Asperger Syndrome Diagnostic Interview

Student:______Area Standards Score Comments Severe Exhibits considerable difficulties interacting with 0 1 impairments in peers? If so, in what way? reciprocal social Exhibits a low degree of concern or a seeming lack 0 1 interaction of interest in making friends or interacting with peers? If so, please specify: (2 or more scores of 1) Have problems appreciating social cues, i.e., does 0 1 he/she fail to note changes in the social conversation/interaction or to take account of such changes in his/her ongoing interactions with other people? If so, please describe:

Exhibit socially or emotionally inappropriate 0 1 behaviors? If so, in what way(s)?

All absorbing A pattern of interest or a specific interest which 0 1 narrow interest takes up so much of his/her time so that time for pattern(s) other activities is clearly restricted. If there is, please comment: (1 or more scores of 1) Is there a repetitive quality to his/her interest 0 1 patterns or specific interest? If so, please specify:

Interest patterns based more on rote memory than 0 1 on true meaning?

of 3 Asperger Syndrome Diagnostic Interview

Imposition of Try to introduce and impose routines, rituals or 0 1 routines, rituals interests on himself/herself in such a way as to and interests produce problems for him/herself? If so, in what way? 1 or more scores of 1) Try to introduce and impose routines, rituals or 0 1 interests on himself/herself in such a way as to produce problems for others? If so, in what way?

Speech and Language development delayed? If so, please 0 1 language comment: peculiarities Language “superficially perfect” regardless of 0 1 (2 or more whether or not there are comprehension problems scores of 1) or other speech and language problems? If so, please comment:\

Is language formal, pedantic, or “overly adult”? If 0 1 so, please describe:

Is there any characteristic about his/her voice 0 1 (pitch, volume, quality, intonation, word stress, prosody, etc.) that you find peculiar or unusual? If so, in what way?

Are there any comprehension problems (including 0 1 misinterpretations of literal/implied meanings? If so, what kind of problems?

of 3 Asperger Syndrome Diagnostic Interview

Non-verbal Makes limited use of gestures? If so, please 0 1 communication comment. problems

(I or more Is body language awkward, gauche, clumsy, 0 1 scores of 1) strange or unusual? If so, please comment

Are facial expressions limited to a rather small 0 1 repertoire? If so, please describe.

Is general expression (including facial) sometimes 0 1 inappropriate? If so, please describe.

Is gaze stiff, strange, peculiar, abnormal or odd? If 0 1 so please characterize.

Motor Has been noted to perform poorly on neural- 0 1 clumsiness developmental examinations either in the past or in connection with the present interview? Is do, (Score of 1) please comment: