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Developmental Checklist



DEVELOPMENTAL CHECKLIST – 1 TO 3 MONTHS

MOVEMENT

üRaises head and cheek when lying on stomach (3 mos.)

üSupports upper body with arms when lying on stomach (3 mos.)

üStretches legs out when lying on stomach or back (2-3 mos.)

üOpens and shuts hands (2-3 mos.)

üPushes down on his legs when his feet are placed on firm surface (3 mos.)

VISUAL

üWatches face intently (2-3 mos.)

üFollows moving objects (2 mos.)

üRecognizes familiar objects and people at a distance (3 mos.)

üStarts using hands and eyes in coordination (3 mos.)

HEARING AND SPEECH

üSmiles at the sound of voice (2-3 mos.) 

üCooing noises; vocal play (begins at 3 mos.)

üAttends to sound (1-3 mos.)     

üStartles to loud noise (1-3 mos.)

SOCIAL/EMOTIONAL

üBegins to develop a social smile (1-3 mos.)

üEnjoys playing with other people and may cry when playing stops (2-3 mos.)

üBecomes more communicative and expressive with face and body (2-3 mos.)

üImitates some movements and facial expressions


DEVELOPMENTAL RED FLAGS (1 TO 3 MONTHS)

üDoesn’t seem to respond to loud noises

üDoesn’t follow moving objects with eyes by 2 to 3 months

üDoesn’t smile at the sound of your voice by 2 months

üDoesn’t grasp and hold objects by 3 months

üDoesn’t smile at people by 3 months

üCannot support head well at 3 months

üDoesn’t reach for and grasp toys by 3 to 4 months

üDoesn’t bring objects to mouth by 4 months

üDoesn’t push down with legs when feet are placed on a firm surface by 4 months

üHas trouble moving one or both eyes in all directions

üCrosses eyes most of the time (occasional crossing of the eyes is normal in these first months)

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DEVELOPMENTAL CHECKLIST - 4 TO 7 MONTHS


MOVEMENT

üPushes up on extended arms (5 mos.)

üPulls to sitting with no head lag (5 mos.)               

üSits with support of his hands (5-6 mos.)

üSits unsupported for short periods (6-8 mos.)

üSupports whole weight on legs (6-7 mos.)

üGrasps feet (6 mos.)

üTransfers objects from hand to hand (6-7 mos.)

üUses raking grasp (not pincer) (6 mos.)

VISUAL

üLooks for toy beyond tracking range (5-6 mos.)

üTracks moving objects with ease (4-7 mos.)

üGrasps objects dangling in front of him (5-6 mos.)

üLooks for fallen toys (5-7 mos.)

LANGUAGE

üDistinguishes emotions by tone of voice (4-7 mos.)

üResponds to sound by making sounds (4-6 mos.)

üUses voice to express joy and displeasure (4-6 mos.)

üSyllable repetition begins (5-7 mos.)

COGNITIVE

üFinds partially hidden objects (6-7 mos.)

üExplores with hands and mouth (4-7 mos.)

üStruggles to get objects that are out of reach (5-7 mos.)

SOCIAL EMOTIONAL

üEnjoys social play (4-7 mos.)

üInterested in mirror images (5-7 mos.)

üResponds to other people’s expression of emotion (4-7 mos.)         


DEVELOPMENTAL RED FLAGS (4 TO 7 MONTHS)

üSeems very stiff, tight muscles

üSeems very floppy, like a rag doll

üHead still flops back when body is pulled to sitting position (by 5months still exhibits head lag)

üShows no affection for the person who cares for them

üDoesn’t seem to enjoy being around people

üOne or both eyes consistently turn in or out

üPersistent tearing, eye drainage, or sensitivity to light

üDoes not respond to sounds around them

üHas difficulty getting objects to mouth

üDoes not turn head to locate sounds by 4 months

üDoesn’t roll over (stomach to back) by 6 months

üCannot sit with help by 6 months (not by themselves)

üDoes not laugh or make squealing sounds by 5 months

üDoes not actively reach for objects by 6 months

üDoes not follow objects with both eyes

üDoes not bear some weight on legs by 5 months

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DEVELOPMENTAL CHECKLIST – 8 TO 12 MONTHS

MOVEMENT

üGets to sitting position without assistance (8-10 mos.)

üCrawls forward on belly

üAssumes hand and knee position           

üCreeps on hands and knees    

üGets from sitting to crawling or prone (lying on stomach) position (10-12 mos.)

üPulls self up to standing position

üWalks holding on to furniture

üStands momentarily without support

üMay walk two or three steps without support

HAND AND FINGER SKILLS

üUses pincer grasp (grasp using thumb and index finger)  (7-10 mos.)

üBangs two one-inch cubes together

üPuts objects into container (10-12 mos.)

üTakes objects out of container (10-12 mos.)

üPokes with index finger             

üTries to imitate scribbling

COGNITIVE

üExplores objects in many different ways (shaking, banging, throwing, dropping) (8-10 mos.)

