This parent-report screening questionnaire is used to identify elevated autism-related traits in school-age children. The Childhood Autism Spectrum Test (CAST) is intended to provide a structured, first-line estimate of symptom likelihood to inform whether more comprehensive evaluation may be warranted.
Developed by Patrick Bolton, Carol Allison, and Simon Baron-Cohen, it includes 37 items and typically takes about 7 minutes to complete. Items focus on observable behaviors relevant to social communication and interaction, as well as restricted or repetitive patterns of interests and behaviors.
Scores from the Childhood Autism Spectrum Test (CAST) should be interpreted in context with developmental history and other clinical information, and are not diagnostic on their own. Results are commonly used to guide referral decisions and to structure discussion with caregivers about next steps.