NIMH Data Archive - Data Dictionary: Data Structure

Modified Checklist for Autism in Toddlers, Revised with Follow-Up

5,443 Shared Subjects

Description Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F)

Data type Clinical Assessments

Categories

Questionnaire

Date created 04/18/2014

Short name mchat_tod01

Most Recent Update 03/18/2020
View Change History

Version 01

Downloads

Definition

Submission Template

Query	Element Name	Data Type	Size	Required	Description	Value Range	Notes	Aliases
	subjectkey	GUID		Required	The NDAR Global Unique Identifier (GUID) for research subject	NDAR*
	src_subject_id	String	20	Required	Subject ID how it's defined in lab/project			child_id_full
	interview_date	Date		Required	Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY			mchat_date
	interview_age	Integer		Required	Age in months at the time of the interview/test/sampling/imaging.	0::1440	Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.	age_at_screen
	sex	String	20	Required	Sex of subject at birth	M;F; O; NR	M = Male; F = Female; O=Other; NR = Not reported	gender, sex
Query	ques_looktoyacross	String	50	Recommended	If you point at a toy across the room, does your child look at it?	Yes;No; not_answered		primary_1
Query	ques_childdeaf	String	50	Recommended	Have you ever wondered if your child is deaf?	Yes;No; not_answered		primary_2
Query	ques_pretend	String	50	Recommended	Does your child ever pretend, for example, to talk on the phone or take care of a doll, or pretend other things?	Yes;No; not_answered		primary_3
Query	ques_likeclimb	String	50	Recommended	Does your child like climbing on things, such as up stairs?	Yes;No; not_answered		primary_4
Query	ques_fingermove	String	50	Recommended	Does your child make unusual finger movements near his/her face?	Yes;No; not_answered		primary_5
Query	ques_useindexask	String	50	Recommended	Does your child ever use his/her index finger to point, to ask for something?	Yes;No; not_aswered		primary_6
Query	ques_useindexpt	String	50	Recommended	Does your child ever use his/her index finger to point, to indicate interest in something?	Yes;No; not_answered		primary_7
Query	ques_childinterest	String	50	Recommended	Does your child take an interest in other children?	Yes;No; not_answered		primary_8
Query	ques_objtoyou	String	50	Recommended	Does your child ever bring objects over to you (parent) to show you something?	Yes;No; not_answered		primary_9
Query	ques_callrespond	String	50	Recommended	Does your child respond to his/her name when you call?	Yes;No; not_answered		primary_10
Query	ques_smileinresponse	String	50	Recommended	Does your child smile in response to your face or your smile?	Yes;No; not_answered		primary_11
Query	ques_noise	String	50	Recommended	Does your child get upset by everyday noises?	Yes; No		primary_12
Query	ques_childwalk	String	50	Recommended	Does your child walk?	Yes;No; not_answered		primary_13
Query	ques_look	String	50	Recommended	Does your child look you in the eye when you are talking to him or her, playing with him or her, or dressing him or her?	Yes; No		primary_14
Query	ques_imitate	String	50	Recommended	Does your child imitate you? (e.g., you make a face-will your child imitate it?)	Yes;No; not_answered		primary_15
Query	ques_lookat	String	50	Recommended	Does your child look at things you are looking at?	Yes;No; not_answered		primary_16
Query	ques_watch	String	50	Recommended	Does your child try to get you to watch him or her?	Yes; No		primary_17
Query	ques_do	String	50	Recommended	Does your child understand when you tell him or her to do something?	Yes; No		primary_18
Query	ques_lookforreaction	String	50	Recommended	Does your child look at your face to check your reaction when faced with something unfamiliar?	Yes;No; not_answered		primary_19
Query	ques_move	String	50	Recommended	Does your child like movement activities?	Yes; No		primary_20
Query	scoresumm_looktoyacross_score	String	50	Recommended	Score for question of If you point at a toy across the room, does your child look at it?	Pass;Fail		primary_1_score
Query	scoresumm_childdeaf_score	String	50	Recommended	Score for question of Have you ever wondered if your child is deaf?	Pass;Fail		primary_2_score
Query	scoresumm_pretend_score	String	50	Recommended	Score for question of Does your child ever pretend, for example, to talk on the phone or take care of dolls, or pretend other things?	Pass;Fail		fu_3_score, primary_3_score
Query	scoresumm_likeclimb_score	String	50	Recommended	Score for question of Does your child like climbing on things, such as up stairs?	Pass;Fail		primary_4_score
Query	scoresumm_fingermove_score	String	50	Recommended	Score for question of Does your child make unusual finger movements near his/her face?	Pass;Fail		primary_5_score
