M-CHAT-R Screening Tool

M-CHAT-R Screening Tool

M-CHAT-R is © 2009 Robins, Fien, and Barton


M-CHAT-R is © 2009 Robins, Fien, and Barton


Please answer the following questions based on your child’s typical behavior. If your child has done something once or twice but doesn’t usually do it, select “No.” Be sure to choose “Yes” or “No” for each question.

Please answer the following questions based on your child’s typical behavior. If your child has done something once or twice but doesn’t usually do it, select “No.” Be sure to choose “Yes” or “No” for each question.

M-Chat-R: Question 1 of 20

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?

M-Chat-R: Question 2 of 20

Have you ever wondered if your child might be deaf?

For example: If you point at a toy or an animal, does your child look at the toy or animal?

M-Chat-R: Question 3 of 20

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?

M-Chat-R: Question 3 of 20

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?

M-Chat-R: Question 1 of 20

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?

M-Chat-R: Question 2 of 20

Have you ever wondered if your child might be deaf?

For example: If you point at a toy or an animal, does your child look at the toy or animal?

M-Chat-R: Question 3 of 20

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?

M-Chat-R: Question 3 of 20

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?

M-Chat-R: Question 1 of 20

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?

M-Chat-R: Question 2 of 20

Have you ever wondered if your child might be deaf?

For example: If you point at a toy or an animal, does your child look at the toy or animal?

M-Chat-R: Question 3 of 20

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?

M-Chat-R: Question 3 of 20

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?