I questioned that part but could not get a concrete answer how they established that. I just mentioned it because that's what the report states. However, the location and setup did not look very kid friendly and my little one didn't like it one bit so she refused to cooperate with the folks doing the evaluation.

I think part of the problem was the main entrance had a big swimming pool right past the main doors, and all my little one wanted to do was to go swimming.

Various states, comprehension, engagement, expression, and quite a few other factors. It's not the most accurate assessment but child development disorders including autism are very well measured and quantized compared to any adult syndrome.