Query	scoresumm_useindexask_score	String	50	Recommended	Score for question of Does your child ever use his/her index finger to point, to ask for something?	Pass;Fail		primary_6_score
Query	scoresumm_useindexpt_score	String	50	Recommended	Score for question of Does your child ever use his/her index finger to point, to indicate interest in something?	Pass;Fail		primary_7_score
Query	scoresumm_childinterest_score	String	50	Recommended	Score for question of Does your child take an interest in other children?	Pass;Fail		primary_8_score
Query	scoresumm_objtoyou_score	String	50	Recommended	Score for question of Does your child ever bring objects over to you (parent) to show you something?	Pass;Fail		primary_9_score
Query	scoresumm_callrespond_score	String	50	Recommended	Score for question of Does your child respond to his/her name when you call?	Pass;Fail		primary_10_score
Query	scoresumm_smileinresp_score	String	50	Recommended	Score for question of Does your child smile in response to your face or your smile?	Pass;Fail		primary_11_score
Query	scoresumm_noise_score	String	50	Recommended	Does your child get upset by everyday noises?	Pass; Fail		primary_12_score
Query	scoresumm_childwalk_score	String	50	Recommended	Score for question of Does your child walk?	Pass;Fail		primary_13_score
Query	scoresumm_look_score	String	50	Recommended	Does your child look you in the eye when you are talking to him or her, playing with him or her, or dressing him or her?	Pass; Fail		primary_14_score
Query	scoresumm_imitate_score	String	50	Recommended	Score for question of Does your child imitate you? (e.g., you make a face-will your child imitate it?)	Pass;Fail		primary_15_score
Query	scoresumm_lookat_score	String	50	Recommended	Score for question of Does your child look at things you are looking at?	Pass;Fail		primary_16_score
Query	scoresumm_watch_score	String	50	Recommended	Does your child try to get you to watch him or her?	Pass; Fail		primary_17_score
Query	scoresumm_do_score	String	50	Recommended	Does your child understand when you tell him or her to do something?	Pass; Fail		primary_18_score
Query	scoresumm_lookreaction_score	String	50	Recommended	Score for question of Does your child look at your face to check your reaction when faced with something unfamiliar?	Pass;Fail		primary_19_score
Query	scoresumm_move_score	String	50	Recommended	Does your child like movement activities?	Pass; Fail		primary_20_score
Query	mchatr_score	Integer		Required	M-CHAT-R total score	0::20	Low risk: 0-2; Medium risk: 3-7; High risk: 8-20	initial_score, mchat_score
Query	fu_q15_looks_point_obj_still	String	25	Recommended	Question 15. Parent previously reported that if he/she points to a toy across the room, the child does not look at it. Is this still true?	Yes;No
Query	fu_q15_looks_point_obj	String	25	Recommended	If you point at something across the room, does your child look at it?	Yes;No
	fu_q15_point_obj_response_desc	String	225	Recommended	If you point at something, what does your child typically do? Describe
Query	fu_q15_point_obj_looks	String	25	Recommended	If you point at something, what does your child typically do? Looks at object?	Yes;No		fu_1_3
Query	fu_q15_point_obj_points	String	25	Recommended	If you point at something, what does your child typically do? Points to it?	Yes;No		fu_1_4
Query	fu_q15_point_obj_looks_cmt	String	25	Recommended	If you point at something, what does your child typically do? Looks and comments on object?	Yes;No		fu_1_5
Query	fu_q15_point_obj_looks_if_say	String	25	Recommended	If you point at something, what does your child typically do? Looks if parent points and says "look"?	Yes;No		fu_1_7
Query	fu_q15_point_obj_ignores	String	25	Recommended	If you point at something, what does your child typically do? Ignores parent?	Yes;No		fu_1_1
Query	fu_q15_point_obj_looks_rand	String	25	Recommended	If you point at something, what does your child typically do? Looks around room randomly?	Yes;No		fu_1_2
Query	fu_q15_point_obj_looks_finger	String	25	Recommended	If you point at something, what does your child typically do? Looks at parent's finger?	Yes;No		fu_1_6
Query	fu_q15_point_look_score	String	25	Recommended	Question 15 Response of child to parent pointing out an object	Pass;Fail		fu_1_score
Query	fu_q20_wonder_deaf_stilltrue	String	25	Recommended	Question 20. Have you wondered if your child is deaf?	Yes;No
Query	fu_q20_havent_wonder_deaf	String	25	Recommended	If not, then you haven't wondered if your child is deaf?	Yes;No
	fu_q20_why_wonder_deaf	String	225	Recommended	You reported that you have wondered if your child is deaf. What led you to wonder that?
Query	fu_q20_freq_ignore_sounds	String	25	Recommended	Did he/she frequently ignore sounds?	Yes;No		fu_2_1
Query	fu_q20_ignore_people	String	25	Recommended	Did he/she ignore people?	Yes;No		fu_2_2
Query	fu_q20_hearing_tested	String	25	Recommended	Has your child's hearing been tested?	Yes;No		fu_2_3
