NovoPsych
Childhood Autism Spectrum Test (CAST)
Instructions:
Please read the following questions carefully, and select the appropriate answer.
Yes No
Do they join in playing games with other children
1
easily?
0 1
2 Do they come up to you spontaneously for a chat? 0 1
3 Were they speaking by 2 years old? 0 0
4 Do they enjoy sports? 0 0
5 Is it important to them to fit in with the peer group? 0 1
Do they appear to notice unusual details that others
6
miss?
1 0
7 Do they tend to take things literally? 1 0
When they were 3 years old, did they spend a lot of time
8 pretending (e.g., play-acting being a superhero, or holding 0 1
teddy’s tea parties)?
Do they like to do things over and over again, in the
9
same way all the time?
1 0
10 Do they find it easy to interact with other children? 0 1
11 Can they keep a two-way conversation going? 0 1
12 Can they read appropriately for their age? 0 0
Do they mostly have the same interests as their
13
peers?
0 1
Do they have an interest which takes up so much
14
time that they do little else?
1 0
15 Do they have friends, rather than just acquaintances? 0 1
Do they often bring you things they are interested in
16
to show you?
0 1
17 Do they enjoy joking around? 0 1
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Yes No
Do they have difficulty understanding the rules for
18
polite behaviour?
1 0
Do they appear to have an unusual memory for
19
details?
1 0
Is their voice unusual (e.g., overly adult, flat, or very
20
monotonous)?
1 0
21 Are people important to them? 0 1
22 Can they dress themself? 0 0
23 Are they good at turn-taking in conversation? 0 1
Do they play imaginatively with other children, and
24
engage in role-play?
0 1
Do they often do or say things that are tactless or
25
socially inappropriate?
1 0
Can they count to 50 without leaving out any
26
numbers?
0 0
27 Do they make normal eye-contact? 0 1
28 Do they have any unusual and repetitive movements? 1 0
Is their social behaviour very one-sided and always
29
on their own terms?
1 0
Do they sometimes say “you”, “she”, “him”, or
30
“them” when they mean “I”?
1 0
Do they prefer imaginative activities such as play-acting
31
or story-telling, rather than numbers or lists of facts?
0 1
Do they sometimes lose the listener because of not
32
explaining what they are talking about?
1 0
33 Can they ride a bicycle (even if with stabilisers)? 0 0
Do they try to impose routines on themself, or on
34
others, in such a way that it causes problems?
1 0
Do they care how they are perceived by the rest of
35
the group?
0 1
Do they often turn conversations to their favourite subject
36 rather than following what the other person wants to talk 1 0
about?
37 Do they have odd or unusual phrases? 1 0
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Yes No
Have teachers/health professionals ever expressed
38
any concerns about their development?
0 0
Have they ever been diagnosed with any of the following?
39 *** Item 39A *** 0 0
Language delay
*** Item 39B ***
40
Hyperactivity/Attention Deficit Disorder (ADHD)
0 0
*** Item 39C ***
41
Hearing or visual difficulties
0 0
*** Item 39D ***
42 An Autism Spectrum Condition (including Asperger’s 0 0
Syndrome)
*** Item 39E ***
43
A physical disability
0 0
*** Item 39F ***
44
Other
0 0
Developer Reference:
Scott, F. J., Baron-Cohen, S., Bolton, P., & Brayne, C. (2002). The CAST (Childhood Asperger Syndrome
Test): Preliminary development of a UK screen for mainstream primary-school-age children. Autism, 6(1),
9-31. https://doi.org/10.1177/1362361302006001003
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