A Parent-Friendly Breakdown of ADOS-2 Scoring

Published April 22, 2025 by Dror Arbel at 101Autism.com

If you’re navigating an autism assessment, ADOS-2 scores can feel like alphabet soup. This guide walks you through each module. It shows real-parent examples. Additionally, it embeds a quick video and infographic to make sense of everything. Let’s dive in!


1. What Is ADOS-2 Scoring?

The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2), is a gold-standard observational tool. Clinicians use it to assess communication, social interaction, and play.

  • Raw Score: Points tallied from observed behaviors
  • Comparison Score: Standardized on a 1–10 scale for cross-module comparison

For more on adult testing pathways, see our Adult Autism Diagnosis Guide.


2. Module Breakdown & Score Table

ModuleAge/Language LevelRaw Score RangeComparison Score & Meaning
Toddler12–30 mo, nonverbal0–201–4: Minimal behaviors · 5–7: Mild · 8–10: Clear ASD signs
Module 1Pre-verbal / single words0–281–3: Minimal · 4–6: Mild · 7+: Clear ASD
Module 2Phrase speech0–301–3: Minimal · 4–7: Mild · 8+: Clear ASD
Module 3Fluent speech (children & adolescents)0–301–3: Minimal · 4–5: Mild · 6+: Clear ASD
Module 4Fluent speech (adolescents & adults)0–301–2: Minimal · 3–4: Mild · 5+: Clear ASD

Check out our deep dive on Understanding SRS-2 Assessment for complementary insights.


3. Real-Parent Case Study

“My son’s Module 4 comparison score came back as 6. I finally understood why his eye contact and social chat felt off. My psychologist walked me through each item. Now I know what to ask. I feel equipped to advocate for him at work.”
Jessica, parent & autism advocate


Watch: ADOS-2 in Action

“What is ADOS-2?” from Western Psychological Services (WPS) — wpspublish.com

And here’s a quick infographic for a visual recap:


5. Actionable Next Steps

  1. Prepare questions: “Can you explain my loved one’s module and comparison score?”
  2. Download your report and compare raw vs. comparison scores.
  3. Read our Adult Autism Diagnosis Guide for post-diagnosis planning.
  4. Explore sensory tools in our Sensory-Friendly Recipes guide.

For local providers, check these directories:


FAQ

❓ How long does an ADOS-2 assessment take?
Most modules run 30–60 minutes; a full assessment may span 2–3 hours including interview and feedback.

❓ Can a self-report replace ADOS-2?
No—self-screeners (AQ-10, SRS-2) are great first steps but a clinician-led ADOS-2 is required for formal diagnosis and accommodations.

❓ What if my comparison score is borderline?
Ask your clinician for a detailed breakdown of raw subdomain scores and consider a second opinion or complementary measures like the SRS-2.


You’ve got this! Understanding your ADOS-2 scores is the first step toward clarity and empowerment. If you have questions or want to share your story, drop a comment below or visit our Contact page.

  • Comparison of Autism Assessment Tools

    Tool Type Age Range Administration Time Administrator Format Key Features Strengths Limitations Diagnostic Value ADOS-2 (Autism Diagnostic Observation Schedule, 2nd Edition) Observational assessment All ages (includes modules for different developmental levels) 30-60 minutes Trained...


  • Understanding the Social Responsiveness Scale (SRS-2)

    The Social Responsiveness Scale, Second Edition (SRS-2) is a comprehensive tool used for assessing autism spectrum symptoms across various age groups, from 2.5 years to adulthood. It identifies social impairments and measures responses to interventions through ratings on 65 items. The scale, utilized worldwide, allows for quantifying severity of social deficits and guiding treatment plans.…


  • SRS-2 Scoring Chart & Interpretation Guide (T-Scores 59-76+) | 2025

    The Social Responsiveness Scale, Second Edition (SRS-2), is a 65-item rating scale used to evaluate ASD symptom severity in natural social settings. It includes forms for different age groups and yields several scores. While the Total Score is crucial, interpreting subscale profiles and considering context is essential for accurate assessment and intervention planning.


