Parenting Village
Home
Features
About Us
Contact Us
Log In
Neurodevelopmental Risk Assessment
Age of Child (months):
Gender:
Select
Female
Male
Does your child look at you when you call his/her name?
Yes
No
Is it easy for you to get eye contact with your child?
Yes
No
Does your child point to indicate that s/he wants something?
Yes
No
Does your child point to share interest with you?
Yes
No
Does your child pretend?
Yes
No
Does your child follow where you’re looking?
Yes
No
If you or someone else in the family is visibly upset, does your child show signs of wanting to comfort them?
Yes
No
Does your child use simple gestures?
Yes
No
Does your child stare at nothing with no apparent purpose?
Yes
No
Ethnicity:
Select
Hispanic
Latino
Asian
Pacifica
Black
White European
Middle Eastern
Others
South Asian
Mixed
Native Indian
Born with Jaundice:
Yes
No
Family member with ASD history:
Yes
No
Check for Risk
