Social Skills | |
| Lack of social or emotional reciprocity | |
| Difficulty using nonverbal behaviours to regulate social interaction | |
| Little sharing of pleasure, achievements, or interests with others | |
| Failure to develop age-appropriate peer relationships | |
| Associated Concerns | |
| Unusual sensory interests | |
| Unusual responses to sensory inputs | |
| Delayed motor skills | |
| Comments | |
Reference
You can download this worksheet here.