Communication Questionnaire PDF Details

The Social Communication Questionnaire (SCQ) stands as an essential assessment tool designed to evaluate communication skills and social functioning in individuals, spearheaded by esteemed authors including Michael Rutter, M.D., F.R.S., Anthony Bailey, M.D., Sibel Kazak Berument, Ph.D., Catherine Lord, Ph.D., and Andrew Pickles, Ph.D. This comprehensive questionnaire prompts a respondent, who is closely related to the subject, to answer a series of questions with a simple 'yes' or 'no.' These queries cover a vast range of social interactions and communication abilities. From the utilization of phrases and sentences to the exhibition of repetitive behaviors or the expression of interests in unusual objects, each question aims to document the subject's current capabilities and challenges within a 3-month period. The SCQ serves not only as a diagnostic aid but also as a foundation for developing tailored interventions that enhance an individual's quality of life. It underscores the commitment to providing care and support tailored to the unique needs and circumstances of each subject, with a thoughtful structure that allows for an in-depth understanding of their social communication skills.

QuestionAnswer
Form NameCommunication Questionnaire
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesscq test, social communication questionnaire scq pdf, scq pdf, scq manual pdf

Form Preview Example

SOCIAL COMMUNICATION QUESTIONNAIRE (SCQ) – CURRENT

PC ANSWER SHEET

Michael Rutter, M.D., F.R.S., Anthony Bailey, M.D., Sibel Kazak Berument, Ph.D.,

Catherine Lord, Ph.D., and Andrew Pickles, Ph.D.

Name of Subject: _______________________ D.O.B. _________ Interview Date ________ Age: ____

Gender: F M Name of Respondent: ______________________ Relation to Subject: __________

DIRECTIONS: Thank you for taking the time to complete this questionnaire. Please answer each question by selecting yes or no. A few questions ask about several related types of behavior; please select yes if any of these behaviors were present during the past 3 months. Although you may be uncertain about whether some behaviors were present or not, please answer yes or no to every question on the basis of what you think.

ITEM

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

1.

Is she/he now able to talk using short phrases or sentences? If no, skip to question 8.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Do you have a to and fro “conversation” with her/him that involves taking turns or building on

 

 

 

what you have said?

 

 

 

 

 

 

 

3.

Does she/he ever use odd phrases or say the same thing over and over in almost exactly the

 

 

 

 

 

 

 

 

 

 

 

 

same way (either phases that she/he hears other people use or ones that she/he makes up?

 

 

 

 

 

 

 

 

 

 

 

4.

Does she/he ever use socially inappropriate questions or statements? For example, does

 

 

 

she/he ever regularly ask personal questions or make personal comments at awkward times?

 

 

 

 

 

 

 

 

5.

Does she/he ever get his/her pronouns mixed up (e.g., saying you or she/he for I)?

 

 

 

6.

Does she/he ever use words that she/he seems to have invented or made up her/himself; put

 

 

 

 

 

 

 

 

things in odd, indirect ways; or use metaphorical ways of saying things (e.g., saying hot rain

 

 

 

for steam)?

 

 

 

 

 

 

 

7.

Does she/he ever say the same thing over and over in exactly the same way or insist that you

 

 

 

 

 

 

 

 

 

 

 

 

say the same thing over and over again?

 

 

 

 

 

 

 

 

 

 

 

8.

Does she/he have things that she/he seems to do in a very particular way or order or rituals

 

 

 

that she/he insists that you go through?

 

 

 

 

 

 

 

 

 

 

9.

Does her/his facial expressions usually seem appropriate to the particular situation, as far as

 

 

 

 

 

 

 

 

 

 

 

 

 

you can tell?

 

 

 

 

 

 

 

 

 

 

 

 

10.

Does she/he ever use your hand like a tool or as if it were part of his/her own body (e.g.,

 

 

 

pointing with your finger or putting your hand on a doorknob to get you to open the door)?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

Does she/he ever have any interests that preoccupy her/him and might seem odd to other

 

 

 

 

 

 

 

 

 

 

 

 

people (e.g., traffic lights, drainpipes, or timetables)?

 

 

 

 

 

 

 

 

 

 

 

12.

Does she/he ever seem to be more interested in parts of a toy or an object (e.g., spinning the

 

 

 

wheels of a car), rather than in using the object as it was intended?

 

 

 

 

 

 

 

13.

Does she/he ever have any special interests that are unusual in their intensity but otherwise

 

 

 

 

 

 

 

 

 

 

 

 

 

appropriate for his/her age and peer group (e.g., trains or dinosaurs)?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

Does she/he ever seem to be unusually interested in the sight, feel, sound, taste, or smell of

 

 

 

things or people?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

Does she/he ever have any mannerisms or off ways of moving her/his hands or fingers, such

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

as flapping or moving her/his fingers in front of her/his eyes?

 

 

 

 

 

 

 

 

 

 

 

16.

