Instructions for Taking and Scoring the M-CHAT-R (available in other languages here)

The Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) is a screener that will ask a series of 20 questions about your child’s behavior. It's intended for toddlers between 16 and 30 months of age. The results will let you know if a further evaluation may be needed. You can use the results of the screener to discuss any concerns that you may have with your child’s healthcare provider.

Please answer questions to reflect your child's usual behaviors. If the behavior is rare (e.g., you've seen it only once or twice), answer as if the child has not acquired the behavior.

M-CHAT-R (Modified Checklist for Autism in Toddlers, Revised)

  1. If you point at something across the room, does your child look at it? (For Example, if you point at a toy or an animal, does your child look at the toy or animal?)

    Answer 1
  2. Have you ever wondered if your child might be deaf?

    Answer 2
  3. Does your child play pretend or make-believe? (For Example, pretend to drink from an empty cup, pretend to talk on a phone, or pretend to feed a doll or stuffed animal?)

    Answer 3
  4. Does your child like climbing on things? (For Example, furniture, playground equipment, or stairs)

    Answer 4
  5. Does your child make unusual finger movements near his or her eyes? (For Example, does your child wiggle his or her fingers close to his or her eyes?)

    Answer 5
  6. Does your child point with one finger to ask for something or to get help? (For Example, pointing to a snack or toy that is out of reach)

    Answer 6
  7. Does your child point with one finger to show you something interesting? (For Example, pointing to an airplane in the sky or a big truck in the road)

    Answer 7
  8. Is your child interested in other children? (For Example, does your child watch other children, smile at them, or go to them?)

    Answer 8
  9. Does your child show you things by bringing them to you or holding them up for you to see — not to get help, but just to share? (For Example, showing you a flower, a stuffed animal, or a toy truck)

    Answer 9
  10. Does your child respond when you call his or her name? (For Example, does he or she look up, talk or babble, or stop what he or she is doing when you call his or her name?)

    Answer 10
  11. When you smile at your child, does he or she smile back at you?

    Answer 11
  12. Does your child get upset by everyday noises? (For Example, does your child scream or cry to noise such as a vacuum cleaner or loud music?)

    Answer 12
  13. Does your child walk?

    Answer 13
  14. Does your child look you in the eye when you are talking to him or her, playing with him or her, or dressing him or her?

    Answer 14
  15. Does your child try to copy what you do? (For Example, wave bye-bye, clap, or make a funny noise when you do)

    Answer 15
  16. If you turn your head to look at something, does your child look around to see what you are looking at?

    Answer 16
  17. Does your child try to get you to watch him or her? (For Example, does your child look at you for praise, or say “look” or “watch me”?)

    Answer 17
  18. Does your child understand when you tell him or her to do something? (For Example, if you don't point, can your child understand “put the book on the chair” or “bring me the blanket”?)

    Answer 18
  19. If something new happens, does your child look at your face to see how you feel about it? (For Example, if he or she hears a strange or funny noise, or sees a new toy, will he or she look at your face?)

    Answer 19
  20. Does your child like movement activities? (For Example, being swung or bounced on your knee)

    Answer 20

Review & Submit

  1. If you point at something across the room, does your child look at it?
    (For Example, if you point at a toy or an animal, does your child look at the toy or animal?)

    Your answer

  2. Have you ever wondered if your child might be deaf?

    Your answer

  3. Does your child play pretend or make-believe?
    (For Example, pretend to drink from an empty cup, pretend to talk on a phone, or pretend to feed a doll or stuffed animal?)

    Your answer

  4. Does your child like climbing on things?
    (For Example, furniture, playground equipment, or stairs)

    Your answer

  5. Does your child make unusual finger movements near his or her eyes?
    (For Example, does your child wiggle his or her fingers close to his or her eyes?)

    Your answer

  6. Does your child point with one finger to ask for something or to get help?
    (For Example, pointing to a snack or toy that is out of reach)

    Your answer

  7. Does your child point with one finger to show you something interesting?
    (For Example, pointing to an airplane in the sky or a big truck in the road)

    Your answer

  8. Is your child interested in other children?
    (For Example, does your child watch other children, smile at them, or go to them?)

    Your answer

  9. Does your child show you things by bringing them to you or holding them up for you to see — not to get help, but just to share?
    (For Example, showing you a flower, a stuffed animal, or a toy truck)

    Your answer

  10. Does your child respond when you call his or her name?
    (For Example, does he or she look up, talk or babble, or stop what he or she is doing when you call his or her name?)

    Your answer

  11. When you smile at your child, does he or she smile back at you?

    Your answer

  12. Does your child get upset by everyday noises?
    (For Example, does your child scream or cry to noise such as a vacuum cleaner or loud music?)

    Your answer

  13. Does your child walk?

    Your answer

  14. Does your child look you in the eye when you are talking to him or her, playing with him or her, or dressing him or her?

    Your answer

  15. Does your child try to copy what you do?
    (For Example, wave bye-bye, clap, or make a funny noise when you do)

    Your answer

  16. If you turn your head to look at something, does your child look around to see what you are looking at?

    Your answer

  17. Does your child try to get you to watch him or her?
    (For Example, does your childlook at you for praise, or say “look” or “watch me”?)

    Your answer

  18. Does your child understand when you tell him or her to do something?
    (For Example, if you don't point, can your child understand “put the book on the chair” or “bring me the blanket”?)

