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CAST: Childhood Autism Spectrum Test

The Childhood Autism Spectrum Test (CAST) is parent-completed questionnaire designed to assess for autism spectrum disorder (ASD) in children ages 4 to 11.

Developed by the Autism Research Centre at the University of Cambridge, the CAST consists of 39 yes/no questions about behaviors you have observed in your child. This test is not a substitute for a formal evaluation. Seek a diagnostic evaluation from a qualified clinician as early as possible if your child shows signs of autism.

If you are located in Illinois and your child is under the age of 6, please include your contact information at the end of the questionnaire for one of our clinicians to review your results. If your child would benefit from a detailed evaluation, we can help connect you with a diagnostic provider.

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Complete the Childhood Autism Spectrum Test (CAST)

Instructions: please read each question carefully and select the most accurate response

Child Age(Required)

For children ages 3 and younger, please see the M-CHAT screening tool

1. Does s/he join in playing games with other children easily?(Required)

Yes

2. Does s/he come up to you spontaneously for a chat?(Required)

Yes

3. Was s/he speaking by 2 years old?(Required)

Yes

4. Does s/he enjoy sports?(Required)

Yes

5. Is it important to him/her to fit in with the peer group?(Required)

Yes

6. Does s/he appear to notice unusual details that others miss?(Required)

Yes

7. Does s/he tend to take things literally?(Required)

Yes

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)?(Required)

Yes

9. Does s/he like to do things over and over again, in the same way all the time?(Required)

Yes

10. Does s/he find it easy to interact with other children?(Required)

Yes

11. Can s/he keep a two-way conversation going?(Required)

Yes

12. Can s/he read appropriately for his/her age?(Required)

Yes

13. Does s/he mostly have the same interests as his/her peers?(Required)

Yes

14. Does s/he have an interest which takes up so much time that s/he does little else?(Required)

Yes

15. Does s/he have friends, rather than just acquaintances?(Required)

Yes

16. Does s/he often bring you things s/he is interested in to show you?(Required)

Yes

17. Does s/he enjoy joking around?(Required)

Yes

18. Does s/he have difficulty understanding the rules for polite behavior?(Required)

Yes

19. Does s/he appear to have an unusual memory for details?(Required)

Yes

20. Is his/her voice unusual (e.g., overly adult, flat, or very monotonous)?(Required)

Yes

21. Are people important to him/her?(Required)

Yes

22. Can s/he dress him/herself?(Required)

Yes

23. Is s/he good at turn-taking in conversation?(Required)

Yes

24. Does s/he play imaginatively with other children, and engage in role-play?(Required)

Yes

25. Does s/he often do or say things that are tactless or socially inappropriate?(Required)

Yes

26. Can s/he count to 50 without leaving out any numbers?(Required)

Yes

27. Does s/he make normal eye-contact?(Required)

Yes

28. Does s/he have any unusual and repetitive movements? e means “I”?(Required)

Yes

29. Is his/her social behavior very one-sided and always on his/her own terms?(Required)

Yes

30. Does s/he sometimes say “you” or “s/he” when s/he means “I”?(Required)

Yes

31. Does s/he prefer imaginative activities such as play-acting or story-telling, rather than numbers or lists of facts?(Required)

Yes

32. Does s/he sometimes lose the listener because of not explaining what s/he is talking about?(Required)

Yes

33. Can s/he ride a bicycle (even if with stabilizers)?(Required)

Yes

34. Does s/he try to impose routines on him/herself, or on others, in such a way that it causes problems?(Required)

Yes

35. Does s/he care how s/he is perceived by the rest of the group?(Required)

Yes

36. Does s/he often turn conversations to his/her favorite subject rather than following what the other person wants to talk about?(Required)

Yes

37. Does s/he have odd or unusual phrases?(Required)

Yes

38. Have teachers/health visitors ever expressed any concerns about his/her development?(Required)

Yes

39. Has s/he ever been diagnosed with any of the following: Language delay, ADHD, hearing or visual difficulties, Autism Spectrum Condition (including Asperger’s Syndrome, or a physical disability?(Required)

Yes

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Phone(Required)

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CAST: Childhood Autism Spectrum Test

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