A U T I S M . A I

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AI Screening

Behavioral Questionnaire

Please provide the following details about the child based on clinical guidelines.

1. Basic Information

Did the child have yellowing of the skin or eyes shortly after birth?

2. Screening Questions

A1. Does the child look at you when you call his/her name?

A2. How easily can you make eye contact with the child?

A3. Does the child respond when spoken to?

A4. Does the child point to request something (e.g., toy, food)?

A5. Does the child point to show interest (e.g., pointing at objects or people)?

A6. Does the child use gestures like waving, clapping, or nodding?

A7. Does the child imitate actions (e.g., clapping, copying behavior)?

A8. Does the child engage in pretend play (e.g., playing with dolls, toy phone)?

A9. Does the child follow where someone else is looking or pointing?

A10. Does the child show interest in playing with other children?

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