Screening Checklist for Social Skills


Have the child play with one play set (such as a toy farm or airport) with a peer or adult participant.
Observe the child during a 15-minute play period.
| Yes | No | Observation |
|---|---|---|
| Does he use eye contact and eye gaze shifts to the other participant? How many times in a 15-minute period? | ||
| Does he use gestures that match what he is talking about? | ||
| Does he listen to his peer/participant? | ||
| When you ask him about the content of what the peer is talking about, does he tell you the main idea of the conversation? Does he provide any details? | ||
| Does he use intentional actions with objects? Do the actions relate to the story that he is using in his play? | ||
| Is his affect appropriate for the play situation and the story? | ||
| Does he repeat the same actions several times? | ||
| Does he allow his peer to start a play action? | ||
| Does he move on to another play set and ask his peer to join him? | ||
| Does he say good-bye to his peer and ask to play again? | ||
| Does he talk with his peer about his emotions during his play period? | ||
| Does he talk about his feelings after he plays with his peer? | ||
| Does he use language to express his anger and frustration when a problem arises during play? | ||
| Does he explain his problem? | ||
| Does he try to work toward a solution with his peer? | ||
| Does he remember one week later what he did with that peer? | ||
| Does he initiate a play date with his peer? | ||
| Does he retell his experience with his peer in a sequential story? | ||
| Does he want to join his peer again? |
If you answer 'no' to 3 or more questions on this checklist, you need to refer the child to the school team or to the child's pediatrician, neuropsychologist, or neurologist for an evaluation.
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