    Your answer

  19. If something new happens, does your child look at your face to see how you feel about it?
    (For Example, if he or she hears a strange or funny noise, or sees a new toy, will he or she look at your face?)

    Your answer

  20. Does your child like movement activities?
    (For Example, being swung or bounced on your knee)

    Your answer

Form Control

Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R™)

Checklist Answers

  1. If you point at something across the room, does your child look at it? (For Example, if you point at a toy or an animal, does your child look at the toy or animal?)

    Your answer

  2. Have you ever wondered if your child might be deaf?

    Your answer

  3. Does your child play pretend or make-believe? (For Example, pretend to drink from an empty cup, pretend to talk on a phone, or pretend to feed a doll or stuffed animal?)

    Your answer

  4. Does your child like climbing on things? (For Example, furniture, playground equipment, or stairs)

    Your answer

  5. Does your child make unusual finger movements near his or her eyes? (For Example, does your child wiggle his or her fingers close to his or her eyes?)

    Your answer

  6. Does your child point with one finger to ask for something or to get help? (For Example, pointing to a snack or toy that is out of reach)

    Your answer

  7. Does your child point with one finger to show you something interesting? (For Example, pointing to an airplane in the sky or a big truck in the road)

    Your answer

  8. Is your child interested in other children? (For Example, does your child watch other children, smile at them, or go to them?)

    Your answer

  9. Does your child show you things by bringing them to you or holding them up for you to see — not to get help, but just to share? (For Example, showing you a flower, a stuffed animal, or a toy truck)

    Your answer

  10. Does your child respond when you call his or her name? (For Example, does he or she look up, talk or babble, or stop what he or she is doing when you call his or her name?)

    Your answer

  11. When you smile at your child, does he or she smile back at you?

    Your answer

  12. Does your child get upset by everyday noises? (For Example, does your child scream or cry to noise such as a vacuum cleaner or loud music?)

    Your answer

  13. Does your child walk?

    Your answer

  14. Does your child look you in the eye when you are talking to him or her, playing with him or her, or dressing him or her?

    Your answer

  15. Does your child try to copy what you do? (For Example, wave bye-bye, clap, or make a funny noise when you do)

    Your answer

  16. If you turn your head to look at something, does your child look around to see what you are looking at?

    Your answer

  17. Does your child try to get you to watch him or her? (For Example, does your childlook at you for praise, or say “look” or “watch me”?)

    Your answer

  18. Does your child understand when you tell him or her to do something? (For Example, if you don't point, can your child understand “put the book on the chair” or “bring me the blanket”?)

    Your answer

  19. If something new happens, does your child look at your face to see how you feel about it? (For Example, if he or she hears a strange or funny noise, or sees a new toy, will he or she look at your face?)

    Your answer

  20. Does your child like movement activities? (For Example, being swung or bounced on your knee)

    Your answer

 

Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R™)

M-CHAT-R risk score:  

The score indicates low risk, but if your child is younger than 24 months, or you have other concerns you should talk to your doctor about rescreening.

Have questions? Contact our Autism Response Team at 888-AUTISM2 (288-4762) or familyservices@autismspeaks.org.

This questionnaire is designed to screen for autism, not other developmental issues. It is important to discuss any concerns about your child’s development with his or her doctor.

Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R™)

M-CHAT-R risk score:  

The score indicates medium risk. This means you should to take your child to his or her doctor for a follow-up screening. You can also seek early intervention services for your child.

Our First Concern to Action Tool Kit will help you learn how to begin early intervention services.

Have questions? Contact our Autism Response Team at 888-AUTISM2 (288-4762) or familyservices@autismspeaks.org.

This questionnaire is designed to screen for autism, not other developmental issues. It is important to discuss any concerns about your child’s development with his or her doctor.

Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R™)

M-CHAT-R risk score:  

Score indicates high risk. This means you should to take your child to his or her doctor for a full evaluation. You should also begin early intervention services for your child.

Our First Concern to Action Tool Kit will help you learn how to begin early intervention services.

Have questions? Contact our Autism Response Team at 888-AUTISM2 (288-4762) or familyservices@autismspeaks.org.

This questionnaire is designed to screen for autism, not other developmental issues. It is important to discuss any concerns about your child’s development with his or her doctor.

 

Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R™)

Message to Health Care Providers:

Dear Health Care Provider,

The parent or caregiver of one of your patients has concerns about their child's development. He or she has taken the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R), which is freely available online. The M-CHAT-R is a screening tool that has been endorsed by the American Academy of Pediatrics to be administered at 18 and 24 months.

The M-CHAT-R is a screening tool, and because no screening tool is perfect, research recommends that the original 20 questions include a Follow-Up Interview. This interview will improve the specificity of the screen, and also provides an opportunity for you to discuss the parent or caregiver's specific concerns. Administering the M-CHAT-R Follow-Up Interview may also reduce unnecessary referrals.

A guide to administering the Follow-Up Interview is found here: http://www.autismspeaks.org/sites/default/files/2018-09/m-chatinterview.pdf

More information about the M-CHAT-R can be found at: http://www.mchatscreen.com

Thank you for your time with this patient and his/her family. For more information please visit: http://www.autismspeaks.org/first-concern-action.

Autism Speaks

© 1999 Diana Robins, Deborah Fein & Marianne Barton