Autism Spectrum Mental Health Observation Sheet
Personal Information
Date
Observer's Name
Person Observed
Age
Location
Communication
Verbal Communication
Non-Verbal Communication
Social Interaction
Behavior
Repetitive Behaviors
Unusual Interests
Changes in Routine (Response)
Emotional State
Mood Observed
Anxiety/Distress Signs
Calming Strategies Used
Sensory Observation
Sensitivity Noted (e.g. sound, light, touch)
Additional Notes & Recommendations