Query	fu_q20_hearing_test_results	String	25	Recommended	If yes, what were the results?	Hearing impaired;Hearing in normal range; Results inconclusive		fu_2_4
Query	fu_q20_wonder_deaf_score	String	25	Recommended	Question 20. Have you wondered if your child is deaf? Score	Pass;Fail		fu_2_score
Query	fu_q5_pretend_stilltrue	String	25	Recommended	Question 5 Previously the parent reported that the child does not ever pretend, for example, to talk on the phone or take care of dolls of pretend other things - Is this still true?	Yes;No
Query	fu_q5_pretend_play	String	25	Recommended	If no, then you child does pretend play?	Yes;No
Query	fu_q5_make_believe	String	25	Recommended	Does your child play pretend or make-believe?	Yes;No
Query	fu_pretend_cup	String	25	Recommended	Pretent to drink from a toy cup?	Yes;No		fu_3_1
Query	fu_pretend_spoon	String	25	Recommended	Pretend to eat from a toy spoon or fork?	Yes;No		fu_3_2
Query	fu_q5_pretend_phone_talk	String	25	Recommended	Does child pretend to talk on the phone?	Yes;No		fu_3_3
Query	fu_q5_pretend_feed_doll	String	25	Recommended	Does child feed a doll with real or imaginary food?	Yes;No		fu_3_4
Query	fu_q5_push_car	String	25	Recommended	Does child push car on a pretend road	Yes;No		fu_3_5
Query	fu_q5_pretend_character	String	25	Recommended	Does child pretend to be a robot, an airplane, a ballerina, or any other favorite character?	Yes;No		fu_3_6
Query	fu_q5_pretend_cook	String	25	Recommended	Does child put a toy pot on stove or stir imaginary food?	Yes;No
Query	fu_q5_pretend_doll_car	String	25	Recommended	Does child put an action figure or doll into a toy car or truck?	Yes;No		fu_3_9
Query	fu_q5_pretend_vacuum_mow	String	25	Recommended	Does child pretend to vacuum or mow lawn?	Yes;No		fu_3_10
Query	fu_q5_pretend_score	String	25	Recommended	Question 5 - Pretend play Score	Pass;Fail		fu_3_score
Query	fu_q3_climb_stilltrue	String	25	Recommended	Question 3 Previously the parent reported that the child did not like climbing on things such as up stairs - Is this still true?	Yes;No
	fu_climb_example	String	100	Recommended	Please give me an example of something he/she enjoys climbing on
Query	fu_q3_climb_likes	String	25	Recommended	Does your child like climbing on things?	Yes;No
Query	fu_q3_climb_stairs	String	25	Recommended	Does he/she enjoy climbing on stairs?	Yes;No		fu_4_1
Query	fu_q3_climb_chairs	String	25	Recommended	Does he/she enjoy climbing on chairs?	Yes;No		fu_4_2
Query	fu_q3_climb_furniture	String	25	Recommended	Does he/she enjoy climbing on furniture?	Yes;No		fu_4_3
Query	fu_q3_climb_playground	String	25	Recommended	Does he/she enjoy climbing on playground equipment?	Yes;No		fu_4_4
Query	fu_q3_climb_score	String	25	Recommended	Question 3 - enjoyment of climbing on things score	Pass;Fail		fu_4_score
Query	fu_q18_finger_moves_stilltrue	String	25	Recommended	Question 18. Parent previously reports that child makes unusual finger movements near his/her face. Is this still true?	Yes;No
Query	fu_q18_finger_moves	String	25	Recommended	If not then he/she does not make any unusual finger movements?	Yes;No
	fu_q18_finger_moves_describe	String	225	Recommended	If yes, please describe these finger movements.
Query	fu_q18_look_at_hands	String	25	Recommended	Does child look at hands?	Yes;No		fu_5_4
Query	fu_q18_finger_moves_peekaboo	String	25	Recommended	Does child move fingers when playing peek a boo?	Yes;No		fu_5_5
Query	fu_q18_finger_wiggles_eyes	String	25	Recommended	Does child wiggle his/her fingers nears his/her eyes?	Yes;No		fu_5_1
Query	fu_q18_hands_to_eyes	String	25	Recommended	Does child hold hands up close to eyes?	Yes;No		fu_5_2
Query	fu_q18_hands_side_eyes	String	25	Recommended	Does child hold hands off to the side of his her eyes?	Yes;No		fu_5_3
Query	fu_q18_hands_clap_in_face	String	25	Recommended	Does child flap hands near face?	Yes;No		fu_5_6
Query	fu_q18_finger_hand_moves_freq	String	25	Recommended	Does this happen more than twice a week?	Yes;No		fu_5_7
Query	fu_q18_finger_moves_score	String	25	Recommended	Question 18. Unusual finger movements near face Score	Pass;Fail		fu_5_score
Query	fu_q6_point_want_stilltrue	String	25	Recommended	Question 6 - Previously parent reported that child did not use his/her pointer finger to point, to ask for something. Is this still true?	Yes;No
Query	fu_q6_finger_point_to_ask	String	25	Recommended	If no, then child does use pointer finger to ask for something?	Yes;No
Query	fu_q6_how_reach	String	25	Recommended	If yes, if there is something your child wants that is out of reach, such as a cookie up on a counter, how does he/she get it? - Reaches for the object with the whole hand	Yes;No		fu_6_2
Query	fu_q6_how_lead_parent	String	25	Recommended	If yes, if there is something your child wants that is out of reach, such as a cookie up on a counter, how does he/she get it? - Leads the parent to the object	Yes;No		fu_6_4
