Asperger Syndrome Diagnostic Interview
Student:________________________
Area
Severe
impairments in
reciprocal
social
interaction
(2 or more
scores of 1)
All absorbing
narrow interest
pattern(s)
(1 or more
scores of 1)
Page 1 of 3
Standards
Exhibits considerable difficulties interacting with
peers? If so, in what way?
Score
0
1
Exhibits a low degree of concern or a seeming lack
of interest in making friends or interacting with
peers? If so, please specify:
0
1
Have problems appreciating social cues, i.e., does
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:
0
1
Exhibit socially or emotionally inappropriate
behaviors? If so, in what way(s)?
0
1
A pattern of interest or a specific interest which
takes up so much of his/her time so that time for
other activities is clearly restricted. If there is,
please comment:
0
1
Is there a repetitive quality to his/her interest
patterns or specific interest? If so, please specify:
0
1
Interest patterns based more on rote memory than
on true meaning?
0
1
Comments
Asperger Syndrome Diagnostic Interview
Imposition of
routines, rituals
and interests
1 or more
scores of 1)
Speech and
language
peculiarities
(2 or more
scores of 1)
Page 2 of 3
Try to introduce and impose routines, rituals or
interests on himself/herself in such a way as to
produce problems for him/herself? If so, in what
way?
0
1
Try to introduce and impose routines, rituals or
interests on himself/herself in such a way as to
produce problems for others? If so, in what way?
0
1
Language development delayed? If so, please
comment:
0
1
Language “superficially perfect” regardless of
whether or not there are comprehension problems
or other speech and language problems? If so,
please comment:\
0
1
Is language formal, pedantic, or “overly adult”? If
so, please describe:
0
1
Is there any characteristic about his/her voice
(pitch, volume, quality, intonation, word stress,
prosody, etc.) that you find peculiar or unusual? If
so, in what way?
0
1
Are there any comprehension problems (including
misinterpretations of literal/implied meanings? If
so, what kind of problems?
0
1
Asperger Syndrome Diagnostic Interview
Non-verbal
communication
problems
Makes limited use of gestures? If so, please
comment.
0
1
(I or more
scores of 1)
Is body language awkward, gauche, clumsy,
strange or unusual? If so, please comment
0
1
Are facial expressions limited to a rather small
repertoire? If so, please describe.
0
1
Is general expression (including facial) sometimes
inappropriate? If so, please describe.
0
1
Is gaze stiff, strange, peculiar, abnormal or odd? If
so please characterize.
0
1
Has been noted to perform poorly on neuraldevelopmental examinations either in the past or in
connection with the present interview? Is do,
please comment:
0
1
Motor
clumsiness
(Score of 1)
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