The Childhood Autism Spectrum Test (4-6 Years)
(CAST; Scott, Baron-Cohen, Bolton, & Brayne, 2002)
Name of Child
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Date
Gender
Who completed the answers?
First Name
Last Name
Relationship to Child
Email address (that you would like the results sent to)
example@example.com
Address
Street Address
Street Address Line 2
City
County
Post code
Phone Number
-
Area Code
Phone Number
Date of completion
-
Day
-
Month
Year
Date
This child stands out as different from other children of his/her age in the following way
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 that 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?
SPECIAL NEEDS SECTION Please complete as appropriate
Yes
No
38. Have teachers/health visitors ever expressed any concerns about his/her development? * Please specify below
* Teachers/Health Visitors Developmental Concerns:
39. Has s/he ever been diagnosed with any of the following?:
Yes
No
Language delay
Hyperactivity/Attention Deficit Disorder (ADHD)
Hearing or visual difficulties
Autism Spectrum Condition
A physical disability
Other *please specify below
* Other Diagnosis:
Back
Next
Submit
Should be Empty: