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ITEM ALONE OTHER KIDS FAMILY 1. Play on a playground 2. Play sports 3. Ride a bike 4. Play inside games 5. Play Nintendo or other video games 6. Play on the computer 7. Do puzzles 8. Play with toys 9. Build things with Legos or blocks 10. Draw or paint pictures 11. Make things with clay or Play-doh 12. Cook or bake 13. Listen to music 14. Watch TV or videos 15. Read books or magazines 16. Other: © 1998, 2010 Vanderbilt TRIAD 54 5) Perspective-Taking Activity- BANDAGE BOX To the examiner: Place an object such as a dollar bill or piece of candy in an empty bandage (Band-Aid) box.

To clarify once the child has identified the emotion. ” © 1998, 2010 Vanderbilt TRIAD 53 4) Interests and Motivation Activity-THINGS I LIKE To the examiner: Present cards one at a time and remove once used. Have child place card for each item on 1-5 rating scale script to indicate how much s/he likes the item. Record answers below. ITEM ALONE OTHER KIDS FAMILY 1. Play on a playground 2. Play sports 3. Ride a bike 4. Play inside games 5. Play Nintendo or other video games 6. Play on the computer 7.

Items rated as 2 or less by the respondents are considered areas of weakness. Items rated as 3 or above by the respondents are considered areas of strength. Relative strengths and weaknesses for X in these areas are given below. EMOTION UNDERSTANDING AND PERSPECTIVE TAKING SKILLS PARENT REPORT T EACHER REPORT Understanding what other people’s facial expressions mean Weakness Strength Understanding what other people’s “body language” means Weakness Strength Using a wide range of facial expressions Strength Strength Using a wide range of gestures or “body language” to communicate Understanding that others may have thoughts and feelings different from his/her own Understanding another person’s perspective or point of view Understanding what makes other people feel happy, sad, angry, or afraid Understanding what makes other people feel surprised or embarrassed Strength Strength Weakness Weakness Weakness Weakness Strength Weakness Weakness Weakness PARENT REPORT Strength TEACHER REPORT Weakness Inviting others to play with him Weakness Weakness Joining a group of children who are already playing Weakness N/A Asking others in a direct manner for something he wants Strength Strength Asking others for help when he needs it Strength Strength Starting conversations with others Strength Weakness Weakness Weakness Offering to assist others when they need help Strength Weakness Offering comfort to others when they are upset or hurt Strength N/A Apologizing in a sincere way for hurting someone, without being reminded Complimenting or congratulating someone Strength N/A Strength Strength INITIATING INTERACTIONS Spontaneously greeting familiar people Getting the attention of others before talking to them © 1998, 2010 Vanderbilt TRIAD 26 PARENT REPORT Strength TEACHER REPORT Strength Strength Strength Weakness Strength Weakness Strength Strength Strength PARENT REPORT TEACHER REPORT Playing cooperatively with other children Weakness Strength Having conversations about a wide range of topics Weakness Weakness Talking about things that interest the other person Weakness Weakness Keeping a conversation going by sharing information and asking the other person questions Staying on the topic during conversations Weakness Weakness Weakness Weakness Listening to what others say and use this information during conversations Sharing a conversation by talking and listening for about the same amount of time Maintaining eye contact with others during interactions Weakness Weakness Weakness Weakness Weakness Strength Speaking in an appropriate tone of voice during interactions Smiling to be friendly or to indicate to others that he likes something Respecting the personal space of others during interactions Weakness Strength Strength Strength Weakness Strength PARENT REPORT TEACHER REPORT Strength Strength Weakness Weakness Ability to initiate social interactions Strength Weakness Ability to respond to the initiations of others Strength Strength Ability to maintain social interactions Weakness Weakness Ability to understand and use nonverbal behaviors appropriately Weakness Strength RESPONDING TO INITIATIONS Responding in a friendly manner when others greet him Responding in a friendly manner when others invite him to play Responding in a friendly manner to questions or requests from others Responding in a friendly manner when others try to start conversations with him Responding in a positive way to compliments MAINTAINING INTERACTIONS AND SOCIAL INTERACTIONS GENERAL SOCIAL COMPETENCIES Ability to understand and express feelings Ability to understand the perspective of another person © 1998, 2010 Vanderbilt TRIAD 27 SUMMARY The following is a summary of X’s social skills performance as observed during the assessment and reported by his parents and teachers.

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