Query	fu_q6_how_get_self	String	25	Recommended	If yes, if there is something your child wants that is out of reach, such as a cookie up on a counter, how does he/she get it? - Tries to get the object for him/herself?	Yes;No		fu_6_5
Query	fu_q6_how_ask	String	25	Recommended	If yes, if there is something your child wants that is out of reach, such as a cookie up on a counter, how does he/she get it? - Asks for it?	Yes;No		fu_6_6
Query	fu_q6_how_point_for_showme	String	25	Recommended	If you said "show me", would he/she point at it?	Yes;No		fu_6_8
Query	fu_q6_point_want_score	String	25	Recommended	Question 6 - use of pointer finger Score	Pass;Fail		fu_6_score
Query	fu_q7_point_interest_stilltrue	String	25	Recommended	Question 7 - Parent previously reported that the child did not use his/her pointer finger to point to indicate interest in something. Is this still true?	Yes;No
	fu_interest_example	String	100	Recommended	Please give an example something heshe migh tpoint at to show you
Query	fu_q7_point_interest_	String	25	Recommended	Does your child point with one finger just to show you something interesting?	Yes;No
Query	fu_q7_want_see_plane	String	25	Recommended	If yes, does your child ever want to see something interesting such as an airplane in the sky	Yes;No		fu_7_1
Query	fu_q7_want_see_truck	String	25	Recommended	If yes, does your child ever want to see something interesting such as a truck on the road	Yes;No		fu_7_2
Query	fu_q7_want_see_bug	String	25	Recommended	If yes, does your child ever want to see something interesting such as a bug on the ground	Yes;No		fu_7_3
Query	fu_q7_want_see_animal	String	25	Recommended	If yes, does your child ever want to see something interesting such as an animal in the yard	Yes;No		fu_7_4
Query	fu_q7_how_get_attention	String	25	Recommended	How does your child draw your attention to it? Would he/she point with his/her pointer finger?	Yes;No;not_answered		fu_7_5
Query	fu_q7_indicate_interest	String	25	Recommended	Is this to indicate interest, not to get help?	Yes;No		fu_7_6
Query	fu_q7_point_interest_score	String	25	Recommended	Question 7 - Use of pointer finger to indicate interest Score	Pass;Fail		fu_7_score
Query	fu_q2_interest_stilltrue	String	25	Recommended	Question 2 Parent previously reported that child does not take interest in other children. Is this still true?	Yes;No
Query	fu_q2_interest_other_children	String	25	Recommended	Is your child interested in other children?	Yes;No
Query	fu_q2_interest_not_bro_sis	String	25	Recommended	If yes, is child interested in children who are not his/her brother or sister?	Yes;No
Query	fu_q2_interest_respond	String	25	Recommended	When you are at the playground or supermarket. Does your child usually respond to the presence of another child?	Yes;No
Query	fu_q2_interest_respond_plays	String	25	Recommended	If yes, how does your child respond to the presence of another child? - Plays with the other child	Yes;No		fu_8_1
Query	fu_q2_interest_respond_talks	String	25	Recommended	If yes, how does your child respond to the presence of another child? - Talks to the other child	Yes;No		fu_8_2
Query	fu_q2_interest_respond_vocal	String	25	Recommended	If yes, how does your child respond to the presence of another child? - Vocalizes	Yes;No		fu_8_3
Query	fu_q2_interest_respond_look	String	25	Recommended	If yes, how does your child respond to the presence of another child? - Looks at the other child	Yes;No		fu_8_4
Query	fu_q2_interest_respond_smile	String	25	Recommended	If yes, how does your child respond to the presence of another child? - smiles at the other child	Yes;No		fu_8_5
Query	fu_child_shy	String	25	Recommended	Act shy at first but then smile?	Yes;No		fu_8_6
Query	fu_child_excited	String	25	Recommended	Get excited about another child?	Yes;No		fu_8_7
Query	fu_q2_interest_respond_half	String	25	Recommended	If yes to any, does he/she (fill in responses given here e.g. plays, talks, smiles, looks or vocalizes) more than half of the time?	Yes;No		fu_8_9
Query	fu_q2_interest_score	String	25	Recommended	Question 2 - Does child take interest in other children score	Pass;Fail		fu_8_score
Query	fu_q14_respond_stilltrue	String	25	Recommended	Question 14. Parent previously reported that child does not respond to his/her name when you call. Is this still true?	Yes;No
Query	fu_q14_respond_name	String	25	Recommended	Does your child respond when you call his/her name?	Yes;No
Query	fu_q14_respond_name_generally	String	25	Recommended	If he/she is not doing anything particularly fun or absorbing, would he/she usually repond to his/her name being called?	Yes;No
	fu_q14_respond_how_describe	String	225	Recommended	What does he/she do when you call his/her name? Describe
Query	fu_q14_respond_looks_up	String	25	Recommended	What does he/she do when you call his/her name? Looks up?	Yes;No		fu_10_3
