M-CHAT
    INSTRUCTIONS

    Please fill out the following about how your child usually is. Please try to answer every question. If the behavior is rare (e.g., you’ve seen it once or twice) please answer as if the child did not do it.


    1. YesNo
    2. YesNo
    3. YesNo
    4. YesNo
    5. YesNo
    6. YesNo
    7. YesNo
    8. YesNo
    9. YesNo
    10. YesNo
    11. YesNo
    12. YesNo
    13. YesNo
    14. YesNo
    15. YesNo
    16. YesNo
    17. YesNo
    18. YesNo
    19. YesNo
    20. YesNo
    21. YesNo
    22. YesNo
    23. YesNo

    * Required