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28) Mama/Dada, non-specific

Office Use

 Comments Yes  No

Does your baby make either "mama or dada" sounds? 

Language

90%: 9 mo         

75%: 7-3 mo 

  
29) Pulls to stand

Office Use

 Comments Yes  No

When in a crib or bedside furniture, can your baby pull herself up to a standing position without help?

Gross Motor

90%: 9-3 mo         

75%: 9 mo 

  

      
30) Gets to sitting? 

Office Use

 Comments Yes  No

When crawling or lying down, can your baby get into a sitting position without help?

Gross Motor

90%: 9-3 mo         

75%: 9 mo  

  

      
31) Combines syllables

Office Use

 Comments Yes  No

Does your baby repeat the same sounds several times in a row like :dadadada" or "gagagaga"?

Language

90%: 10 mo         

75%: 7-1 mo 

  

      
32) Thumb-Finger Grasp

Office Use

 Comments Yes  No

When your baby picks up an tiny object, such as a raisin, does he do so by squeezing it between his thumb and at least one finger?

Fine motor 

90%: 10 mo         

75%: 9 mo 

  

      
33) Plays Pat-a-cake

Office Use

 Comments Yes  No

Can your baby play "pat-a-cake" with someone without any help, such as helping him clap his hands?

Fine motor

90%: 11-1 mo         

75%: 10-1 mo 

  

      
34) Stands 5 seconds

Office Use

 Comments Yes  No

Can your baby stand alone (without having to hold on to something) for about 5 seconds?

Gross motor

90%: 11-2 mo        

75%: 10-3 mo 

  

      
35) Jabbers

Office Use

 Comments Yes  No

When your baby is playing alone, does he jabber as though really talking? This jabbering does not need to be understandable.

Language

90%: 12 mo         

75%: 8-1 mo 

  

      
36) Indicate wants

Office Use

 Comments Yes  No

Can your child let you know what she wants without crying or whining ? Examples: by either pointing or pulling on you.

Psycho-Social

90%: 12-3 mo          

75%: 11 mo 

  

      
37) Mama/Dada Specific

Office Use

 Comments Yes  No

Does your child say mama or dada, when he sees  his mother or father?

Language

90%: 13-1 mo        

75%: 11 mo 

  

      
38) Stands Alone

Office Use

 Comments Yes  No

Can your child stand alone (without having to hold on to something ) for 15 seconds or more?

Gross motor

90%: 13-3 mo        

75%: 12-2 mo 

  

      
39) Puts toy in cup

Office Use

 Comments Yes  No

Can your child put a small object (such as finger food or a toy) in a cup, letting go of it and leaving it there for at least 15 sec. ?

Fine motor

90%: 13-3 mo         

75%: 12-1 mo 

  

      
40) Waves bye-Bye

Office Use

 Comments Yes  No

When you or someone else waves and says bye-bye to your child, can your child wave back without help?

Psycho-Social

90%: 14 mo         

75%: 9 mo 

  

      
41) Stoops and Recovers 

Office Use

 Comments Yes  No

Without holding on to something or touching the floor, can your child bend over or stoop to pick up a toy on the floor and stand up again?

Gross Motor

90%: 14-2 mo        

75%: 13-1 mo 

  

      
42) Walks well

Office Use

 Comments Yes  No

Can your child walk all the way across a large room without falling or wobbling from side to side?

Gross Motor

90%: 14-3 mo         

75%: 13-2 mo 

  

      
43) One word

Office Use

 Comments Yes  No

Does your child say at least one other word besides Mama or Dada, and names of family members or pets?

Language

90%: 15 mo         

75%: 13-1 mo 

  

      
44) Plays ball

Office Use

 Comments Yes  No

If you roll a small ball to your child, can she roll or throw it back to you? 
If your child only hands the ball to you circle no.

Psycho-social

90%: 15-3 mo        

75%: 11-3 mo 

  

      
45) Scribbles

Office Use

 Comments Yes  No

Without moving his hand or showing him how to do it, give your child a pencil and see if he will scribble on a piece of paper. If he bangs or mouths the pencil circle no.

Fine motor

90%: 16-1 mo         

75%: 14-3 mo 

  

      
46) Two words

Office Use

 Comments Yes  No

Does your child say two or more words other than "Mama or Dada" and name of family members?

Psycho-social

90%: 16-2 mo        

75%: 14-2 mo 

  

      
47) Drinks from a cup

Office Use

 Comments Yes  No

Can your child hold a cup or glass by herself and drink from it without spilling much? The cup should not have a spout or a lid.

 

90%:         

75%: 

  

      
48) Helps around the house

Office Use

 Comments Yes  No

Does your child do things to help you, such as picking up his toys or bringing something to you when asked to?

 

90%:         

75%: 

  

      
49) Three words

Office Use

 Comments Yes  No

Does your child say three or more words other than "Mama or Dada" and names of family members?

 

90%:         

75%: 

  

      
50) Dumps Raisin 

Office Use

 Comments Yes  No

Can your child dump something small such as a raisin or piece of cereal from a small bottle, glass or cup?

 

90%:         

75%: 

  

      
51) Uses Spoon / Fork

Office Use

 Comments Yes  No

Does your child feed himself with a spoon or fork without spilling much?

 

90%:         

75%: 

  

      
52) Runs

Office Use

 Comments Yes  No

Can your child run across a room without falling or tripping?

 

90%:         

75%: 

  

      
53) Tower of 3 cubes

Office Use

 Comments Yes  No

Can your child stack three or more small blocks on top of each other?

 

90%:         

75%: 

  

      
54) Six words

Office Use

 Comments Yes  No

Does your child say six or more words ?

 

90%:         

75%: 

  

      
55) Kicks a ball forward

Office Use

 Comments Yes  No

Without holding on to anything, can your child kick a small ball (like a tennis ball) ?

 

90%:         

75%: 

  

      
56)  Removes Garments

Office Use

 Comments Yes  No

Can your child take off any of his clothes, such as pajamas (tops or bottoms) or pants?

 

90%:         

75%: 

  

      

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