Query	fu_q14_respond_talks	String	25	Recommended	What does he/she do when you call his/her name? Talks or babbles?	Yes;No		fu_10_5
Query	fu_q14_respond_stops_activity	String	25	Recommended	What does he/she do when you call his/her name? Stops what he/she is doing?	Yes;No		fu_10_6
Query	fu_q14_respond_no_response	String	25	Recommended	What does he/she do when you call his/her name? No response?	Yes;No		fu_10_1
Query	fu_q14_respond_hears_ignores	String	25	Recommended	What does he/she do when you call his/her name? Seems to hear, but ignores parent?	Yes;No		fu_10_2
Query	fu_q14_respond_needs_in_face	String	25	Recommended	What does he/she do when you call his/her name? Parent needs to be in the child's face?	Yes;No		fu_10_4
Query	fu_q14_respond_if_touched	String	25	Recommended	What does he/she do when you call his/her name? Responds only if touched?	Yes;No		fu_10_7
Query	fu_respond_often	String	25	Recommended	Which one does he/she do most often?	Pass;Fail		fu_10_8
Query	fu_q14_respond_score	String	25	Recommended	Question 14. Response to name when called Score	Pass;Fail		fu_10_score
Query	fu_q12_smile_stilltrue	String	25	Recommended	Question 12. Parent previously reported that child does not smile in response to your face or your smile. Is this still true?	Yes;No
Query	fu_q12_smile_response	String	25	Recommended	When you smile at your child, does he/she smile back at you?	Yes;No
	fu_q12_smile_describe_cause	String	225	Recommended	What makes your child smile? Please describe.
Query	fu_q12_smile_parent_smiles	String	25	Recommended	What makes your child smile? Smiles when parent smiles	Yes;No		fu_11_1
Query	fu_q12_smile_parent_enters	String	25	Recommended	What makes your child smile? Smiles when parent enters the room	Yes;No		fu_11_3
Query	fu_q12_smile_parent_returns	String	25	Recommended	What makes your child smile? Smiles when parent returns	Yes;No		fu_11_4
Query	fu_q12_smile_always_smiles	String	25	Recommended	What makes your child smile? Always smiling	Yes;No		fu_11_2
Query	fu_q12_smile_fav_toy_activity	String	25	Recommended	What makes your child smile? Smiles at favorite toy or activity	Yes;No		fu_11_6
Query	fu_q12_smile_randomly	String	25	Recommended	What makes your child smile? Smiles randomly or at nothing in particular	Yes;No		fu_11_5
Query	fu_smile_often	String	25	Recommended	Which one does he/she do most often?	Pass;Fail		fu_11_7
Query	fu_q12_smile_score	String	25	Recommended	Question 12. Child smiling in response to face or smile of parent Score	Pass;Fail		fu_11_score
Query	fu_noise_stilltrue	String	25	Recommended	Parent previously reported that child get upset by everyday noises. Is this still true?	Yes;No
Query	fu_q11_oversensitive_noise	String	25	Recommended	If no, then child does not seem oversensitive to noise?	Yes;No
Query	fu_q11_neg_react_wash_machine	String	25	Recommended	Does your child have a negative reaction to sound of a washing machine	Yes;No		fu_12_1
Query	fu_q11_neg_react_baby_cry	String	25	Recommended	Does your child have a negative reaction to sound of babies crying	Yes;No		fu_12_2
Query	fu_q11_neg_react_vacuum	String	25	Recommended	Does your child have a negative reaction to sound of vacuum cleaner	Yes;No		fu_12_4
Query	fu_neg_react_dryer	String	25	Recommended	Does your child have a negative reaction to sound of hairdryer	Yes;No		fu_12_3
Query	fu_q11_neg_react_traffic	String	25	Recommended	Does your child have a negative reaction to sound of traffic	Yes;No		fu_12_5
Query	fu_q11_neg_react_baby_squeal	String	25	Recommended	Does your child have a negative reaction to sound of babies squealing or screeching	Yes;No		fu_12_6
Query	fu_q11_neg_react_loud_music	String	25	Recommended	Does your child have a negative reaction to sound of loud music	Yes;No		fu_12_7
Query	fu_q11_neg_react_phone_ring	String	25	Recommended	Does your child have a negative reaction to sound of telephone/doorbell ringing	Yes;No		fu_12_8
Query	fu_q11_neg_react_noisy_place	String	25	Recommended	Does your child have a negative reaction to sound of noisy places such as the supermarket or restaurant	Yes;No		fu_12_9
	fu_q11_neg_react_other_desc	String	225	Recommended	How does your child react to those noises?
Query	fu_q11_react_calm_cover_ears	String	25	Recommended	How does child react to the noise that he/she does not like - calmly covers ears	Yes;No		fu_12_12
Query	fu_q11_react_exp_disp_verbal	String	25	Recommended	How does child react to the noise that he/she does not like - expresses displeasure verbally	Yes;No		fu_12_13
Query	fu_q11_react_scream	String	25	Recommended	How does child react to the noise that he/she does not like - screams	Yes;No		fu_12_10
Query	fu_q11_react_cry	String	25	Recommended	How does child react to the noise that he/she does not like - cries	Yes;No		fu_12_11
Query	fu_q11_react_cover_ears_upset	String	25	Recommended	How does child react to the noise that he/she does not like - covers ears while upset	Yes;No		fu_12_14
Query	fu_noise_often	String	25	Recommended	Which one does he/she do most often?	Pass;Fail		fu_12_15
Query	fu_q11_oversensitive_score	String	25	Recommended	Question 11. Oversensitivity to noise Score	Pass;Fail		fu_12_score
Query	fu_q16_walk_stilltrue	String	25	Recommended	Question 16. Parent previously reported that child does not walk. Is this still true?	Yes;No
Query	fu_q16_walk_no_holding	String	25	Recommended	If no, then the child walks without holding on?	Yes;No
Query	fu_q16_walk_score	String	25	Recommended	Question 16. Child walks Score	Pass;Fail		fu_13_score
Query	fu_look_stilltrue	String	25	Recommended	Parent previously reported that child does look you in the eye when you are talking to him/her, playing. Is this still true?	Yes;No
	fu_look_example	String	100	Recommended	Please give me an example of when he/she looks you in the eye.
Query	fu_q10_eye_contact_when_needs	String	25	Recommended	If yes, does he/she look you in the eyes when he/she needs something?	Yes;No		fu_14_1
Query	fu_q10_eye_contact_when_play	String	25	Recommended	If yes, does he/she look you in the eyes when playing with you?	Yes;No		fu_14_2
Query	fu_q10_eye_contact_when_eat	String	25	Recommended	If yes, does he/she look you in the eyes when during feeding?	Yes;No		fu_14_3
Query	fu_q10_eye_contact_when_diaper	String	25	Recommended	If yes, does he/she look you in the eyes when during diaper changes?	Yes;No		fu_14_4
Query	fu_q10_eye_contact_when_read	String	25	Recommended	If yes, does he/she look you in the eyes when you are reading him/her a story?	Yes;No		fu_14_5
Query	fu_look_talking	String	25	Recommended	When you are talking to him/her?	Yes;No		fu_14_6
Query	fu_q10_eye_contact_every_day	String	25	Recommended	Does your child look you in the eyes every day?	Yes;No		fu_14_7
Query	fu_q10_eye_contact_5_times_day	String	25	Recommended	On a day when you are together all day, does he/she look you in the eyes at least 5 times?	Yes;No		fu_14_8
Query	fu_q10_eye_contact_score	String	25	Recommended	Question 10 child looking at parent in the eye for more than a second or two Score	Pass;Fail		fu_14_score
Query	fu_q13_imitate_stilltrue	String	25	Recommended	Question 13. Parent previously reported that child does not usually imitate them. Is this still true?	Yes;No
Query	fu_q13_imitate	String	25	Recommended	Does your child try to copy what you do?	Yes;No
Query	fu_q13_imitate_stick_tongue	String	25	Recommended	Does your child copy you if you stick out your tongue?	Yes;No		fu_15_1
Query	fu_q13_imitate_funny_sound	String	25	Recommended	Does your child copy you if you make a funny sound?	Yes;No		fu_15_2
Query	fu_q13_imitate_wave_bye	String	25	Recommended	Does your child copy you if you wave good bye?	Yes;No		fu_15_3
Query	fu_q13_imitate_clap_hands	String	25	Recommended	Does your child copy you if you clap your hands?	Yes;No		fu_15_4
Query	fu_q13_imitate_shh_motion	String	25	Recommended	Does your child copy you if you put your fingers to your lips to signal "shhh"?	Yes;No		fu_15_5
Query	fu_q13_imitate_blow_kiss	String	25	Recommended	Does your child copy you if you blow a kiss?	Yes;No		fu_15_6
Query	fu_q13_imitate_score	String	25	Recommended	Question 13 Child imitation of parent Score	Pass;Fail		fu_15_score
Query	fu_q17_looks_par_looks_still	String	25	Recommended	Question 17. Parent previously reported that child does not look at things that parent is looking at. Is this still true?	Yes;No
Query	fu_q17_looks_par_looks	String	25	Recommended	If you turn your head to look at something, does your child look around to see what you are looking at?	Yes;No
	fu_q17_looks_par_looks_desc	String	25	Recommended	What does he/she do when you are looking at something? Describe.
Query	fu_q17_looks_par_obj_looking	String	25	Recommended	What does he/she do when you are looking at something? Looks at object that you are looking at?	Yes;No		fu_16_2
Query	fu_q17_looks_points_object	String	25	Recommended	What does he/she do when you are looking at something? Points to object	Yes;No		fu_16_3
Query	fu_q17_looks_seeks_objects	String	25	Recommended	What does he/she do when you are looking at something? Looks around to see what you are looking at?	Yes;No		fu_16_5
Query	fu_q17_looks_ignores	String	25	Recommended	What does he/she do when you are looking at something? Ignores?	Yes;No		fu_16_1
Query	fu_q17_looks_looks_par_face	String	25	Recommended	What does he/she do when you are looking at something? Looks at parent's face?	Yes;No		fu_16_4
Query	fu_looks_often	String	25	Recommended	Which one does he/she do most often?	Pass;Fail		fu_16_6
Query	fu_q17_look_score	String	25	Recommended	Question 17. Child's response to parent looking at something	Pass;Fail		fu_16_score
Query	fu_watch_stilltrue	String	25	Recommended	Parent previously reported that child does not try to get you to watch him/her. Is this still true?	Yes;No
