Autism Symptoms Tracker
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1Autism Symptom Tracker
Name:
Weekly Start Date:
DOB:
Height:
Weight:
Behavior
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Responsiveness: Reacts to
Better
Better
Better
Better
Better
Better
Better
name, makes eye contact,
Worse
Worse
Worse
Worse
Worse
Worse
Worse
listens.
Same
Same
Same
Same
Same
Same
Same
Emotiveness: Allows gentle
Better
Better
Better
Better
Better
Better
Better
touching, plays with others, is
Worse
Worse
Worse
Worse
Worse
Worse
Worse
aware of others’ feelings
Same
Same
Same
Same
Same
Same
Same
Verbal Skills:
Same
Same
Same
Same
Same
Same
Better
Speaks regularly, makes
Worse
Worse
Worse
Worse
Worse
Worse
Worse
requests
Same
Same
Same
Same
Same
Same
Same
Speech Patterns: Speaks with
Better
Better
Better
Better
Better
Better
Better
normal rhythm, understands
Worse
Worse
Worse
Worse
Worse
Worse
Worse
questions/directions
Same
Same
Same
Same
Same
Same
Same
Understanding: Increasing
Better
Better
Better
Better
Better
Better
Better
vocabulary, knows meaning of
Worse
Worse
Worse
Worse
Worse
Worse
Worse
words, keeps up conversations
Same
Same
Same
Same
Same
Same
Same
Gestures:
Better
Better
Better
Better
Better
Better
Better
Is able to keep still, does no
Worse
Worse
Worse
Worse
Worse
Worse
Worse
harm to self or others
Same
Same
Same
Same
Same
Same
Same
Food:
Better
Better
Better
Better
Better
Better
Better
Eats a variety of food, does
Worse
Worse
Worse
Worse
Worse
Worse
Worse
not eat non-food items.
Same
Same
Same
Same
Same
Same
Same
Play: Engages in imaginative
Better
Better
Better
Better
Better
Better
Better
play, understands general
Worse
Worse
Worse
Worse
Worse
Worse
Worse
function of toys
Same
Same
Same
Same
Same
Same
Same
Variations this Week (Educational, Dietary, Medicinal):
New Behavioral Changes:
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Parent category: Medical