Item
1. Does your child look at you when you call his/her name?
text
C0680063 (UMLS CUI [1,1])
C0004268 (UMLS CUI [1,2])
C0009452 (UMLS CUI [1,3])
Code List
1. Does your child look at you when you call his/her name?
CL Item
usually (usually)
CL Item
sometimes (sometimes)
Item
2. How easy is it for you to get eye contact with your child?
text
C0680063 (UMLS CUI [1,1])
C0870532 (UMLS CUI [1,2])
Code List
2. How easy is it for you to get eye contact with your child?
CL Item
very easy (very easy)
CL Item
quite easy (quite easy)
CL Item
quite difficult (quite difficult)
CL Item
very difficult (very difficult)
CL Item
impossible (impossible)
Item
3. When your child is playing alone, does s/he line objects up?
text
C0680063 (UMLS CUI [1,1])
C0032214 (UMLS CUI [1,2])
C0683313 (UMLS CUI [1,3])
Code List
3. When your child is playing alone, does s/he line objects up?
CL Item
usually (usually)
CL Item
sometimes (sometimes)
Item
4. Can other people easily understand your child’s speech?
text
C0680063 (UMLS CUI [1,1])
C0037824 (UMLS CUI [1,2])
Code List
4. Can other people easily understand your child’s speech?
CL Item
usually (usually)
CL Item
sometimes (sometimes)
CL Item
my child does not speak (my child does not speak)
Item
5. Does your child point to indicate that s/he wants something (e.g. a toy that is out of reach)?
text
C0680063 (UMLS CUI [1,1])
C0028325 (UMLS CUI [1,2])
C0562447 (UMLS CUI [1,3])
Code List
5. Does your child point to indicate that s/he wants something (e.g. a toy that is out of reach)?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
6. Does your child point to share interest with you (e.g. pointing at an interesting sight)?
text
C0680063 (UMLS CUI [1,1])
C0028325 (UMLS CUI [1,2])
C0543488 (UMLS CUI [1,3])
Code List
6. Does your child point to share interest with you (e.g. pointing at an interesting sight)?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
7. How long can your child’s interest be maintained by a spinning object (e.g. washing machine, electric fan, toy car wheels)?
text
C0680063 (UMLS CUI [1,1])
C0679046 (UMLS CUI [1,2])
Code List
7. How long can your child’s interest be maintained by a spinning object (e.g. washing machine, electric fan, toy car wheels)?
CL Item
several hours (several hours)
CL Item
half an hour (half an hour)
CL Item
ten minutes (ten minutes)
CL Item
a couple of minutes (a couple of minutes)
CL Item
less than a minute (less than a minute)
Item
8. How many words can your child say?
text
C0680063 (UMLS CUI [1,1])
C2985105 (UMLS CUI [1,2])
Code List
8. How many words can your child say?
CL Item
none - s/he has not started speaking yet (none - s/he has not started speaking yet)
CL Item
less than 10 words (less than 10 words)
CL Item
10-50 words (10-50 words)
CL Item
51-100 words (51-100 words)
CL Item
over 100 words (over 100 words)
Item
9. Does your child pretend (e.g. care for dolls, talk on a toy phone)?
text
C0680063 (UMLS CUI [1,1])
C2371970 (UMLS CUI [1,2])
Code List
9. Does your child pretend (e.g. care for dolls, talk on a toy phone)?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
10. Does your child follow where you’re looking?
text
C0680063 (UMLS CUI [1,1])
C0004268 (UMLS CUI [1,2])
C0553544 (UMLS CUI [1,3])
Code List
10. Does your child follow where you’re looking?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
11. How often does your child sniff or lick unusual objects?
text
C0439603 (UMLS CUI [1,1])
C0680063 (UMLS CUI [1,2])
C1720573 (UMLS CUI [1,3])
C0347997 (UMLS CUI [1,4])
C0439603 (UMLS CUI [2,1])
C0680063 (UMLS CUI [2,2])
C0233928 (UMLS CUI [2,3])
C0347997 (UMLS CUI [2,4])
Code List
11. How often does your child sniff or lick unusual objects?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
12. Does your child place your hand on an object when s/he wants you to use it (e.g. on a door handle when s/he wants you to open the door, on a toy when s/he wants you to activate it)?
