CAST Code Name * Date * Email * Phone * Please read the following questions carefully and choose the appropriate answer. Does s/he join in playing games with other children easily? * Yes No Does s/he come up to you spontaneously for a chat? * Yes No Was s/he speaking by 2 years old? * Yes No Does s/he enjoy sports? * Yes No Is it important to him/her to fit in with the peer group? * Yes No Does s/he appear to notice unusual details that others miss? * Yes No Does s/he tend to take things literally? * Yes No When s/he was 3 years old, did s/he spend a lot of time pretending (e.g., play-acting being a superhero, or holding teddy’s tea parties)? * Yes No Does s/he like to do thing over and over again, in the same way all the time? * Yes No Does s/he find it easy to interact with other children? * Yes No Can s/he keep a two-way conversation going? * Yes No Can s/he read appropriately for his/ her age? * Yes No Does s/he mostly have the same interests as his/her peers? * Yes No Does s/he have an interest which takes up so much time that s/he does little else? * Yes No Does s/he have friends, rather than just acquaintances? * Yes No Does s/he often bring you things s/he is interested in to show you? * Yes No Does s/he enjoy joking around? * Yes No Does s/he have difficulty understanding the rules of polite behaviour? * Yes No Does s/he appear to have an unusual memory for details? * Yes No Is his/her voice unusual (e.g., overly adult, flat, or very monotonous)? * Yes No Are people important to him/her? * Yes No Can s/he dress him/herself? * Yes No Is s/he good at turn-taking in conversation? * Yes No Does s/he play imaginatively with other children, and engage in role-play? * Yes No Does s/he often do or say things that are tactless or socially inappropriate? * Yes No Can s/he count to 50 without leaving out any numbers? * Yes No Does s/he make normal eye-contact? * Yes No Does s/he have any unusual and repetitive movements? * Yes No Is his/her social behaviour very one-sided and always on his/her own terms? * Yes No Does s/he sometimes say “you” or “s/he” when she means “I”? * Yes No Does s/he prefer imaginative activities such as play-acting or story-telling, rather than numbers or lists of facts? * Yes No Does s/he sometimes lose the listener because of not explaining what s/he is talking about? * Yes No Can s/he ride a bicycle (even if with stabilizers)? * Yes No Does s/he try to impose routines on him/herself, or on others, in such a way it causes problems? * Yes No Does s/he care how s/he is perceived by the rest of the group? * Yes No Does s/he often turn conversations to his/her favourite subject rather than following what the other person wants to talk about? * Yes No Does s/he have odd or unusual phrases? * Yes No Have the teachers/health visitors ever expressed any concerns about his/her development? * Yes No If yes, please specify Has s/he ever been diagnosed with any of the following?: Language delay * Yes No Hyperactivity/Attention Deficit Disorder (ADHD) * Yes No Hearing or visual difficulties * Yes No Autism Spectrum Condition, incl. Asperger’s Syndrome * Yes No A physical disability * Yes No Other (please specify) Submit If you are human, leave this field blank. Δ