__ CARS Eric Schopler, Ph.D., Robert J. Reichler, M.D., and Barbara Rochen Renner, Ph.D. Name: 1D Number Tes Date: Yer. Binh Due: Yew Chronologil Age: Yeas Rater: retains vu Total Score 15 18 thy 03 HH ws AS BS SH 57 OO Mildly Moderately Severely Ligeia ‘Aste ‘Asie5 2 Directions: For each category, use the space provided below each scale for taking notes concerning the behaviors relevant to each scale. After you have finished observing the child, rate the behaviors relevant to each item of the scale, For each item, circle the number which corresponds I. RELATING TO PEOPLE. No evidence of culty or abnormally relat to people © The chs etn apopit fr his or er ape. Some snes, snes or anarence at egal what to do maybe obeened tu act an ape ee. Milly abnormal reedonships © Thee may aed king te fun ee, ‘wold the ado become hs inert ocd, be ences sy ot be 3 reopen oe wats pel, or cng oars some mae Han mos ‘ten te ame 3 Moderate sbnorms!relitonships ® The ei so ates fers unevar tcl at ter Peasant ang foc ange te neces ogee cles ae ont ns Mina cot etsy ne. ‘Severely abnormal reltonahips ©The cl conden! or us tat the act doe He ore sno aver repo tes ont wth he Oni te operant atemp ole ens tenon ave a eect. Il. IMITATION Appropriation ¢ The cl cn mat nnd, word, and movements ‘wh ae apoprate for lo he lee, ‘ay sbnormal lation» The nus snl eos uh as ago sige ve sounds mos he Une; analy, ia ony er oda sere ay. Moderately norma! Imlaton ©The ideas only par ofthe mean see ex epee hep a sey ty Severely abnormal inion © The ci rely nee nates suns, words, ot ‘Motemeats even wih preding and asa tore 2:8 to the statement that best describes the child. You may indicate the child is between two descintions by using rt- ings of 1.5, 2.5,-or 3.5. Abbreviated rating criteria are pre- sented for each scale: See chapter 2 of the Manual for detalled rating criteria, Ree Ill, EMOTIONAL RESPONSE [Ae-appropiate and sutton-eppropsate emotional expanses @ The cls Show the prorat pe and dees of motor espns nee by 2 age Intl expo, peste ane manne. Miaysbrormal emotional response ©The child aeons sone ‘iat gprs eof dean emotond eens. Recon ae somes Cnmed i he os or ees soul em, ‘Moderay norms! emotions responses ©The eld how dene so Itpprepate pe toot ger of ersonl pre, Rexetone maybe qt Fed reeves unrest ason may gsc, ugh, or ere “gl even hough no paren emo edung ceo eve ae Pe. ‘Severely abnormal ematona responses © Response seom spoon o the suaon; once he eld gence men ery el 0 cnge be FPooe, Cons, te el ay sho lly erent ematone en oon is | oes ‘Observations: | Ass appropriate body use The cs mores whe ne ee, gy, nd earanien anal eh fhe re. £1 D | misty sora body use © Some minor ecules may De resent ah as ues, eve manent rear, ee pe te Q | Moderately annormal vogy use © Behaviors ate cay sage of io 2 cle sag ay rude rane Inger tvere, pcs ag ox body fos {unng rg or pcg ate bod, screed grein, rocking aig, ger algo evans Severely abnormal body use © nese or Begun movement hep sed ove a sg leery cra boy we, Tee bens ray pers dese emp te dicoutage them nie he cid a ace‘V. OBJECT USE “Appropteute of, and inieret In, toys and othe objects # The cd soe fornnete ntoyeand her ccs sapere hei eel tae se ys a apprepate moe. My inappropriate intrest in, oF we of oy ant other objec The ct sow apne in oy or pay WA an aprons vay leg, bngig or ckrg opt or. Mocertey inappropriate interes in, or wea toys and eter objec The hd yom te eeet in toys orchestra be Psooped With tng bet ory nan uge oy Heo Se ray rs on same nick Faofa toy, become tata wn i elecng of he ote, epee ve Soe pa cite cj, or ay hoe cet exclave ‘Severely inappropriate Iteret In oF we of ay or oter objects #-The cle ‘hay eg he sue behavior move, wih ee cue and ies, The lest to Sra when engaged nee pre aces, -VI. ADAPTATION TO CHANGE ‘Ags sopoptate responce to eange © Whe the cle may nots remot on ‘ingen toute, be or sv sx we change bot une see ‘Muy abnor adaptation to change © When an au es to change ws he ‘hd iy conan same cy or ete sae meri. ‘Moderity abnormal aptaion o change © The id actly ess changes route, tes to contmue he ot acy, and ah waa He oF sh mp ecome ay and unbrpy when a eslshe ouie i are. Severely abnormal eapation to hangs © The hi hows sett ent 6 shang, Ha change Fred, se my become exer gy: vaoocere ‘ean respond in ars ‘Vil. VISUAL RESPONSE ‘gp oppropeate visual responce © The cli vu ebror is nonin pr a ra