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Introduction

The Infant–Toddler Checklist organises caregiver observations about early communication. Its 24 questions cover shared attention, gestures, sounds, words, understanding and play with objects.

Communication develops through more than spoken vocabulary. Looking back at a caregiver, showing an object or using a gesture can carry meaning before a child uses many words. Age and opportunities to demonstrate a skill are important context when describing these behaviours.

Q-CHAT also asks caregivers about toddlers, with a different focus on patterns associated with autistic traits. The checklist provides a broader account of early communication. Examples from familiar daily routines can help a developmental professional understand what the child is doing.

Instructions

The Infant Toddler Checklist (ITC) is a designed to be completed by a parent of 6 to 24 month old children, or children of age who exhibit communication delays, including Autism Spectrum Disorder (ASD).

It is designed to identify different aspects of development in infants and toddlers. Many behaviors that develop before children talk may indicate whether or not a child will have difficulty learning to talk. This Checklist should be completed by a caregiver when the child is between 6 and 24 months of age to determine whether a referral for an evaluation is needed. The caregiver may be either a parent or another person who nurtures the child daily. Please check all the choices that best describe your child’s behavior. If you are not sure, please choose the closest response based on your experience. Children at your child’s age are not necessarily expected to use all the behaviors listed.

This is not a standard self-report test

Caregiver-completed observer report; not a toddler self-report

Question 1 / 240 answered
Do you know when your child is happy and when your child is upset?

Scoring and result metrics

The result page reports a local screening score for this questionnaire. Use the score range, any subscale scores, and the interpretation band together rather than treating one number as a diagnosis.

Score range
0-57
Items scored
24
Result indicators
Total score / Interpretation band when available

Score interpretation bands

  • 0-13Low range

    Your score falls in the lower range for this screening tool.

  • 14-27Mild range

    Your score falls in a mild or lower-middle range. Consider the result alongside your current context.

  • 28-42Moderate range

    Your score falls in a moderate range. If the symptoms are distressing, consider speaking with a qualified professional.

  • 43-57Higher range

    Your score falls in a higher range for this screening tool. This is not a diagnosis, but it may be worth discussing with a clinician.

Interpretation bands summarize screening thresholds from the questionnaire source material. Higher scores usually indicate more of the measured concern unless the tool notes a different scoring rule.

Tool information

Version
24 questions
Administration
Observer-rated
Intended audience
Parents or caregivers observing communication and social development in infants and toddlers, commonly from 6 to 24 months

Sources

  1. AM Wetherby, S Brosnan-Maddox, V Peace, L Newton. (2008). Validation of the Infant-Toddler Checklist as a broadband screener for autism spectrum disorders from 9 to 24 months of age. Autism, 12(5), 487-511.

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