CAST

Childhood Autism Spectrum Test

AutismParent-reportAges 4–1139 questions~8 min

Validated by Scott, Baron-Cohen, Bolton & Brayne (2002) · View paper

Clinically reviewed by Dr. Jaye Turrietta, PsyD, BCBA-D, AEP

A 39-item parent-report screener for autism features in children aged 4–11.

Answer each question based on your child's typical behaviour. Some questions are control items and do not affect the score.

39 questions · ~8 min · Auto-saved

About the CAST

The Childhood Autism Spectrum Test was developed at the Autism Research Centre, University of Cambridge (Scott, Baron-Cohen et al., 2002). It screens for social communication differences, restricted interests, and repetitive behaviours in children aged 4–11.

39 yes/no questions completed by the parent. 31 items score; 8 are non-scoring control items. Takes about 5–10 minutes.

Scoring

For some items, “Yes” scores a point (indicating an autistic trait); for others, “No” scores (indicating absence of a typical behaviour). Items 3, 4, 12, 22, 26, 33, 38, and 39 are non-scoring. The total range is 0–31 and the threshold is 15.

Important: The CAST is a parent-report screening tool, not a diagnostic instrument. A score at or above 15 means a full clinical evaluation may be worthwhile, not that your child is autistic.

Scott, F. J., Baron-Cohen, S., Bolton, P., & Brayne, C. (2002). The CAST (Childhood Asperger Syndrome Test): Preliminary development of a UK screen for mainstream primary-school-age children. Autism, 6(1), 9–31.

Medically reviewed by Jaye Turrietta, PsyD, BCBA-D, AEP, Clinical Director. Last reviewed June 1, 2026.

Primary citation: Scott, Baron-Cohen, Bolton & Brayne (2002). View the validation paper.

CAST FAQs

The most common questions about the CAST (Childhood Autism Spectrum Test).

What is the CAST?

The CAST (Childhood Autism Spectrum Test) is a 39-item question parent-report screener for autism in school-aged children. A parent-report screener for autism features in children aged 4–11. It was developed by Scott, Baron-Cohen, Bolton & Brayne (2002).

Who can take the CAST?

The CAST is designed to be completed by parents of children aged 4–11.

How long does the CAST take?

Most people complete the CAST in about 8 minutes. You can pause at any time — your answers are saved in your browser, so you can resume on the same device.

Is the CAST diagnostic?

No. The CAST is a screening tool, not a diagnostic instrument. It is a validated screener that can suggest whether further evaluation is warranted, but only a licensed clinical psychologist or psychiatrist can make a formal diagnosis. NeuroClarity offers comprehensive pediatric autism evaluations via telehealth — a doctoral-level psychologist conducts a comprehensive evaluation, with reports typically delivered within days.

Is the CAST free to take here?

Yes. The CAST is free to take on this page. We don't require a sign-up, and we don't collect or share your responses — your answers are saved locally in your browser. You can also export your results as a PDF for your own records or to share with a clinician.

What does my CAST score mean?

After you complete the CAST, you'll see your total score broken into the validated severity / likelihood bands published for this instrument, along with a plain-language interpretation. Specific cutoffs vary by tool — for the CAST, the scoring ranges and band descriptions are shown directly on the results page.

What if my CAST score is elevated?

An elevated score on the CAST is one signal — not a diagnosis. The recommended next step is a comprehensive clinical evaluation. NeuroClarity offers comprehensive pediatric autism evaluations starting at $950 flat fee with no waitlist; reports are typically delivered within days and include the diagnostic documentation needed for IEPs, ABA prior authorization, and other downstream services.

If your CAST score suggests further evaluation may be warranted, book a comprehensive evaluation with one of our PSYPACT-licensed clinical psychologists. Reports typically delivered within one week.

How the CAST compares to related screeners

Most autism screeners measure similar constructs but vary in length, target audience, and emphasis. Here's how the CAST relates to the most commonly-paired alternatives.

CAST vs ASSQ

The CAST and the ASSQ both measure autism in school-aged children at a similar length (39 vs 27 questions). They originated from different research groups (2002 and 1999 respectively) and emphasize slightly different facets of the construct. Taking both and comparing your scores can be more informative than either one alone.

Take the ASSQ

CAST vs M-CHAT-R

Both measure autism in school-aged children but in different populations: the CAST is for parents of children aged 4–11, while the M-CHAT-R is for parents of toddlers aged 16–30 months. Pick the one whose age range matches the person being assessed.

Take the M-CHAT-R

CAST vs GSQ

The CAST is a parent-report instrument (the parents of children aged 4–11 answer the items directly), while the GSQ is a self-report — completed by the person being assessed. Choose based on who can give the most accurate picture of the autism in school-aged children.

Take the GSQ

Add this free screener to your site

Educators, clinicians, and organizations are welcome to embed the CAST for free. Copy the snippet below. It keeps a small link back to NeuroClarity.