Childhood Autism Spectrum Test CAST

Question 1 / 39

Your child Does s/he join in playing games with other children easily?

Yes
No

Your child Does s/he come up to you spontaneously for a chat?

Yes
No

Your child Was s/he speaking by 2 years old?

Yes
No

Your child Does s/he enjoy sports?

Yes
No

Your child Is it important to him/her to fit in with the peer group?

Yes
No

Your child Does s/he appear to notice unusual details that others miss?

Yes
No

Your child Does s/he tend to take things literally?

Yes
No

Your child 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

Your child Does s/he like to do things over and over again, in the same way all the time?

Yes
No

Your child Does s/he find it easy to interact with other children?

Yes
No

Your child Can s/he keep a two-way conversation going?

Yes
No

Your child Can s/he read appropriately for his/her age?

Yes
No

Your child Does s/he mostly have the same interests as his/her peers?

Yes
No

Your child Does s/he have an interest which takes up so much time that s/he does little else?

Yes
No

Your child Does s/he have friends, rather than just acquaintances?

Yes
No

Your child Does s/he often bring you things s/he is interested in to show you?

Yes
No

Your child Does s/he enjoy joking around?

Yes
No

Your child Does s/he have difficulty understanding the rules for polite behavior?

Yes
No

Your child Does s/he appear to have an unusual memory for details?

Yes
No

Your child Is his/her voice unusual (e.g., overly adult, flat, or very monotonous)?

Yes
No

Your child Are people important to him/her?

Yes
No

Your child Can s/he dress him/herself?

Yes
No

Your child Is s/he good at turn-taking in conversation?

Yes
No

Your child Does s/he play imaginatively with other children, and engage in role-play?

Yes
No

Your child Does s/he often do or say things that are tactless or socially inappropriate?

Yes
No

Your child Can s/he count to 50 without leaving out any numbers?

Yes
No

Your child Does s/he make normal eye-contact?

Yes
No

Your child Does s/he have any unusual and repetitive movements?

Yes
No

Your child Is his/her social behavior very one-sided and always on his/her own terms?

Yes
No

Your child Does s/he sometimes say “you” or “s/he” when s/he means “I”?

Yes
No

Your child Does s/he prefer imaginative activities such as play-acting or story-telling, rather than numbers or lists of facts?

Yes
No

Your child Does s/he sometimes lose the listener because of not explaining what s/he is talking about?

Yes
No

Your child Can s/he ride a bicycle (even if with stabilizers)?

Yes
No

Your child Does s/he try to impose routines on him/herself, or on others, in such a way that it causes problems?

Yes
No

Your child Does s/he care how s/he is perceived by the rest of the group?

Yes
No

Your child Does s/he often turn conversations to his/her favorite subject rather than following what the other person wants to talk about?

Yes
No

Your child Does s/he have odd or unusual phrases?

Yes
No

Your child Have teachers/health visitors ever expressed any concerns about his/her development?

Yes
No

Your child Has s/he ever been diagnosed with any of the following: Language delay, ADHD, hearing or visual difficulties, Autism Spectrum Condition (including Asperger’s Syndrome, or a physical disability?

Yes
No
Sources:

JG Williams, C Allison, FJ Scott, PF Bolton, S Baron-Cohen, FE Matthews, C Brayne. The Childhood Autism Spectrum Test (CAST): Sex Differences. 38(9): J Autism Dev Disord 1731-9. 2008.

JG Williams, C Allison, FJ Scott, PF Bolton, S Baron-Cohen, FE Matthews, C Brayne. The CAST (Childhood Asperger Syndrome Test): Test Accuracy. 9(1): Autism 45-68. 2004.

J Williams, C Allison, F Scott, C Stott, P Bolton, S Baron-Cohen, C Brayne. The Childhood Asperger Syndrome Test (CAST): Test-retest Reliability. 10(4): Autism 415-27. 2006.

FJ Scott, S Baron-Cohen, P Bolton, C Brayne. The CAST (Childhood Asperger Syndrome Test): Preliminary Development Of A UK Screen For Mainstream Primary-school-age Children. 6(1): Autism 9-31. 2002.

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