Screening Tool

Children Aged 3 to the end of the 6th year.

Answer each question based on your child’s current behavior.

Select “Yes” (behavior is present) or “No” (behavior is not present). Scoring reflects whether “Yes” or “No” indicates a concern.

Does your child make eye contact during conversations or play?

Yes No

Does your child respond appropriately when you call their name?

Yes No

Does your child engage in back-and-forth conversations (e.g., answering questions)?

Yes No

Does your child use imaginative play, like pretending to be a superhero?

Yes No

Does your child show interest in making friends or playing with peers?

Yes No

Does your child understand your emotions (e.g., knowing you’re sad or happy)?

Yes No

Does your child combine words into short sentences (e.g., “I want juice”)?

Yes No

Does your child follow two-step instructions (e.g., “get your shoes and come here”)?

Yes No

Does your child share toys or take turns during play?

Yes No

Does your child seem overly sensitive to sensory input (e.g., loud noises, clothing tags)?

Yes No

Does your child repeat phrases or scripts from TV or others (echolalia)?

Yes No

Does your child have repetitive behaviors, like hand-flapping or rocking?

Yes No

Does your child insist on specific routines (e.g., same route to school)?

Yes No

Does your child have intense interests in specific topics or objects?

Yes No

Does your child prefer to play alone rather than with other children?

Yes No

Does your child use toys in unusual ways (e.g., focusing on parts, not the whole)?

Yes No

Does your child struggle to understand jokes or sarcasm?

Yes No

Does your child have difficulty transitioning between activities?

Yes No

Does your child show unusual attachment to specific objects?

Yes No

Does your child struggle with group activities, like playing games with rules?

Yes No

Low concern. Continue monitoring development.

Moderate concern. Discuss with a pediatrician for further screening.

Higher concern. Seek autism evaluation from RiseNow.

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