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Introduction

CAST is a parent-report questionnaire about a child's communication, play, interests and social interaction. Its 39 questions draw on everyday observations such as joining games, starting conversations and responding to other people.

A useful account includes both what the child does and the setting in which it happens. A familiar sibling, a new group and a busy classroom can place different demands on communication. Examples give meaning to a yes-or-no response.

ASSQ also gathers observations of school-age children. Q-CHAT and the Infant–Toddler Checklist concern earlier development. When choosing among these tools, the child's developmental stage and the observer's familiarity with the child matter more than finding the shortest questionnaire.

Instructions

Please read each question carefully and select the most accurate response.

This is not a standard self-report test

Observer report; complete from the child or dependent person's typical behavior across relevant settings

Question 1 / 390 answered
Does s/he join in playing games with other children easily?

Scoring and result metrics

The result page reports a local screening score for this questionnaire. Use the score range, any subscale scores, and the interpretation band together rather than treating one number as a diagnosis.

Score range
0-31
Items scored
39
Result indicators
Total score / Interpretation band when available

Score interpretation bands

  • 0-14Few or no autistic traits

    Scores in the 0-14 range indicate few or no Autistic traits.

  • 15-31Possible ASD range

    Scores in the 15-31 range indicate possible ASD or related social-communication difficulties.

Interpretation bands summarize screening thresholds from the questionnaire source material. Higher scores usually indicate more of the measured concern unless the tool notes a different scoring rule.

Tool information

Version
39 questions
Administration
Observer-rated
Intended audience
Parents or primary caregivers describing social communication and behavior in children, commonly ages 4-11

Sources

  1. JG Williams, C Allison, FJ Scott, PF Bolton, S Baron-Cohen, FE Matthews, C Brayne. The Childhood Autism Spectrum Test (CAST): Sex Differences. 38(9): J Autism Dev Disord 1731-9. 2008.
  2. JG Williams, C Allison, FJ Scott, PF Bolton, S Baron-Cohen, FE Matthews, C Brayne. The CAST (Childhood Asperger Syndrome Test): Test Accuracy. 9(1): Autism 45-68. 2004.
  3. J Williams, C Allison, F Scott, C Stott, P Bolton, S Baron-Cohen, C Brayne. The Childhood Asperger Syndrome Test (CAST): Test-retest Reliability. 10(4): Autism 415-27. 2006.
  4. FJ Scott, S Baron-Cohen, P Bolton, C Brayne. The CAST (Childhood Asperger Syndrome Test): Preliminary Development Of A UK Screen For Mainstream Primary-school-age Children. 6(1): Autism 9-31. 2002.

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