Pre-Assessment Screening

Our Pre-Assessment Screening is an informal screening tool. Unlike the M-CHAT, which is a formalized, clinically-validated tool which can screen toddlers (16 – 30 months of age) for risk of autism, our Pre-Assessment is just a questionnaire.

Our tool doesn’t give an answer to the question of whether your child has autism, or is at risk of autism. It’s simply a casual set of questions that will help us determine whether a more formal in-person assessment, called the ADOS (published by WPS), may be appropriate.
The ADOS is the Autism Diagnostic Observation Schedule – a leading diagnostic assessment used to determine the level of concern or severity of symptoms associated with autism spectrum disorder. This is a 45-60 minute long in-person assessment done at our office.
The below questions help us determine whether or not an ADOS may be appropriate. If you’ve been referred to Action Behavior Centers by a physician or psychologist, we’ll be happy to serve you. The below information will help us have some good information before your visit.

Instructions:

Please answer these questions about your child. Keep in mind how your child usually behaves. If you have seen your child engage in a behavior a few times, but he or she does not usually do it, then please answer no. Please check yes or no for every question. Thank you very much.

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Name of Child for Services
MM slash DD slash YYYY
Name of Parent/Insured*