Screening Tools


(Modified Checklist for Autism in Toddlers, Revised)

Valid for children 16 – 30 months old.

How to fill out the questionnaire:
Please answer these questions about your child. Keep in mind how your child usually behaves. If you have seen your child do the behavior a few times, but he or she does not usually do it, then please answer no.
1If 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?)
2Have you ever wondered if your child might be deaf?
3Does 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)
4Does your child like climbing on things?(For example, furniture, playground equipment, or stairs)
5Does 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?)
6Does 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?)
7Does 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)
8Is your child interested in other children? (For example, does your child watch other children, smile at them, or go to them?)
9Does 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)
10Does 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?)
11When you smile at your child, does he or she smile back at you?
12Does your child get upset by everyday noises?(For example, a vacuum cleaner or loud music)
13Does your child walk?
14Does 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?
15Does your child try to copy what you do?(For example, wave bye-bye, clap, or make a funny noise when you do)
16If you turn your head to look at something, does your child look around to see what you are looking at?
17Does 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”)
18Does 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”?)
19If 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?)
20Does your child like movement activities?(For example, being swung or bounced on your knee)