üFinds hidden objects easily (10-12 mos.)

üLooks at correct picture when image is named    

LANGUAGE MILESTONES

üResponds to simple verbal requests

üResponds to “no”

üMakes simple gestures such as shaking head for no

üBabbles with inflection (8-10 mos.)         

üBabbles “dada” and “mama” (8-10 mos.)

üSays “dada” and “mama” for specific person (11-12 mos.)                

üUses exclamations such as “oh-oh”


SOCIAL/EMOTIONAL

üShy or anxious with strangers (8-12 mos.)


üCries when mother or father leaves (8-12 mos.)

üEnjoys imitating people in his play (10-12 mos.)

üShows specific preferences for certain people and toys (8-12 mos.)                

üPrefers mother and/or regular care provider over all others (8-12 mos.)

üRepeats sounds or gestures for attention (10-12 mos.)

üFinger-feeds himself (8-12 mos.)

üExtends arm or leg to help when being dressed

DEVELOPMENTAL RED FLAGS (8 TO 12 MONTHS)

üDoes not crawl

üDrags one side of body while crawling (for over one month)

üCannot stand when supported

üDoes not search for objects that are hidden (10-12 mos.)

üSays no single words (“mama” or “dada”)

üDoes not learn to use gestures such as waving or shaking head

üDoes not sit steadily by 10 months

üDoes not show interest in “peek-a-boo" or "patty cake” by 8 mos.

üDoes not babble by 8 mos. (“dada,” “baba,” “mama”)
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DEVELOPMENTAL CHECKLIST - 12 TO 24 MONTHS

MOVEMENT

üWalks alone (12-16 mos.)

üPulls toys behind him while walking (13-16 mos.)

üCarries large toy or several toys while walking (12-15 mos.)            

üBegins to run stiffly (16-18 mos.)

üWalks into ball (18-24 mos.)

üClimbs onto and down from furniture unsupported (16-24 mos.)

üWalks up and down stairs holding on to support (18-24 mos.)

HAND AND FINGER SKILLS

üScribbles spontaneously (14-16 mos.)

üTurns over container to pour out contents (12-18 mos.)

üBuilds tower of four blocks or more (20-24 mos.)

LANGUAGE

üPoints to object or picture when it’s named for them (18-24 mos.)

üRecognizes names of familiar people, objects, and body parts (18-24 mos.)

üSays several single words (15-18 mos.)

üUses two-word sentences (18-24 mos.)

üFollows simple, one-step instructions (14-18 mos.)

üRepeats words overheard in conversations (16-18 mos.)

COGNITIVE

üFinds objects even when hidden under 2 or 3 covers        

üBegins to sort shapes and colors (20-24 mos.)

üBegins make-believe play (20-24 mos.)

SOCIAL

üImitates behavior of others, especially adults and older children (18-24 mos.)

üIncreasingly enthusiastic about company or other children (20-24 mos.)

üDemonstrates increasing independence (18-24 mos.)

üBegins to show defiant behavior (18-24 mos.)

üEpisodes of separation anxiety increase toward midyear, then fade


DEVELOPMENTAL RED FLAGS (12 TO 24 MONTHS)

üCannot walk by 18 months

üFails to develop a mature heel-toe walking pattern after several months of walking, or walks exclusively on toes

üDoes not speak at least 15 words by 18 months

üDoes not use two-word sentences by age 2

üBy 15 months does not seem to know the function of common household objects (brush, telephone, bell, fork, spoon)

üDoes not imitate actions or words by 24 mos.

üDoes not follow simple one-step instructions by 24 mos.
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DEVELOPMENTAL MILESTONES – 24 TO 36 MONTHS

MOVEMENT

üClimbs well (24-30 mos.)

üWalks down stairs alone, placing both feet on each step (26-28 mos.)

üWalks up stairs alternating feet with support (24-30 mos.)

üSwings leg to kick ball (24-30 mos.)

üRuns easily (24-26 mos.)

üPedals tricycle (30-36 mos.)

üBends over easily without falling (24-30 mos.)

HAND AND FINGER SKILLS

üMakes vertical, horizontal, circular strokes with pencil or crayon (30-36 mos.)

üTurns book pages one at a time (24-30 mos.)

üBuilds a tower of more than 6 blocks (24-30 mos.)

üHolds a pencil in writing position (30-36 mos.)

üScrews and unscrews jar lids, nuts, and bolts (24-30 mos.)

üTurns rotating handles (24-30 mos.)

LANGUAGE

üRecognizes and identifies almost all common objects and pictures (26-32 mos.)

üUnderstands most sentences (24-40 mos.)

üUnderstands physical relationships (on, in, under) (30-36 mos.)

üCan say name, age, and sex (30-36 mos.)

üUses pronouns (I, you, me, we, they) (24-30 mos.)

üStrangers can understand most of words (30-36 mos.)

