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The Childhood Autism Spectrum Test (CAST)
Child's Name
*
First Name
Last Name
Age in years
*
eg 5,5
Today's Date
-
Day
-
Month
Year
Date
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CAST
The Childhood Autism Spectrum Test, abbreviated as CAST and formerly titled the Childhood Asperger Syndrome Test, is a tool to screen for autism spectrum disorder in children aged 4–11 years. Please read the following questions carefully, and select the appropriate answer. All responses are confidential.
CAST
*
Yes
No
1.Does s/he join in playing games with other children easily?
2. Does s/he come up to you spontaneously for a chat?
3. Was s/he speaking by 2 years old?
4. Does s/he enjoy sports?
5. Is it important to him/her to fit in with the peer group?
6. Does s/he appear to notice unusual details that
others miss?
7. Does s/he tend to take things literally?
8. 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)?
9. Does s/he like to do things over and over again,
in the same way all the time?
10. Does s/he find it easy to interact with other
children?
11. Can s/he keep a two-way conversation going?
12. Can s/he read appropriately for his/her age?
13. Does s/he mostly have the same interests as
his/her peers?
14. Does s/he have an interest which takes up so much
time that s/he does little else?
15. Does s/he have friends, rather than just acquaintances?
16. Does s/he often bring you things s/he is interested
in to show you?
17. Does s/he enjoy joking around?
18. Does s/he have difficulty understanding the rules
for polite behaviour?
19. Does s/he appear to have an unusual memory for
details?
20. Is his/her voice unusual (e.g., overly adult, flat, or
very monotonous)?
21. Are people important to him/her?
22. Can s/he dress him/herself?
23. Is s/he good at turn-taking in conversation?
24. Does s/he play imaginatively with other
children, and engage in role-play?
25. Does s/he often do or say things that are tactless
or socially inappropriate?
26. Can s/he count to 50 without leaving out any
numbers?
27. Does s/he make normal eye-contact?
28. Does s/he have any unusual and repetitive
movements?
29. Is his/her social behaviour very one-sided and
always on his/her own terms?
30. Does s/he sometimes say “you” or “s/he” when s/he means “I”?
31. Does s/he prefer imaginative activities such as
play-acting or story-telling, rather than numbers
or lists of facts?
32. Does s/he sometimes lose the listener because of
not explaining what s/he is talking about?
33. Can s/he ride a bicycle (even if with stabilisers)?
34. Does s/he try to impose routines on him/herself,
or on others, in such a way that it causes problems?
35. Does s/he care how s/he is perceived by the rest of
the group?
36. Does s/he often turn conversations to his/her
favourite subject rather than following what the other
person wants to talk about?
37. Does s/he have odd or unusual phrases?
38. Have teachers/health visitors ever expressed any
concerns about his/her development?
39. Has s/he ever been diagnosed with Language delay
40.
Has s/he ever been diagnosed with Hyperactivity/Attention Deficit Disorder (ADHD)
41. Has s/he ever been diagnosed with Hearing or visual difficulties
42. Has s/he ever been diagnosed with Autism Spectrum Condition, incl. Asperger’s Syndrome
43. Has s/he ever been diagnosed with A physical disability
Explain/Comments if Question 38 was answered Yes.
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