text
C0680063 (UMLS CUI [1,1])
C0347997 (UMLS CUI [1,2])
C2584295 (UMLS CUI [1,3])
Code List
12. Does your child place your hand on an object when s/he wants you to use it (e.g. on a door handle when s/he wants you to open the door, on a toy when s/he wants you to activate it)?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
13. Does your child walk on tiptoe?
text
C0680063 (UMLS CUI [1,1])
C0560414 (UMLS CUI [1,2])
Code List
13. Does your child walk on tiptoe?
CL Item
usually (usually)
CL Item
sometimes (sometimes)
Item
14. How easy is it for your child to adapt when his/her routine changes or when things are out of their usual place?
text
C0680063 (UMLS CUI [1,1])
C2372028 (UMLS CUI [1,2])
Code List
14. How easy is it for your child to adapt when his/her routine changes or when things are out of their usual place?
CL Item
very easy (very easy)
CL Item
quite easy (quite easy)
CL Item
quite difficult (quite difficult)
CL Item
very difficult (very difficult)
CL Item
impossible (impossible)
Item
15. If you or someone else in the family is visibly upset, does your child show signs of wanting to comfort them (e.g. stroking their hair, hugging them)?
text
C0680063 (UMLS CUI [1,1])
C0013989 (UMLS CUI [1,2])
Code List
15. If you or someone else in the family is visibly upset, does your child show signs of wanting to comfort them (e.g. stroking their hair, hugging them)?
CL Item
usually (usually)
CL Item
sometimes (sometimes)
Item
16. Does your child do the same thing over and over again (e.g. running the tap, turning the light switch on and off, opening and closing doors)?
text
C0680063 (UMLS CUI [1,1])
C0205341 (UMLS CUI [1,2])
Code List
16. Does your child do the same thing over and over again (e.g. running the tap, turning the light switch on and off, opening and closing doors)?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
17. Would you describe your child’s first words as:
text
C0680063 (UMLS CUI [1,1])
C0871408 (UMLS CUI [1,2])
Code List
17. Would you describe your child’s first words as:
CL Item
very typical (very typical)
CL Item
quite typical (quite typical)
CL Item
slightly unusual (slightly unusual)
CL Item
very unusual (very unusual)
CL Item
my child doesn't speak (my child doesn't speak)
Item
18. Does your child echo things s/he hears (e.g. things that you say, lines from songs or movies, sounds)?
text
C0680063 (UMLS CUI [1,1])
C0013528 (UMLS CUI [1,2])
Code List
18. Does your child echo things s/he hears (e.g. things that you say, lines from songs or movies, sounds)?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
19. Does your child use simple gestures (e.g. wave goodbye)?
text
C0680063 (UMLS CUI [1,1])
C0028325 (UMLS CUI [1,2])
C0017510 (UMLS CUI [1,3])
Code List
19. Does your child use simple gestures (e.g. wave goodbye)?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
20. Does your child make unusual finger movements near his/her eyes?
text
C0680063 (UMLS CUI [1,1])
C0424259 (UMLS CUI [1,2])
C0562474 (UMLS CUI [1,3])
Code List
20. Does your child make unusual finger movements near his/her eyes?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
21. Does your child spontaneously look at your face to check your reaction when faced with something unfamiliar?
text
C0680063 (UMLS CUI [1,1])
C0028325 (UMLS CUI [1,2])
C0443286 (UMLS CUI [1,3])
Code List
21. Does your child spontaneously look at your face to check your reaction when faced with something unfamiliar?
CL Item
usually (usually)
CL Item
sometimes (sometimes)
Item
22. How long can your child’s interest be maintained by just one or two objects?
text
C0680063 (UMLS CUI [1,1])
C0679046 (UMLS CUI [1,2])
Code List
22. How long can your child’s interest be maintained by just one or two objects?
CL Item
most of the day (most of the day)
CL Item
several hours (several hours)
CL Item
half an hour (half an hour)
CL Item
ten minutes (ten minutes)
CL Item
a couple of minutes (a couple of minutes)
Item
23. Does your child twiddle objects repetitively (e.g. pieces of string)?
text
C0680063 (UMLS CUI [1,1])
C0038271 (UMLS CUI [1,2])
Code List
23. Does your child twiddle objects repetitively (e.g. pieces of string)?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)
Item
24. Does your child seem oversensitive to noise?
text
C0680063 (UMLS CUI [1,1])
C3843207 (UMLS CUI [1,2])
Code List
24. Does your child seem oversensitive to noise?
CL Item
usually (usually)
CL Item
sometimes (sometimes)
Item
25. Does your child stare at nothing with no apparent purpose?
text
C0680063 (UMLS CUI [1,1])
C0423086 (UMLS CUI [1,2])
Code List
25. Does your child stare at nothing with no apparent purpose?
CL Item
many times a day (many times a day)
CL Item
a few times a day (a few times a day)
CL Item
a few times a week (a few times a week)
CL Item
less than once a week (less than once a week)