# ASC Sample Form

### At-a-glance

##### Screening, Assessment and Curriculum

ASC

##### Topics

Assessment, Communication & language, Early intervention, English & dual language learners, Literacy & reading, Special education

##### Resource Types

Samples

##### Author

Trina D. Spencer, Ph.D., BCBA-D, & Howard Goldstein, Ph.D.

##### Year

2019

#### Share This Resource

View this sample form to see what the ASC screening tool looks like, including the format of the pages, the types of questions asked, and the way that the tool is scored.

[View the form](/content/wp-content/uploads/2021/06/ASC-Sample-Completed-Form-1.pdf)