Parent Checklist Results

Feeding

Your Results: Low Risk

If child is younger than 24 months, screen again after second birthday. No further action required unless surveillance indicates risk for ASD.

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Please provide your address and we will send you resources for your child and get in touch with potential solutions to your concerns.

Your Results: Medium Risk

Administer the Follow-Up (second stage of M-CHAT-R/F) to get additional information about at-risk responses. If M-CHAT-R/F score remains at 2 or higher, the child has screened positive. Action required: refer child for diagnostic evaluation and eligibility evaluation for early intervention. If score on Follow-Up is 0-1, child has screened negative. No further action required unless surveillance indicates risk for ASD. Child should be rescreened at future well-child visits.

Need More Information?

Please provide your address and we will send you resources for your child and get in touch with potential solutions to your concerns.

Your Results: High Risk

It is acceptable to bypass the Follow-Up and refer immediately for diagnostic evaluation and eligibility evaluation for early intervention.

Need More Information?

Please provide your address and we will send you resources for your child and get in touch with potential solutions to your concerns.

Question Breakdown

Will your child try any new foods?
Your Solution: Yes
Will your child try any new foods?
Your Solution: No
Is your child okay with a new food or non-preferred food being on his or her plate?
Your Solution: Yes
Is your child okay with a new food or non-preferred food being on his or her plate?
Your Solution: No
Did your child have any trouble taking a bottle?
Your Solution: No
Did your child have any trouble taking a bottle?
Your Solution: Yes
Did your child have trouble moving from liquids to solid foods?
Your Solution: No
Did your child have trouble moving from liquids to solid foods?
Your Solution: Yes
Do you notice excessive drooling when eating and throughout the day?
Your Solution: No
Do you notice excessive drooling when eating and throughout the day?
Your Solution: Yes
Does your child regularly gag or vomit when eating?
Your Solution: No
Does your child regularly gag or vomit when eating?
Your Solution: Yes
Does your child regularly cough when eating?
Your Solution: No
Does your child regularly cough when eating?
Your Solution: Yes
Does your child have trouble chewing?
Your Solution: No
Does your child have trouble chewing?
Your Solution: Yes
Was your child born premature?
Your Solution: No
Was your child born premature?
Your Solution: Yes
Does your child have any known allergies?
Your Solution: No
Does your child have any known allergies?
Your Solution: Yes
Is your child’s height typical for his or her age?
Your Solution: Yes
Is your child’s height typical for his or her age?
Your Solution: No
Is your child’s weight typical for his or her age?
Your Solution: Yes
Is your child’s weight typical for his or her age?
Your Solution: No
Does your child have a history of gerd or reflux?
Your Solution: No
Does your child have a history of gerd or reflux?
Your Solution: Yes
Does your child arch or stiffen his or her body during feeding?
Your Solution: No
Does your child arch or stiffen his or her body during feeding?
Your Solution: Yes
How long is your child’s typical meal time?
Your Solution: 30 Minutes
How long is your child’s typical meal time?
Your Solution: Less Than Or More Than 30 Minutes