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Child Autism Daily Symptom Tracker
Date:
Sensory Behaviors:
Unusual responses to sensory stimuli – for example, the child may be overly sensitive to loud noises or certain textures.
Present
Select Severity (1-5; 5 is most severe)
1
2
3
4
5
Social Challenges:
Difficulties engaging socially – for example, the child might avoid eye contact or struggle with interacting in groups.
Present
Select Severity (1-5; 5 is most severe)
1
2
3
4
5
Communication Challenges:
Problems with speech or non-verbal cues – for example, the child may have delayed speech or repeat phrases often.
Present
Select Severity (1-5; 5 is most severe)
1
2
3
4
5
Emotional Sensitivity:
Exaggerated emotional responses – for example, the child may become upset by minor changes or unexpected events.
Present
Select Severity (1-5; 5 is most severe)
1
2
3
4
5
Repetitive Behaviors:
Repetitive actions or routines – for example, the child might engage in hand-flapping, rocking, or insist on strict routines.
Present
Select Severity (1-5; 5 is most severe)
1
2
3
4
5
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