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(503) 713-5330
Home
Early Learning Center
About Our Curriculum And Policies
Take a Tour
Enrollment Form
Infant
Toddler
Preschool
Classroom Cameras
Fee Schedule
Gourmet Kid-Friendly Food
Go-Home Meals Program
Pediatrics
Mission
About Us
Request an Appointment
Billing & Policies
FAQ
Links
Updates and Closures
Contact Us
(503) 713-5330
Home
Early Learning Center
About Our Curriculum And Policies
Take a Tour
Enrollment Form
Infant
Toddler
Preschool
Classroom Cameras
Fee Schedule
Gourmet Kid-Friendly Food
Go-Home Meals Program
Pediatrics
Mission
About Us
Request an Appointment
Billing & Policies
FAQ
Links
Updates and Closures
Contact Us
M-CHAT
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M-CHAT
M-CHAT
Please fillout the following about how your child usually is. Please try to answer every question. If the behavior is rare (e.g. you've seen it once or twice), Please answer as if the child does not do it.
Child's Name
*
Does your child enjoy being swung, bounced on your knee. etc?
Yes
No
Does your child take an interest in other children?
Yes
No
Does your child like climbing on things, such as stairs?
Yes
No
Does your child enjoy playing peek-a-boo/hide-and-seek?
Yes
No
Does your child ever pretend, for example to talk on the phone or take care of a doll or pretend other things?
Yes
No
Does your child ever use his/her index finger to point, to ask for something?
Yes
No
Does your child ever use his/her index finger to point, to indicate interest in something?
Yes
No
Can your child play properly with small toys (e.g. cars or blocks) without just mouthing, fiddling, or dropping them?
Yes
No
Does your child ever bring objects over to you (parent) to show you something?
Yes
No
Does your child look you in the eye for more than a second or two?
Yes
No
Does your child seem oversensitive to noise (e.g. plugging cars)?
Yes
No
Does your child smile in response to your face or your smile?
Yes
No
Does your child imitate you? (e.g., you make a face will your child imitate it?)
Yes
No
Does your child respond to his/her name when you call?
Yes
No
If you point at a toy across the room, does your child look at it?
Yes
No
Does your child walk?
Yes
No
Does your child look at things you are looking at?
Yes
No
Does your child make unusual finger movements near his/her face?
Yes
No
Does your child try to attract your attention to his/her own activity?
Yes
No
Have you ever wondered if your child is deaf?
Yes
No
Does your child understand what people say?
Yes
No
Does your child sometimes stare at nothing or wander 'with no purpose?
Yes
No
Does your child look at your face to check your reaction when faced with something unfamiliar?
Yes
No
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