Child Form

What's your child's age?

Does your child have jaundice?

Does anyone in the child's family have ASD?

Does the child look at you when you call their name?

How easy is it for you to make eye contact with the child?

Does your child point to indicate they want something?

Does the child point to share interest with you?

Does the child engage in pretend play?

Does the child follow your gaze?

If you or someone in the family appears visibly upset, does the child show signs of wanting to comfort you?

Would you describe your child's first words as?