Supplemental Interview Questions
for Suspected Autistic Spectrum Disorder

---

Date:                                                                      Interviewer:
Child's Name:                                                         DOB:                              CA:
Responder:                                                             Relationship:

---

• Does                           repeat what you say verbatim right away even when it doesn't seem to fit what you are doing?

 

• Does                            repeat a phrase hours or days after hearing?

 

• Does                              have difficulty with the pronouns you or I?

 
 

• How do you think                      speaks with regards to intonation or rhythm? For example, does it sound unusually flat or too sing-songy?

 
 

• How do you think                      does with following directions? Can he/she follow simple directions? Does he/she need lots of gestures to do what you ask? Does he/she seem to ignore you when you all his/her name or ask him/her to do something?

 

• How do you think                          does with answering questions?

 

• What do you think about                      's ability to start a conversation? Who does most of the work in the conversation?

 

• Is                         able to take turns in a simple game or conversation?

 
 

• For older kids, how does                      respond to jokes or idioms?

 
 

• If                      doesn't talk, how does he/she get your attention or get what he/she wants from you? (e.g., taking adult's hand)

 
 

• How does                              with changes? Does he/she prefer the same routine? What happens if the routine is changed?

 

• How do you think                          responds to different situations in terms of emotions? Do the emotions match the situation?

 

• How does                          sleep?

 

• How does                        respond to different environmental stimulation (e.g., touch, loud noises, etc.)

 

• Does                          repeat the same movement or words over and over again?

 

• Does                          do unusual things with objects (e.g., smell them inappropriately, shake them)?

 

• Has                          done anything to try and hurt him/herself? (e.g., head banging, biting)

 

Home