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Autism Parent Interview Template 2012-2023
A hearing loss because s/he didn’t respond when you called their
name?
3. Did your child follow simple commands during his/her first 18 months? (sit down,
come here, get your bottle, etc)
4. Did your child reach to be picked up by 12 months?
5. Around your child’s first birthday, was s/he using gestures or words to communicate?
6. What was his/her first word other than ‘mama’ or ‘dada?
Did s/he ever seem to lose or stop using previously learned words? At what age?
CRP-9/13/12
7. How old...
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