Quantitative Checklist for Autism in Toddlers (Q-CHAT)-Parent/Guardian

Assessment 1 of 28

Form Instructions & Things to Know

How to fill this form:
  • Read each question carefully before selecting an answer.
  • Select the most accurate option based on your observations.
  • Do not skip questions; every response helps in the assessment.
Things to know:
10-15 Mins

Estimated completion time.

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Note: This is a screening and assessment tool, not clinical (medical).

First, please provide your contact information.

Information about the individual being assessed.

1. Does your child look at you when you call his/her name?
2. How easy is it for you to get eye contact with your child?
3. Does your child point to share interest with you (e.g. pointing at an interesting sight)?
4. Does your child pretend (egg care for dolls, talk on a toy phone)?
5. Does your child follow where you’re looking?
6. If you or someone else in the family is visibly upset, does your child show signs of wanting to comfort them (e.g. stroking their hair, hugging them)?
7. Does your child spontaneously look at your face to check your reaction when faced with something unfamiliar?
8. Can other people easily understand your child’s speech?
9. Does your child point to indicate that s/he wants something (e.g. a toy that is out of reach)?
10. How many words can your child say?
11. Does your child place your hand on an object when s/he wants you to use it (e.g. on a door handle when s/he wants you to open the door, on a toy when s/he wants you to activate it)?
12. Would you describe your child’s first words as:
13. Does your child echo things s/he hears (e.g. things that you say, lines from songs or movies, sounds)?
14. Does your child use simple gestures (e.g. wave goodbye)?
15. When your child is playing alone, does s/he line objects up?
16. How long can your child’s interest be maintained by a spinning object (e.g. washing machine, electric fan, toy car wheels)?
17. Does your child walk on tiptoe?
18. How easy is it for your child to adapt when his/her routine changes or when things are out of their usual place?
19. Does your child do the same thing over and over again (e.g. running the tap, turning the light switch on and off, opening and closing doors)?
20. Does your child make unusual finger movements near his/her eyes?
21. How long can your child’s interest be maintained by just one or two objects?
22. Does your child twiddle objects repetitively (e.g. pieces of string)?
23. Does your child stare at nothing with no apparent purpose?
24. How often does your child sniff or lick unusual objects?
25. Does your child seem oversensitive to noise?