Mark Zauss Autism Spectrum Social Responsiveness Screener (Clinician-Created, SRS-2 Modeled)

Social Responsiveness Screener (Clinician-Created, SRS-2 Modeled)

Directions:
Instructions: Rate how often the following behaviors have been observed over the past 4 weeks.
Use the scale:
0 = Never | 1 = Rarely | 2 = Sometimes | 3 = Often | 4 = Very Often

* Indicates required field

Name *

First

Last

Email *

Social Awareness (Ability to pick up on social cues)

1. Notices when others are upset or uncomfortable

Select One *

2. Responds appropriately to others’ facial expressions

Select One *

3. Understands humor and sarcasm

Select One *

4. Notices subtle social cues (e.g., tone, posture)

Select One *

Social Cognition (Ability to interpret social information)

5. Understands how their behavior affects others

Select One *

6. Knows when a conversation is off-topic

Select One *

7. Has insight into peer relationships

Select One *

8. Can interpret figurative or abstract language

Select One *

Social Communication (Verbal and non-verbal expression)

9. Carries on reciprocal conversations

Select One *

10. Uses gestures, tone, and facial expressions appropriately

Select One *

11. Shares interests with others spontaneously

Select One *

12. Communicates needs effectively in a social context

Select One *

Social Motivation (Interest in and drive to engage socially)

13. Enjoys being around peers

Select One *

14. Tries to make friends

Select One *

15. Shows interest in social games or activities

Select One *

16. Initiates social contact (e.g., calls, texts, invitations)

Select One *

Restricted Interests and Repetitive Behavior

17. Repeats phrases, sounds, or movements

Select One *

18. Has highly specific or fixated interests

Select One *

19. Becomes upset by small changes in routine

Select One *

20. Engages in rituals or routines without clear purpose

Select One *

Scoring (Optional Clinical Use Only):

0–19: Low concern (Monitor)
20–39: Moderate concern (Consider full diagnostic evaluation)
40+: High concern (Strong indication for comprehensive ASD assessment)

Click Below to submit Social Responsiveness Screener (Clinician-Created, SRS-2 Modeled)
Mark will contact you and feel free to email Mark at [email protected]

SRS-2 Modeled