Query	fu_q19_get_attention	String	25	Recommended	Does your child try to get you to watch him/her?	Yes;No
Query	fu_q19_get_attention_verbal	String	25	Recommended	Does he/she say "look" or "watch me"?	Yes;No		fu_17_1
Query	fu_watch_babble	String	25	Recommended	Babble or make a noise to get you to watch what he/ she is doing?	Yes;No		fu_17_2
Query	fu_q19_get_attn_look_praise	String	25	Recommended	Does he/she look expectantly to get praise or comment?	Yes;No		fu_17_3
Query	fu_q19_get_attn_check_look	String	25	Recommended	Does he/she keep looking to see if you're (parent) looking?	Yes;No		fu_17_4
Query	fu_q19_get_attention_score	String	25	Recommended	Question 19. Child attempt to attract attention to his/her activity Score	Pass;Fail		fu_17_score
Query	fu_do_stilltrue	String	25	Recommended	Parent previously reported that the child does not understand when you tell him/her to do something. Is this still true?	Yes;No
Query	fu_q21_no_understand_others	String	25	Recommended	If no, then he/she does understand what people say?	Yes;No
Query	fu_q21_understand_sit_clues	String	25	Recommended	When the situation gives him/her a clue, can he/she follow a command? For example, when you are dressed to go out and you tell him/her to get his/her shoes	Yes;No		fu_18_1
Query	fu_q21_follow_directions	String	25	Recommended	If it is dinnertime and food is on the table and you tell the child to sit down, will he/she come sit at the table?	Yes;No		fu_18_2
Query	fu_q21_follow_dir_no_clues	String	25	Recommended	When the situation does not give any clues, can he/she follow a command (e.g., "show me your shoe" without any gestures)?	Yes;No		fu_18_3
	fu_do_blanket	String	25	Recommended	If you say, Bring me the blanket or ask for another object without pointing, making gestures, or giving hints, does your child bring it to you?	No; Yes		fu_18_4
	fu_do_book	String	25	Recommended	If you say, Put the book on the chair without pointing, making gestures, or giving any other hints , does your child put the book on the chair?	No; Yes		fu_18_5
Query	fu_q21_understand_others_score	String	25	Recommended	Question 21. Understand what people say Score	Pass;Fail		fu_18_score
Query	fu_q23_check_reaction_still	String	25	Recommended	Question 23. Parent previously reported that child does not usually look at their face to check their reaction when faces with something unfamiliar or a little scary. Is this still true?	Yes;No
Query	fu_q23_check_reaction_scared	String	25	Recommended	If no, then he/she does look at your face to check your reaction when faced with something scary?	Yes;No
Query	fu_q23_check_reaction	String	25	Recommended	If your child hears an unfamiliar or scary noise, will he/she look at you before deciding how to respond?	Yes;No		fu_19_1
Query	fu_q23_look_par_if_new_person	String	25	Recommended	Does your child look at you when someone new approaches?	Yes;No		fu_19_2
Query	fu_q23_reaction_unfamil_scary	String	50	Recommended	What does your child do when faced with something unfamiliar and a little scary?	Sometimes or probably looks at parent reaction;Probably does not look at parent reaction		fu_19_3
Query	fu_q23_check_preaction_score	String	25	Recommended	Question 23. Child checks parent reaction in scary or unfamiliar situation	Pass;Fail		fu_19_score
Query	fu_move_stilltrue	String	25	Recommended	Parent previously reported that the child did not like movement activities? Is this still true?	Yes;No
Query	fu_q1_bounce_enjoys	String	25	Recommended	Does he/she enjoy being bounced or swing?	Yes;No
Query	fu_q1_bounce_react_laugh	String	25	Recommended	When you swing of bounce the child how does he/she react? - Laughs or smiles	Yes;No		fu_20_1
Query	fu_q1_bounce_react_talk	String	25	Recommended	If yes, when you swing of bounce the child how does he/she react? - talks or babbles	Yes;No		fu_20_2
Query	fu_q1_bounce_react_more_arms	String	25	Recommended	If yes, when you swing of bounce the child how does he/she react? - Requests more by holding out his/her arms	Yes;No		fu_20_3
	fu_q1_bounce_react_describe	String	225	Recommended	If yes, when you swing of bounce the child how does he/she react? - Other, please describe
Query	fu_q1_bounce_score	String	25	Recommended	Question 1: enjoys being swung or bounced on knee score	Pass;Fail		fu_20_score
	fu_q9_example	String	50	Recommended	Please give me an example of something he/she might bring to show you or hold up for you to see
Query	fu_q9_toy	String	5	Recommended	Does your child sometimes bring you. A picture or toy just to show you?	Yes; No		fu_9_1
Query	fu_q9_drawing	String	5	Recommended	Does your child sometimes bring you. A drawing he/she has done?	Yes; No		fu_9_2
Query	fu_q9_flower	String	5	Recommended	Does your child sometimes bring you. A flower he/she has picked?	Yes; No		fu_9_3
