| Never | Rarely | Sometimes | Often | Always | |
|---|---|---|---|---|---|
| a) Does your child avoid eye contact when you look at or speak to him/her directly? | 0 | 1 | 2 | 3 | 4 |
| b) Does your child avoid eye contact when friends and family look at or speak to him/her directly? | 0 | 1 | 2 | 3 | 4 |
| c) Does your child avoid eye contact when unfamiliar people look at or speak to him/her directly? | 0 | 1 | 2 | 3 | 4 |