As with infants and toddlers, an assessment does not necessarily include formal diagnostic tests in school settings by strangers. Evaluation may consist of interviews with and checklists filled out by parents, play-based observations of the child, and standardized and more informal tests, given by a variety of professionals. Physical therapists may be watching for balance, gait, posture and movement.
Parents are an integral part of the team, and their input is vital.
Parents of children with fragile X syndrome need to make the team aware of conditions that will make the assessment the most successful for their child. This may include working with the team to structure calm, distraction-free situations, to avoid sensory overload, and to lessen anxiety. The assessment may take place in the child's home, where the team member brings toys and test materials for administration in a familiar environment. The assessment may take place in a school or special education center, with the parents and professional team members participating.