Neurodevelopmental Assessment Social-Communication Questionnaire

This questionnaire is designed to gather information about the social-communication skills and behaviour of children and young people aged 3 to 18 years. Please answer relevant to the individual’s age and learning context. If you are unsure regarding any items (i.e. you cannot provide a definitive yes/no response), you can note this as “DK” – don’t know.

The SCQ is an essential part of the autism assessment. We understand that young person can present differently across settings. Your observations are important to us in understanding the young person’s presentation and possible support needs across contexts. Even if you have few or no concerns, please complete the form stating this (see back page) so as to inform next steps in the assessment.

Step 1 of 15

This questionnaire is completed by the young person's school. Please tick everything that applies and add detail wherever it helps us build an accurate picture.

Child's Name

First name

Last name

DOB:

Class:

School:

Teachers Name:

SCQ Completed by:

Date

Is the child/young person following a reduced or restricted timetable?

Yes

If yes, please state days and times:

If school attendance is irregular, has the Education Welfare Service been informed?

Yes

Name of EWO:

What supports, if any, does he/she receive:

Learning support within school

Outreach learning support teachers

ASD support teachers

SBEW support teachers

Statement of SEN

Referred to Educational Psychologist

Classroom Assistant

Counselling

Other (please specify):

Comment on his/her ability to understand language in the classroom:

Does he/she experience periods of being mute? If yes, please elaborate:

tick which applies and describe further where necessary

Is able to express his/her needs

Is able to express emotions verbally

Can seek help

Can seek reassurance when upset

Describe how he/she seeks reassurance:

Describe how he/she copes when there is a problem:

Preoccupations: tick which applies and describe further where necessary

Has unusual interests If yes, please describe:

Has intense interests If yes, please describe:

Has a fascination with a particular object, colour, sensory element, topic

Brings things to school each day

Often has an item in hand or pocket

Distressed by imperfections

Collects / hoards items If yes, please describe:

Spins objects

Takes objects apart

Please provide any additional information below:

Name

First name

Last name

Role:

Please check everything below before submitting. You can go back and change any section — nothing is lost.

Your reference

Neurodevelopmental Assessment Social-Communication Questionnaire

Child's details

Attendance

School supports

Language skills

Functional communication

Social communication and interaction

Non-verbal communication

Relationships and imaginative play

Restricted and repetitive patterns

Restricted or intense interests

Sensory processing

Academic attainments and supports

Completed by

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