Query	fu_q9_bug	String	5	Recommended	Does your child sometimes bring you. A bug he/she has found in the grass?	Yes; No		fu_9_4
Query	fu_q9_blocks	String	5	Recommended	Does your child sometimes bring you. A few blocks he/she has put together?	Yes; No		fu_9_5
Query	fu_q9_other	String	5	Recommended	Does your child sometimes bring you. Other	Yes; No
	fu_q9_otherdesc	String	50	Recommended	Does your child sometimes bring you. Other (describe):
Query	fu_q9_something	String	5	Recommended	Is this sometimes just to show you, not to get help?	Yes; No		fu_9_6
Query	fu_q9_toy_score	String	5	Recommended	FU Score for question of Does your child ever bring objects over to you (parent)	Pass; Fail		fu_9_score
Query	m_chat_r_f_totalscore	Integer		Recommended	M-CHAT-R total score	0::20	Low risk: 0-2; Medium risk: 3-7; High risk: 8-20	follow_up_score
	fu_pretend_example	String	500	Recommended	Please give me an example of his/her pretend play
	version_form	String	121	Recommended	Form used/assessment name
	fu_1_8	String	25	Recommended	Which one does he/she do most often? asked as follow-up to: "If you point at something does your child . . .	Pass;Fail	Pass = look at the object, point to the object, look and comment on the object, OR look if you point and say "look"!; Fail = ignore you, look around the room randomly, look at your finger, OR parent did not answer (blank)
	fu_3_7	String	25	Recommended	Does your child ever put a toy pot on a pretend stove?	Yes;No
	fu_3_8	String	25	Recommended	Does your child ever stir imaginary food?	Yes;No
	fu_6_1	String	25	Recommended	If there is something that your child wants that is out of reach, such as a snack or toy, does he/she cry?	Yes;No
	fu_6_3	String	25	Recommended	If there is something that your child wants that is out of reach, such as a snack or toy, does he/she whine?	Yes;No
	fu_6_7	String	25	Recommended	If there is something that your child wants that is out of reach, such as a snack or toy, does he/she have a tantrum?	Yes;No
	fu_8_8	String	25	Recommended	When you are at the playground or supermarket, does your child stay away from other children?	Yes;No
	fu_13_1	String	25	Recommended	Does your child walk while holding on to furniture or people?	Yes;No
	fu_13_2	String	25	Recommended	Does your child walk without holding on to anything?	Yes;No
Query	final_score	Integer		Recommended	MCHAT-R/F (Revised with Follow-up) score based on responses to follow-up questions, if follow-up questions were triggered.	0::7	At risk for developmental delay = 2-7; Not at risk for developmental delay = 0-1.
	mchat_result	String	25	Recommended	MCHAT-R/F (Revised with Follow-up) screen result denoting At Risk or Not At Risk for developmental delay, based on responses to all questions (initial, or if applicable, follow-up).	at_risk;not_at_risk	At risk = INITIAL_SCORE 8-20, or score FINAL_SCORE 2-7. Not at risk = INITIAL_SCORE 0-2 or FINAL_SCORE 0-1. Use INITIAL_SCORE if no follow-up questions were triggered; use FINAL_SCORE if follow-up questions were triggered.
	fu_finger_point	Integer		Recommended	Does your child point with one finger to ask for something or to get help?	0;1	0=No; 1=Yes
	fu_finger_moves	Integer		Recommended	Does your child make unusual finger movements near his/her eyes?	0;1	0=No; 1=Yes
	fu_noises	Integer		Recommended	Does your child get upset by everyday noises?	0;1	0=No; 1=Yes
	fu_look	Integer		Recommended	Does your child look you in the eye when you are talking to him/her, playing with him/her, or changing him/her?	0;1	0=No; 1=Yes
	fu_understand	Integer		Recommended	Does your child understand when you tell him/her to do something?	0;1	0=No; 1=Yes
	fu_reaction	Integer		Recommended	If something new happens, does your child look at your face to see how you feel about it?	0;1	0=No; 1=Yes
	fu_bounce	Integer		Recommended	Does your child like movement activities?	0;1	0=No; 1=Yes

Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

Element Name: This is the standard element name
Data Type: Which type of data this element is, e.g. String, Float, File location.
Size: If applicable, the character limit of this element
Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
Description: A basic description
Value Range: Which values can appear validly in this element (case sensitive for strings)
Notes: Expanded description or notes on coding of values
Aliases: A list of currently supported Aliases (alternate element names)
For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
Download a copy of this definition in CSV format
Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.

Disclaimer

Filter Cart

Frequently Asked Questions

Glossary

Modified Checklist for Autism in Toddlers, Revised with Follow-Up

New Password:
Repeat New Password:

Subscribe to our mailing list

Disclaimer

Modified Checklist for Autism in Toddlers, Revised with Follow-Up