Developmental Milestones

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If your child is one to two years old, please fill in this form.

Email *

Listening and Understanding *

Is your child able to (check all that apply):

Respond to own name

Understand “no”

Listen to simple stories, songs and rhymes

Understand names of familiar objects, like “bottle”, “bear”, “car”

Follow simple directions with and without gestures, like handing a toy to you when you say “Give it to me”

Understand simple questions, like pointing to pictures in books when you ask “Where is the cat?”

Point to a few body parts when asked

Required

Talking *

Is your child able to (check all that apply):

Point to ask for something or get help

Use more gestures like waving, blowing kiss, salam, nodding yes

Protest “no” by using hands gestures or words

Copy sounds (e.g. car/animal sounds) and words

Use 25-50 single words

Say at least 2 words together, like “Mama milk”

Ask some one or two word questions, like “Where daddy?”, “Go home?” “What’s that?”

Required

Learning, Thinking, Problem-solving *

Is your child able to (check all that apply):

Put objects in and out of containers

Try to use switches, knobs, or buttons on a toy

Copy you doing chores, like sweeping

Demonstrate play related to their body (e.g. sleeping, eating)

Spontaneously perform one action with a doll (e.g. hug doll)

Required

Social/ Emotional *

Is your child able to (check all that apply):

Play games with you, like peekaboo

Copy other children while playing

Point to show you something interesting

Show you an object she likes

Help with dressing by pushing arm through sleeve or lifting up foot

Looks and smiles at you often

Respond to facial expressions

Required

Movement/ Physical Development *

Is your child able to (check all that apply):

Feed herself with her fingers

Feed herself with a spoon with minimal to no spillage

Drink from a cup without a lid and may spill sometimes

Turn pages of a book by herself

Walk up a few stairs with or without help

Kick a ball

Run fairly well

Required

Please leave your contact number if you would like one of our therapists to get in touch with you.

A copy of your responses will be emailed to the address you provided.

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