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Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R)

Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) Test

In about 4 minutes, this screening helps you understand whether your 16 to 30 month old may need further evaluation for autism risk. With 20 quick items, it supports early next steps and timely referrals when needed.

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Questions: 204 minutes

Hi! My name is Freudly, i am an AI therapist, I will give you an interpretation of the test after you complete it.

08:30

October 2, 2025

October 2, 2025
Material has been updated

October 2, 2025
Material has been published

12,760 views

1,967 completions

1,111 likes

Verified by Daniel Hall

Psychologist with 25 years of experience

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How the Scales are Structured

example score

14/20

M-CHAT-R Total Score (MCRTS)

The M-CHAT-R Total Score screens for the level of risk indicators associated with autism spectrum disorders in toddlers.

Low risk

Moderate risk

High risk

0 – 2: Low risk | 3 – 7: Moderate risk | 8 – 20: High risk

A score of 14 falls in the High risk range (8–20), indicating more screening flags on this questionnaire and that further assessment may be warranted.

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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Concerned toddler parents

46%OF USERS

Parents of children 16–30 months who notice differences in speech, eye contact, play, or social responses and want to know if further evaluation is worth pursuing.

Referred by pediatrician

33%OF USERS

Parents asked by a pediatrician or nurse to complete a quick screening after a well-child visit or developmental concerns were raised.

Early intervention caregivers

21%OF USERS

Caregivers and guardians involved with daycare or early support services who want a structured checklist to discuss a child’s development with specialists.

BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.

RESULTS YOU CAN ACTUALLY USE

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Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.

Total Score of M-CHAT-R (TSoM)

Average

Normal range

10.1 — 16

min.

max.

Majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear on the scale so you can see how you compare.

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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

What is the purpose of this questionnaire?

It screens for behaviors that may indicate increased likelihood of autism spectrum disorder in toddlers. Results help decide whether a more detailed evaluation is needed.

Who should complete it and for what age range?

A parent or primary caregiver should complete it based on typical behavior. It is intended for children ages 16 to 30 months.

How long does it take and how many questions are included?

It includes 20 questions and usually takes about 4 minutes to complete. No special materials or direct testing are required.

Does a positive screen mean a diagnosis has been made?

No. A positive screen indicates the need for follow-up and does not confirm a diagnosis.

What steps are recommended after a positive screen?

Follow-up screening and referral for developmental evaluation are recommended. Consultation may include specialists such as speech-language professionals, psychologists, or medical providers.

WHAT THE TEST MEASURES

About This Assessment

Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) Test - Symptoms and Signs

autism

When caregivers have concerns about a toddler’s social communication or behavior, a brief standardized screener can help determine whether further evaluation is warranted. The Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) is a parent-report screening measure designed to identify elevated likelihood of autism-related developmental concerns in early childhood.

It consists of 20 items and typically takes about 4 minutes to complete. Items ask about everyday behaviors and developmental milestones, supporting initial risk stratification and clinical decision-making regarding follow-up assessment. As described by D. L. Robins, M. Barton, and D. Fein, the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) is intended for screening purposes and does not provide a diagnosis; results should be interpreted in the context of developmental history and, when indicated, referral for comprehensive evaluation.

Author: D. Fein, D. L. Robins, M. Barton

Literature: Robins, D. L., Fein, D., & Barton, M. L. Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT-R/F) manual. Self-published. 2009.

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