Autism Screening Test - Progressive Option Support Services

Autism Spectrum Disorder (ASD) Screening Questionnaire

This brief screening tool is designed to help identify traits commonly associated with Autism Spectrum Disorder. It is not a diagnosis but can help determine whether a full evaluation may be beneficial.
Please answer the questions below to begin screening. Once completed, see your results at the bottom of this tool.

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The Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F; Robins, Fein, & Barton, 2009) is a screener that will ask a series of 20 questions about your child’s behavior. It is intended for toddlers between 16 and 30 months of age. The results inform you if further evaluation may be needed. You can use the results of the screener to follow up with any concerns that you may have with your child’s healthcare provider.

If you point at something across the room, does your child look at it? *

Select Yes if the child responds, No otherwise.

Yes

This field is required.

Have you ever wondered if your child might be deaf? *

Select Yes if you haven’t noticed any hearing issues, No if concerned.

Yes

This field is required.

Does your child play pretend or make-believe? *

Choose Yes if your child engages in imaginative play.

Yes

This field is required.

Does your child like climbing on things? *

Indicate if your child enjoys climbing activities.

Yes

This field is required.

Does your child make unusual finger movements near their eyes? *

Select Yes if your child typically does not exhibit such behaviors.

Yes

This field is required.

Does your child point with one finger to ask for something or get help? *

Answer Yes if the child uses this gesture to communicate needs.

Yes

This field is required.

Does your child point with one finger to show you something interesting? *

Choose Yes if the child often demonstrates this behavior.

Yes

This field is required.

Is your child interested in other children? *

Select Yes if the child shows interest in peers.

Yes

This field is required.

Does your child show you things just to share (not to get help)? *

Mark Yes if sharing is observed without the need for assistance.

Yes

This field is required.

Does your child respond when you call their name? *

Choose Yes if the child typically responds to their name.

Yes

This field is required.

When you smile at your child, do they smile back? *

Select Yes if reciprocal smiling is observed.

Yes

This field is required.

Does your child get upset by everyday noises? *

Mark Yes if the child is typically not distressed by common sounds.

Yes

This field is required.

Does your child walk? *

Answer Yes if your child is walking independently.

Yes

This field is required.

Does your child make eye contact during interaction? *

Choose Yes if the child generally maintains eye contact.

Yes

This field is required.

Does your child try to copy what you do? *

Select Yes if the child often imitates your actions.

Yes

This field is required.

If you turn your head, does your child look to see what you’re looking at? *

Mark Yes if the child actively follows your gaze.

Yes

This field is required.

Does your child try to get you to watch them? *

Choose Yes if the child seeks your attention in this way.

Yes

This field is required.

Does your child understand simple instructions without gestures? *

Select Yes if the child comprehends verbal directions clearly.

Yes

This field is required.

When something new happens, does your child look at your face for a reaction? *

Choose Yes if the child seeks emotional cues.

Yes

This field is required.

Does your child enjoy movement activities (like bouncing or swinging)? *

Select Yes if active movement is enjoyed without distress.

Yes

This field is required.

Final Score

Calculated final score representing autism concern level.

Your Final Score is Our of 100

Your score is between 0 and 19, indicating minimal signs of autism-related concerns.
While your child appears to be developing typically at this time, it’s still important to monitor developmental milestones regularly.
If you have ongoing concerns or questions about your child’s behavior or development, consider discussing them with your pediatrician. please contact us at ‪+1 877-615-3288‬.

Your score is between 20 and 39, which suggests mild signs of potential autism-related behaviors.
This may not be cause for immediate concern, but we recommend further observation and possibly a follow-up evaluation.
Early support can be helpful. You may want to consult with a pediatric healthcare provider or developmental specialist. please contact us at ‪+1 877-615-3288‬.

Your score is between 40 and 59, indicating a moderate concern for autism spectrum traits.
A professional evaluation is strongly recommended to better understand your child’s needs and provide early support if necessary.
Early intervention makes a significant difference in developmental outcomes. Please consult a specialist or healthcare provider. please contact us at ‪+1 877-615-3288‬.

Your score is between 60 and 100, which suggests a high concern for autism spectrum indicators.
We strongly encourage you to schedule a comprehensive evaluation with a pediatric psychologist, developmental pediatrician, or other qualified professional as soon as possible.
Early diagnosis and intervention can significantly improve outcomes.
If you need help connecting with professionals, please contact us at ‪+1 877-615-3288‬.

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Autism Spectrum Disorder (ASD) Screening Questionnaire

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