  • Is the raads-r test accurate

    Intro The RAADS-R (Ritvo Autism Asperger Diagnostic Scale-Revised) test is a widely recognized tool. It is validated for diagnosing Autism Spectrum Disorder (ASD) and assessing it. Developed by Eric Veit Ritvo and his colleagues,...


  • How AI Is Revolutionizing Early Autism Detection for Toddlers

    Early detection of autism spectrum disorder (ASD) in toddlers can dramatically improve developmental outcomes. However, traditional screening methods often delay diagnosis until after age six. Artificial intelligence is revolutionizing autism screening. It combines video...


  • FRAT Test Autism: Complete Guide to Folate Receptor Autoantibody Testing

    TL;DR (Too Long; Didn’t Read) The Folate Receptor Autoantibody Test (FRAT) is a blood test that measures autoantibodies directed against folate-receptor alpha (FRα), which can interfere with the transport of folate (vitamin B9) into...


  • Preparing for an Autism Diagnostic Assessment: A 2025 Guide

    This guide provides practical steps for individuals of all ages. It helps children, teens, and adults who are preparing for an autism diagnostic assessment. It aims to demystify the process, reduce anxiety, and ensure...


  • What Does Echolalia Mean? A Complete Guide to Understanding Repetitive Speech in Autism

    TL;DR – Quick Summary Echolalia is the repetition of words, phrases, or sounds that someone has heard. It’s a common communication pattern in autism spectrum disorder (ASD) and other developmental conditions. While it may...


  • Best Sensory Toys for Rosh Hashanah 2025: Complete Guide for Autism Families

    TL;DR: The best sensory toys for Rosh Hashanah 2025 include weighted lap pads for calming during long meals, fidget toys for discrete sensory input, noise-canceling headphones for crowd management, and textured sensory balls for...


  • Understanding the Autism Diagnostic Observation Schedule (ADOS)

    Autism Spectrum Disorder (ASD) is a developmental disorder that affects communication and behavior. Diagnosing ASD can be challenging, as there is no single medical test to diagnose it. Instead, healthcare professionals rely on various tools and assessments, including the Autism Diagnostic Observation Schedule (ADOS). This blog post explores what ADOS is, how it works, and…


DrorAr101

My name is Adi, and I am the proud parent of Saar, a lively 17-year-old who happens to have autism. I have created a blog, 101Autism.com, with the aim to share our family's journey and offer guidance to those who may be going through similar experiences. Saar, much like any other teenager, has a passion for football, cycling, and music. He is also a budding pianist and enjoys painting. However, his world is somewhat distinct. Loud sounds can be overwhelming, sudden changes can be unsettling, and understanding emotions can be challenging. Nevertheless, Saar is constantly learning and growing, and his unwavering resilience is truly remarkable.

View Comments

    Recent Posts

    Comparison of Autism Assessment Tools

    ToolTypeAge RangeAdministration TimeAdministratorFormatKey FeaturesStrengthsLimitationsDiagnostic ValueADOS-2 (Autism Diagnostic Observation Schedule, 2nd Edition)Observational assessmentAll ages (includes modules…

    13 minutes ago

    Understanding the Social Responsiveness Scale (SRS-2)

    The Social Responsiveness Scale, Second Edition (SRS-2) is a comprehensive tool used for assessing autism…

    3 hours ago

    SRS-2 Scoring Chart & Interpretation Guide (T-Scores 59-76+) | 2025

    The Social Responsiveness Scale, Second Edition (SRS-2), is a 65-item rating scale used to evaluate…

    4 hours ago

    Is the raads-r test accurate

    Intro The RAADS-R (Ritvo Autism Asperger Diagnostic Scale-Revised) test is a widely recognized tool. It…

    1 day ago

    Rhybor Christmas Sensory Bin: Holiday Sand-Art Play Kit for Festive Fine-Motor Fun

    TL;DR A Christmas-themed sensory bin with sand and mini figurines (Santa, sleigh, reindeer, snowmen, trees,…

    2 weeks ago

    🚽 Toilet Time Helper 🌟

    🚽 Toilet Training for Autistic Boys Made Easy Interactive visual guide designed specifically for children…

    3 weeks ago

    This website uses cookies.