og. Von suid togebar wi ober sess ay expe lec. tutaysbaoral vel reponse © The ld must be acon rence o took abet Tae old may be more tea in okng kro of ighing ‘han pars my ocaonaly are fans, o may aso aa ooking ene tee Moder abnormal sul responte © Tie cié mu termined equeiy ‘ooo swt ors cing He ose my sar no ss st nai 2 Fle ne eye, ok oes Ro a anus ange or hold oes YS oe ore ‘Severely sonora! viel response © Ta hd oe sods eling pa or cern cles and ay sbow erm oms feral pecs de Sxbed so. ill. LISTENING RESPONSE | Ase snproprie tenia response © Techs tering behavior nora an ‘ppropre rage seing bie eter th ote ene 2 sy snort ening pene «Tee mf eon te Irena eps asm OG teen cacy, meee Ethan min 3 Nosy storms teenng rap Te ie epe ted, he gs ise bse oe coe es or Gy sera moral sng respon © Th once ede to seunds oan exreme naked dees, repo the pet un , AND TOUGH RESPONSE AND USE "Normal we of and response to,se smal en wouch © Th ch expos re objets in an age prope moe, ener fing and ling, ese or Sl ee hen rope, Wes exng oy, rey pe 1% TASTE, ‘ay abnormal wie of nd espons to, tte, el nth © Th id ‘may pes ping ces a so et ous yao eee cj, tay gor or onrtut o md ule Bat norm Nb woud expres con Moderssy shore eo of nd espn to, taal and toch ©.The ‘tld may te medesey peep wen ching sneting, or ang ae oF ‘rope Te ch nay eer rat oo nh oo Severely abnor ws of and response tat, sel end touch © The il Is ooced wan smeling a. tfeing tec mr then an or ‘onal eplraton or athe oes. The chi may coun gnor pinot ery SPER set scone. 2. FEAR OR NERVOUSNESS [Normal ear or mervousnes © Tacit «eer propio these tenon os oer, ty sbnommal er er narvousnes © The ct scion ove oa mich ot toe aot nenoues compte toh aon of nora a of eae dpinsemarauson sor: aro: nervous © Thc thaws ter qu 8 Doro or gues Hes ar th pea een Yoga it Servrcyabnenmil fe o pevoumess» Fax pet sen ea peated et esence wn hares een rae. Is event eu eno como, tec Te en may, conte, io saw spo rea hse Wek ther ere theme aoaXI. VERBAL COMMUNICATION Nort yerbl communicaton 2g and sion appropri Iitay esters verbn commanicton © Sesh hows aver earton Mest specs meg howee, some ech or rooun Fever may ec, Some peal wor argon mir be wes oxaeay Modersalysbrormal vers cmmunicaton ¢Specch yt bet When fen ret eomarciton may be matte of ome ing peach an bee pa speech suk go, ech ox pono ees. Fears Irengh sees nde exes qusoring eosin wih aia XII. ACTIVITY LEVEL Normal activity level or age and crcumsances # The chi eier mote ive nore ave hn amoral es fe se age asa san, iy ebrormal ay evel ©The eld may eter be mayest or sme sa ea nog ee Te ve eae Moderately abnormal acy level The cud maybe que acne 26 Be 1 rearan te or she may hve Doone enegy ad mz ot go to ep real a ri. Corwen, ld my be que eda, ana oe a rete procang to get oe ove sat tis. severly abrormal sci level # The did ext entrees of sty ote Severely anormal verbal commnkeaton # Measngh speech td ty ad my even hh rom oe exter ore oe, ‘Te ld may maken sues wed oa ke ours conpes roo printing ete, sho fesse, tae we oN TORN word pewes ‘Observations: XIV. LEVEL AND CONSISTENCY OF INTELLECTUAL RESPONSE iceigence is norma an resonaby consent across various areas chia ign 2 type hice oleae ge 0 does ot hae Soy siete Sas pred XII. NONVERBAL COMMUNICATION Normal ue of nonverbal communication, age and station appropriate aay sonora intelectual uncdonng ©The els ots eu pe erin the ells pes teeny eres Sosa area ey sboormal ute of nonverbal communion # Inmate wi of anseh tl orien; may ony pe ase, oF each what eo he ans [Statens here sue ele may pt x pre mare special indi Wa he orb wan. Moderstaysbrorms! inte fancioning © In pee ne ira snares yl cre fe eae owe, tbe ld ay hnctenreaty Modertely abnormal ute of nonverbal communkation # The hid geerly Porm one more el es | eae en erent eaerenerm fag i severely abnorma tntlecal Funetoring # Wie te hit gener ot sat rep elt fag, he ose may ncn eve aca ta De nt ‘severely bnorma we of nonveraleommuncaton ¢ The ii ony wes th fhe me agen neo more ea, [Beare of peel gees wc ve no ape ain, 20 StS ne TEE ft etings aoc wth oe sure or hel expan: of O08. ‘Observations: XV. GENERAL IMPRESSIONS No autism « The cid shows nne ofthe srapoms chance of um, Mig ets © The ed shows ony 2 fv smo or ays mid degre oh Moderate autism The chi stows numberof sapons oe modente dee fate [Severe sum # The cd stows men symplims oan etme degree of ats ‘Observations: