Autism Spectrum Disorder Observation Worksheet


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

Washington State Department of Health. (n.d.) Autism Observation Checklist. Based on Autism Communication Tool created by Maureen Turner. 

You can download this worksheet here.


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