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Questions to ask to elicit parents' or caregivers' concerns about ASD

Questions to ask to elicit parents' or caregivers' concerns about ASD
For children younger than 3 years[1]
  • Does your child respond to their name?
  • Does your child prefer to play alone rather than with others?
  • Does your child ever use their index finder to point to show you something or to ask about something?
  • Does your child ever bring a toy over to show you?
  • If the child is older than 18 months: Does your child ever pretend when they are playing (eg, to talk on the phone or feed a doll)?
For children older than 3 years[2]
  • Did you have concerns regarding your child's language development before the age of 3?
  • Does your child's speech sound like other children their age?
    • Does it have normal volume (loudness or softness)?
    • Is it too fast or too slow?
    • Does it have normal, varied rhythm, and tone?
  • When your child developed language, did it appear to be overly formal or wordy?
  • Does your child use big words or words that are too complicated?
  • Does your child give answers to your questions that are on topic, or do they go "off topic" or always talk about a preferred topic?
  • Does your child have any unusual interests or preoccupations with certain topics? Does this make it difficult for them to have conversations or play with peers?
  • How does your child do on play dates with other children? For example:
    • When the other child wants to do something different from what your child wants to do, how does your child handle it? Are they flexible or do they tell the other child what to do?
    • Without adult support, how long can your child maintain interactive play without going off on their own to engage in solitary play?
  • Do you have any concerns regarding your child's socialization and play skills? What do they like to play with? Whom does your child like to play with? What do they do together?
  • Some children do not tolerate changes in daily routines, the way they play a game, or engage in preferred activities. They may complain, get anxious, or even get angry when changes occur. Does your child show behaviors like this?
References:
  1. Caronna EB, Costello EM, Augustyn M. Autism spectrum disorders. In: Zuckerman Parker Handbook of Developmental and Behavioral Pediatrics for Primary Care, 4th ed, Augustyn M, Zuckerman B (Eds), Wolters Kluwer, Philadelphia 2019. p.140.
  2. Saulnier CA, Volkmar FR. Asperger syndrome. In: The Zuckerman Parker Handbook of Developmental and Behavioral Pediatrics for Primary Care, 3rd ed, Augustyn M, Zuckerman B, Caronna EB (Eds), Lippincott Williams & Wilkins, Philadelphia 2011. p.120.
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