COGNITIVE

üMakes mechanical toys work (30-36 mos.)

üMatches an object in hand or room to a picture in a book (24-30 mos.)

üPlays make-believe with dolls, animals, and people (24-36 mos.)

üSorts objects by color (30-36 mos.)

üCompletes puzzles with 3 or 4 pieces (24-36 mos.)

üUnderstands concept of “two” (26-32 mos.)          

SOCIAL/EMOTIONAL

üSeparates easily from parents (by 36 mo.)

üExpresses a wide range of emotions (24-36 mos.)

üObjects to major changes in routine (24-36 mos.)

 
DEVELOPMENTAL RED FLAGS (24 TO 36 MONTHS)

üFrequent falling and difficulty with stairs

üPersistent drooling or very unclear speech

üInability to build a tower of more than 4 blocks

üDifficulty manipulating small objects

üInability to copy a circle by 3 years old

üInability to communicate in short phrases

üNo involvement in pretend play

üFailure to understand simple instructions

üLittle interest in other children

üExtreme difficulty separating from primary caregiver

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DEVELOPMENTAL CHECKLIST – 3 TO 4 YEARS

MOVEMENT

üHops and stands on one foot up to 5 seconds

üGoes upstairs and downstairs without support

üKicks ball forward

üThrows ball overhand

üCatches bounced ball most of the time

üMoves forward and backward

üUses riding toys

HAND AND FINGER SKILLS

üCopies square shapes

üDraws a person with 2-4 body parts

üUses scissors

üDraws circles and squares

üBegins to copy some capital letters

üCan feed self with spoon

LANGUAGE MILESTONES

üUnderstands the concepts of "same" and "different"

üHas mastered some basic rules of grammar

üSpeaks in sentences of 5-6 words

üAsks questions

üSpeaks clearly enough for strangers to understand

üTells stories

COGNITIVE MILESTONES

üCorrectly names some colors

üUnderstands the concept of counting and may know a few numbers

üBegins to have a clearer sense of time

üFollows three-part commands

üRecalls parts of a story

üUnderstands the concept of same/different

üEngages in fantasy play

üUnderstands causality ("I can make things happen")


SOCIAL MILESTONES

üInterested in new experiences

üCooperates/plays with other children

üPlays "mom "or "dad"

üMore inventive in fantasy play

üDresses and undresses

üMore independent

EMOTIONAL MILESTONES

üOften cannot distinguish between fantasy and reality

üMay have imaginary friends or see monsters

 

DEVELOPMENTAL RED FLAGS (3 TO 4 YEARS)

üCannot jump in place

üCannot ride a trike

üCannot grasp a crayon between thumb and fingers

üHas difficulty scribbling

üCannot copy a circle

üCannot stack 4 blocks

üStill clings or cries when parents leave him

üShows no interest in interactive games

üIgnores other children

üDoesn't respond to people outside the family

üDoesn't engage in fantasy play

üResists dressing, sleeping, using the toilet

üLashes out without any self-control when angry or upset

üDoesn't use sentences of more than three words

üDoesn't use "me" or "you" appropriately

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DEVELOPMENTAL MILESTONES – 4 TO 5 YEARS

MOVEMENT

üStands on one foot for 10 seconds or longer

üHops, somersaults

üSwings, climbs

üMay be able to skip

MILESTONES IN HAND AND FINGER SKILLS

üCopies triangle and other geometric patterns

üDraws person with body

üPrints some letters

üDresses and undresses without assistance

üUses fork, spoon

üUsually cares for own toilet needs

LANGUAGE MILESTONES

üRecalls parts of a story

üSpeaks sentences of more than 5 words

üUses future tense

üTells longer stories

üSays name and address

COGNITIVE MILESTONES

üCan count 10 or more objects

üCorrectly names at least 4 colors

üBetter understands the concept of time

üKnows about things used every day in the home (money, food, etc.)

SOCIAL MILESTONES

üWants to please and be with friends

üMore likely to agree to rules

üLikes to sing, dance, and act

üShows more independence

DEVELOPMENTAL RED FLAGS (4 TO 5 YEARS)

üExhibits extremely aggressive, fearful or timid behavior

üIs unable to separate from parents

üIs easily distracted and unable to concentrate on any single activity for more than 5 minutes

üShows little interest in playing with other children

üRefuses to respond to people in general

üRarely uses fantasy or imitation in play

üSeems unhappy or sad much of the time

üAvoids or seems aloof with other children and adults

üDoesn't express a wide range of emotions

üHas trouble eating, sleeping or using the toilet

üCan't differentiate between fantasy and reality

üSeems unusually passive

üCan't understand two-part commands and prepositions ("put the cup on the table"; "get the ball under the couch")

üCan't give his first and last name

üDoesn't use plurals or past tense

üCannot build a tower of 6 to 8 blocks

üSeems uncomfortable holding a crayon

üHas trouble taking off clothing

üCan't brush teeth or wash and dry hands

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