The ASSCEC is designed to screen for Autism Spectrum Disorder in early childhood (over the age of 14 months and ideally over the age of 20 months). A parent can complete this screening checklist independently. ASSCEC developed by Kunnampallil Gejo John, Speech Language Therapist.

1. ASSCEC
AUTISM SPECTRUM SCREENING CHECKLIST FOR EARLY CHILDHOOD
DEVELOPED BY: KUNNAMPALLIL GEJO JOHN, SPEECH LANGUAGE PATHOLOGIST/THERAPIST

2. ASSCEC
AUTISM SPECTRUM SCREENING CHECKLIST FOR EARLY CHILDHOOD
The ASSCEC is designed to screen for Autism Spectrum Disorder in early childhood
(over the age of 14 months and ideally over the age of 20 months). A parent can
complete this screening checklist independently.
The ASSCEC does not allow a parent or clinician to make a diagnosis of an Autism
Spectrum Disorder (ASD), but it is a very useful clinical tool that provides exact
sensitivity and specificity data. If the child fails more than four questions, the results
indicate that the child is at high risk for Autism Spectrum Disorder (ASD) and
recommend that the child should consult a specialist doctor as soon as possible.
The ASSCEC does not require direct clinician observation. The ASSCEC, however,
does require clinician observation and has poor sensitivity but excellent specificity.
Parents should provide genuine information, avoid bias while filling out the form.
DEVELOPED BY: KUNNAMPALLIL GEJO JOHN, SPEECH LANGUAGE PATHOLOGIST/THERAPIST

3. AUTISTM SPECTRUM SCREENING CHECKLIST FOR EARLY CHILDHOOD (ASSCEC)
INSTRUCTIONS: Please fill out the following questions about how your child usually behaves. Please try to answer every
question. If the behavior is rare (e.g., you observed it once or twice), please answer as your child does not do it.
Child Name : Age/Sex :
QUESTIONNAIRE YES NO
1 Does your child ever seem oversensitive to sound (e.g., plugging ears with hands)?
2 Does your child like climbing on things, such as up stairs, table? (jumping)
3 Does your child enjoy being swung, bounced on your lap?
4 Does your child walks on toe? (flat foot)
5 Does your child hurts self by biting hands, banging head,hitting?
6 Does your child use toys appropriately without just mouthing, fiddling or dropping ?
7 Does your child make unusual finger movements near his/her face?
8 If you point at any toy across the room, does your child look at it?
9 Does your child look at things you are looking at?
10 Does your child look you in the eye for more than a second or two?
11 Does your child smile in response to your face or your smile?
12 Does your child take an interest in other children?
13 Does your child enjoy playing peek-a-boo/hide-and-seek?
14 Does your child ever pretend (e.g., to talk on the phone.)
15 Can your child play properly with toys (e.g., cars or bricks without spins wheel, spins objects, lining up)
16 Does your child imitate you (e.g., you make a face – will your child imitate it)?
17 Does your child respond to his/her name when you call?
18 Have you ever wondered if your child is deaf?
19 Does your child look at your face to check your reaction when faced with something unfamiliar?
20 Does your child try to attract your attention to his/her own activity?
21 Does your child aware about hazardous situations (e.g.,Mishandling a knife can result in serious injury)?
22 Does your child resists being touched or held?
23 Does your child understand what people say?
24 Does your child sometimes stare at nothing or wander with no purpose?
25 Does your child walk alone?
26 Does your child ever use his/her index finger to point, to ask for something?
27 Does your child ever bring objects over to you (parent) to show you something ?
28 Does your child ever use his/her index finger to point, to indicate interest in something?
29 Does your child show severe / minor tempertantrums? (pulling hair,kicking, picking at scabs or sores)
30 Does your child stare at a visual stimuli / object or eye gazing to lights/ colors?
31 Does your child humming or whistling?
32 Does your child singing the same song repeatedly all the time?
33 Does your child sniffing and licking things?
34 Does your child intrested in tapping with objects or clapping, play with shadow , ?
35 Does your child repeating words, phrases, or sounds?(without any intension)
36 Does your child flaps hands frequently/any stimulating occasion? (clenching hands / palm watching)
37 Can your child point more than five named objects?
38 Does your child sit in a one place for more than five minutes/ rocks self?
39 Does your child learns a simple task but forgets quickly?
40 Does not follow simple commands with verbal instruction?
41 Does your child over dependend or attached to any person or family member?
42 Does your child shows anxitey behaviors, when the child meets strangers?
43 Does your child wait for needs to be met or his/her turns?
44 Does your child cries/screams/laughs/spits/ in meaningless way?
45 Does your child shows physically over activity or extremely under activity?
46 Does your child resists cuddling / exessive cuddling ?
SCORING THE ASSCEC: Yes/No answers convert to Pass/Fail responses. A child fails the ASSCEC when 4 or more questions.
Parents should be consult nearest Physician/ Pediatrician/ Pyschatrist/ Speech Language Pathologist/ Therapist.
DEVELOPED BY: KUNNAMPALLIL GEJO JOHN, SPEECH LANGUAGE PATHOLOGIST / THERAPIST

4. INSTRUCTIONS:
Please fill out the following questions about how your child usually behaves or usually feels. Please
try to answer every question. If the behavior is rare (e.g., you observed it once or twice), please
answer as your child does not do it. Parents should provide genuine information, avoid bias while
filling out the form.
SCORING:
A child fails the ASSCEC, when 4-5 or more question ITEMS are failed. Yes/No answers convert
to Pass/Fail responses. Not all children who fail the checklist will meet criteria for a diagnosis on
the autism spectrum disorder. However, children who fails the checklist should be evaluated in
more detail way as soon as possible. Parents should be consult nearest Physician/ Pediatrician/
Psychiatrist/ Speech Language Pathologist/ Therapist/ Occupational Therapist.