Early diagnosis of autism, positively before 3 years, using Trivandrum Autism Behaviour Checklist and appropriate early intervention has shown to reduce the severity of problems in the pre school age. Testing for school readiness is a must for all high-risk babies at pre-school age as they may lag behind in some developmental aspects. Nursery Evaluation Scale Trivandrum (NEST) is a simple screening tool with 67 items developed at CDC, Kerala for evaluating the skills attained by the child.