It's best not to wait, get help today

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The first concern a caregiver may have about their child's development is that their child is not talking. Early identification and treatment have been proven to be the key to long term positive effects. Don't wait! The earlier a child begins treatment the higher potential for positive change.

Early intervention makes a difference!

If you are local to Jacksonville, Florida

Complete an online screening and we will contact you for next steps

CSBS-DP

MCHAT-R

If you are NOT local to Jacksonville, Florida

Baby Navigator

CSBS-DP

FOR JACKSONVILLE, FLORIDA LOCAL FAMILIES ONLY PLEASE

CSBS- DP

Communication and Symbolic Behavior Scales Developmental Profile
Infant-Toddler Checklist

This Checklist 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. You may complete this screener if your child is 24-26 months old and not using words to communicate. The caregiver may be either a parent or another person who nurtures the child daily. 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.

Child's First Name

Form Completed by

Child's Last Name

Child's Date of Birth

Relationship to Child

What week in the pregnancy was the child born?

Phone

Emotion and Eye Gaze

1. Do you know when your child is happy and when your child is upset? *

Not Yet

Sometimes

Often

2. When your child plays with toys, does he/she look at you to see if you are watching? *

Not Yet

Sometimes

Often

3. Does your child smile or laugh while looking at you? *

Not Yet

Sometimes

Often

4. When you look at and point to a toy across the room, does your child look at it? *

Not Yet

Sometimes

Often

Communication

5. Does your child let you know that he/she needs help or wants an object out of reach? *

Not Yet

Sometimes

Often

6. When you are not paying attentio to your child, does he/she try to get your attention? *

Not Yet

Sometimes

Often

7. Does your child do things just to get you to laugh? *

Not Yet

Sometimes

Often

8. Does your child try to get you to notice interesting objects - just to get you to look at the objects, not to get you to do anything with them? *

Not Yet

Sometimes

Often

Gestures

9. Does your child pick up objects and give them to you? *

Not Yet

Sometimes

Often

10. Does your child show objects to you without giving them to you? *

Not Yet

Sometimes

Often

11. Does your child wave to greet people? *

Not Yet

Sometimes

Often

12. Does your child point to objects? *

Not Yet

Sometimes

Often

13. Does your child nod his/her head to indicate yes? *

Not Yet

Sometimes

Often

Sounds

14. Does your child use sounds or words to get attention or help? *

Not Yet

Sometimes

Often

15. Does your child string sounds together, such as uh oh, mama, gaga, bye bye, bada? *

Not Yet

Sometimes

Often

16. About how many of the following consonant sounds does your child use: ma, na, ba, da, ga, wa, la, ya, sa, sha?

Words

17. About how many different words does your child use meaningfully that you recognize (such as baba for bottle, gaggie fr doggie)?

18. Does your child put two words together (for example, more cookie, bye bye Daddy)? *

Not Yet

Sometimes

Often

Understanding

19. When you call your child's name, does he/she respond by looking or turning toward you? *

Not Yet

Sometimes

Often

20. About how many different words or phrases does your child understand without gestures? For example, if you say "where's your tummy," "where's Daddy," "give me the ball," or "come here," without showing or pointing, your child will respond appropriately.

Object Use

21. Does your child show interest in playing with a variety of objects? *

Not Yet

Sometimes

Often

22. About how many of the following objects does your child use appropriately: cup, bottle, bowl, spoon, comb or brush, toothbrush, washcloth, ball, toy vehicle, toy telephone?

23. About how many blocks (or rings) does your child stack?

24. Does your child pretend to play with toys (for example, feed a stuffed animal, put a doll to sleep, put an animal figure in a vehicle)? *

Not Yet

Sometimes

Often

Please submit if you are local to the Jacksonville, Florida area and available to receive services if needed

Thanks for submitting!

Modified Checklist for Autism in Toddlers - Revised

The MCHAT-R is a questionnaire designed to assess the risk of autism in young children ages16 to 30 months. The results will let you know if further evaluation may be needed. It is important to discuss all results with your child's doctor.

MCHAT-R Autism Speaks

It's best not to wait, get help today

FOR JACKSONVILLE, FLORIDA LOCAL FAMILIES ONLY PLEASE

CSBS- DP

Communication and Symbolic Behavior Scales Developmental Profile Infant-Toddler Checklist

Emotion and Eye Gaze

Communication

Gestures

Sounds

Words

Understanding

Object Use

Modified Checklist for Autism in Toddlers - Revised

Communication and Symbolic Behavior Scales Developmental Profile
Infant-Toddler Checklist