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M-CHAT-R/F (Modified Checklist for Autism in Toddlers, Revised with Follow-Up)
  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?)
  2. Please choose one

  3. Have you ever wondered if your child might be deaf?
  4. Please choose one

  5. 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?)
  6. Please choose one

  7. Does your child like climbing on things? (FOR EXAMPLE, furniture, playground equipment, or stairs)
  8. Please choose one

  9. 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?)
  10. Please choose one

  11. 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)
  12. Please choose one

  13. 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. This is different from your child pointing to ASK for something [Question #6.])
  14. Please choose one

  15. Is your child interested in other children? (FOR EXAMPLE, does your child watch other children, smile at them, or go to them?)
  16. Please choose one

  17. 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)
  18. Please choose one

  19. 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?)
  20. Please choose one

  21. When you smile at your child, does he or she smile back at you?
  22. Please choose one

  23. 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?)
  24. Please choose one

  25. Does your child walk?
  26. Please choose one

  27. 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?
  28. Please choose one

  29. Does your child try to copy what you do? (FOR EXAMPLE, wave bye-bye, clap, or make a funny noise when you do)
  30. Please choose one

  31. If you turn your head to look at something, does your child look around to see what you are looking at?
  32. Please choose one

  33. 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"?)
  34. Please choose one

  35. 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"?)
  36. Please choose one

  37. 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?)
  38. Please choose one

  39. Does your child like movement activities? (FOR EXAMPLE, being swung or bounced on your knee)
  40. Please choose one

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