RAADS-R Assessment Form







    MaleFemale


    SingleMarriedDivorcedNot married but in a significant relationship


    YesNo



    YesNo



    YesNo


    YesNo

    Have you ever been diagnosed or labelled as having Austic Disorders, Asperger's Disorders, High Functioning Autism, Pervasive Development Disorder,
    Dyslexia, Mental Retardation, Learning Disability or another psychiatric or neurological disorder?

    If so, please name the diagnosis or label, when it was given and by whom (name the doctor, clinic or school).





    I began a the usual time (around my second birthday at 24 months of age).I began speaking late (at or later than age 2½ or 30 months).I have no information as to when I began speaking or early language problems.

    It will take you about an hour to answer all the questions

    Questions