Does she/he ever have any complicated movements of her/his whole body, such as spinning

 

 

 

or repeatedly bouncing up and down?

 

 

 

 

 

 

 

 

 

ITEM

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

17.

Does she/he ever injure her/himself deliberately, such as by biting her/his arm or banging

 

 

 

 

 

 

 

 

 

 

 

 

 

her/his head?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18.

Does she/he ever have any objects (other than a soft toy or comfort blanket) that she/he has

 

 

 

 

to carry around?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

Does she/he have any particular friends or a best friend?

 

 

 

 

 

 

 

 

 

20.

Does she/he ever talk with you just to be friendly (rather than to get something)?

 

 

 

 

 

 

 

 

 

 

 

 

21.

Does she/he ever spontaneously copy you (or other people) or what you are doing (such as

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

vacuuming, gardening, or mending things)?

 

 

 

 

 

 

 

 

 

 

 

22.

Does she/he ever spontaneously point at things around her/him just to show you things (not

 

 

 

 

because she/he wants them?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.

Does she/he ever use gestures, other than pointing or pulling your hand, to let you know

 

 

 

 

 

 

 

 

 

 

 

 

 

what she/he wants?

 

 

 

 

 

 

 

 

 

 

 

 

24.

Does she/he nod her/his head to indicate yes?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25.

Does she/he shake her/his head to indicate no?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26.

Does she/he usually look at you directly in the face when doing things with you or talking with

 

 

 

 

you?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27.

Does she/he smile back if someone smiles at her/him?

 

 

 

 

 

 

 

 

 

 

 

 

 

28.

Does she/he ever show you things that interest her/him to engage your attention?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29.

Does she/he ever offer to share things other than food with you?

 

 

 

 

 

 

 

 

 

 

 

 

 

30.

Does she/he ever seem to want you to join in her/his enjoyment of something?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31.

Does she/he ever try to comfort you if you are sad or hurt?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32.

If she/he wants something or wants help, does she/he look at you and use gestures with

 

 

 

 

sounds or words to get your attention?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33.

Does she/he show a normal range of facial expressions?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

34.

Does she/he ever spontaneously join in and try to copy the actions in social games, such as

 

 

 

 

The Mulberry Bush or London Bridges Is Falling Down?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35.

Does she/he play any pretend or make-believe games?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36.

Does she/he seem interested in other children of approximately the same age whom she/he

 

 

 

 

does not know?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37.

Does she/he respond positively when another child approaches her/him?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

38.

If you come into a room and start talking to her/him without calling her/his name, does

 

 

 

 

she/he usually look up and pay attention to you?

 

 

 

 

 

 

 

 

 

 

 

 

39.

Does she/he ever play imaginative games with another child in such a way that you can tell

 

 

 

 

 

 

 

 

 

 

 

 

that each child understands what the other is pretending?

 

 

 

 

 

 

 

 

 

 

 

40.

Does she/he play cooperatively in games that need some form of joining in with a group of

 

 

 

 

other children, such as hide-and-seek or ball games?

 

 

 

 

 

 

 

 

 

 

 

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Complete the following sections to complete the template:

portion of spaces in scq test pdf

Complete the Does shehe ever get hisher, Does shehe ever say the same, say the same thing over and over, Does shehe have things that shehe, that shehe insists that you go, Does herhis facial expressions, you can tell, Does shehe ever use your hand, pointing with your finger or, people eg traffic lights, Does shehe ever seem to be more, wheels of a car rather than in, Does shehe ever have any special, appropriate for hisher age and, and Does shehe ever seem to be field using the information demanded by the software.

scq test pdf Does shehe ever get hisher, Does shehe ever say the same, say the same thing over and over, Does shehe have things that shehe, that shehe insists that you go, Does herhis facial expressions, you can tell, Does shehe ever use your hand, pointing with your finger or, people eg traffic lights, Does shehe ever seem to be more, wheels of a car rather than in, Does shehe ever have any special, appropriate for hisher age and, and Does shehe ever seem to be fields to insert

You have to include particular information within the space Item Does shehe ever injure, herhis head, Does shehe ever have any objects, to carry around, Does shehe have any particular, Does shehe ever talk with you, vacuuming gardening or mending, Does shehe ever spontaneously, because shehe wants them, Does shehe ever use gestures, what shehe wants, Does shehe nod herhis head to, Does shehe shake herhis head to, you, and Does shehe smile back if someone.

Filling in scq test pdf step 3

The Does shehe ever offer to share, Does shehe ever seem to want you, Does shehe ever try to comfort, sounds or words to get your, Does shehe show a normal range of, The Mulberry Bush or London, does not know, Does shehe respond positively, shehe usually look up and pay, Does shehe ever play imaginative, that each child understands what, Does shehe play cooperatively in, and other children such as hideandseek area has to be used to provide the rights or obligations of each party.

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