0-1 Month Milestones
GROSS FINE MOTOR
 Makes jerky arm movements; both sides of the body
 Follows moving object briefly with both eyes
 Moves head from side to side while on tummy
 Head flops backward if it is unsupported
 Brings hands within range of eyes and mouth
 Is able to keep hands in tight fists
 Momentary regard for objects
 Arm thrust
 Brief grasp response to touch
 Hand to mouth coordination
 Visual response to own hand
 Visual response to object in own hand
LANGUAGE/ORAL MOTOR
 Makes sounds
 Suckle/swallow reflex
 Tongue movement-in/out pattern
 Tongue is cupped to provide channel for backward movement of liquid
 Rooting reflex
 Phasic bite reflex
 Gag reflex
PERSONAL AND SOCIAL
 Prefers to look at human faces more than objects
VISUAL
 Has limited ability to focus on someone’s face or an object
 Sees light and form
 Horizontal and vertical eye movements
OTHER CHARACTERISTICS
 Focuses on things 8-12 inches away
 Eyes tend to wander and occasionally cross
 Is startled by loud sounds
 Prefers black and white or high contrast patterns
0-3 Months Questionnaire
Results
1 of 10 questions answered correctly
You have reached 1 of 10 points, (10%)

Development occurs along a continuum and children can vary in their development. We
encourage you to go back to the developmental stage prior to where your child is currently.
Complete the questionnaire from that developmental stage and see how they perform. If your
child obtains a score of 80% from that developmental stage, no further steps are needed. If
your child performs below 80% on that questionnaire, it is recommended you talk with your
pediatrician about the results of the questionnaire as well as any concerns you may have. You
can also call our office and schedule a free screening at 815-462-4928. Often we can provide
suggestions to help you get your child’s development on track.
Please click the “View Questions” button below for an explanation of why the questions
you answered are so important.
1. While lying on his/her stomach, can your child lift his/her head to the left and right?
o
Yes
o
No
Correct
Beginning stages of developing balance, core, head & neck strength. Leads to visual motor
skills and precursor skills of sitting & crawling.
2. When placed on his/her side, can your child roll onto his/her back?
o
Yes
o
No
Incorrect
Helps to develop vestibular system. Beginning skills of being able to independently move in
their environment. Precursor to cause-n-effect.
3. While laying on his/her back, does your child wave and kick his/her arms and legs?
o
Yes
o
No
Incorrect
Assists with development of the core muscles needed for sitting/crawling. Child is learning
how to move his/her body.
4. Does your child watch your face and look at objects?
o
Yes
o
No
Incorrect
This is important because they are closely tracking objects within their visual field that leads
to voluntary control of eye hand coordination.
5. Does your child react to loud sounds?
o
Yes
o
No
Incorrect
This is important for learning to locate and recognize sounds. Precursor to processing and
interpreting sounds for later learning and speech development.
6. Does your child bring his/her hands together?
o
Yes
o
No
Incorrect
This encourages use of both hands together, integration of right and left sides of the body
needed for play.
7. Does your child calm when he/she hears your voice?
o
Yes
o
No
Incorrect
(e.g., calming down, smiling). Important for being able to maintain joint attention & shared
emotions for future back and forth communication. Helps develop typical
relationship/attachment with caregiver. This is an important skill which precedes other
interaction and comprehension skills.
8. Does your child coo and make sounds?
o
Yes
o
No
Incorrect
Beginning to play with using their voice, using different cries and vocal expressions.
Precursor to learning to speak.
9. Does your child swipe at dangling objects?
o
Yes
o
No
Incorrect
Start of cause-n-effect, eye-hand coordination, and body awareness.
10. Does your child grasp and shake a rattle?
o
Yes
o
No
Incorrect
Develops hand and finger movements, cause-n-effect, eye-hand coordination.
2-3 Months Milestones
GROSS AND FINE MOTOR SKILLS
 Raises head and chest when lying on tummy
 Supports upper body and arms when lying on tummy
 Waves, kicks, and squirms when lying on back or tummy
 Opens and shuts hands
 Pushes down on legs when feet are placed on a firm surface
 Brings hands to mouth
 Swipes at dangling objects with hands
 Grasps toys or other objects when put in hand and shapes them
 Sustained grasp response
 Midline hand play
 Object manipulation
 Head lag on pull to sit
 Thumb in palm, fingers flexed (bent)
 Reflex hand/flaring open
LANGUAGE/ORAL MOTOR SKILLS
 Smiles at sound of familiar voices or sight of familiar faces
 Begins to babble
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Startles to loud sounds
Says “ooh” and “ahah”
Laughs and possibly squeals
Suck/swallow reflex
Tongue, jaw, and lips work as one unit
Tongue movement in/out pattern
Tongue is cupped to provide channel for backward movement of liquid
Rooting reflex
Phasic bite reflex
Gag reflex
PERSONAL AND SOCIAL
 Begins to smile in response to someone else’s smile
 Enjoys playing with others and may cry when people stop or leave
 Becomes more communicative and expressive with face and body
 Imitates some movements and facial expressions
 Appears fussy at times, often at end of the day
VISUAL
 Watches mother’s face
 Begins eye focus and follows horizontally at 6″–10″ side to midline
 Has longer periods of focus; follows objects; learns to use eyes together
 Circular eye movement
 Visual response to environment and sound
OTHER CHARACTERISTICS
 Watches faces intently
 Responds to loud sounds by becoming quiet and still, or with general body movements
 Follows moving objects
 Recognizes familiar objects and people at a distance
 Looks at own hands, and stares with hands and eyes in coordination
 Stares at things a lot
4-6 Months Questionnaire
Results
2 of 12 questions answered correctly
You have reached 2 of 12 points, (16.67%)

Development occurs along a continuum and children can vary in their development. We
encourage you to go back to the developmental stage prior to where your child is currently.
Complete the questionnaire from that developmental stage and see how they perform. If your
child obtains a score of 80% from that developmental stage, no further steps are needed. If
your child performs below 80% on that questionnaire, it is recommended you talk with your
pediatrician about the results of the questionnaire as well as any concerns you may have. You
can also call our office and schedule a free screening at 815-462-4928. Often we can provide
suggestions to help you get your child’s development on track.
Please click the “View Questions” button below for an explanation of why the questions
you answered are so important.
1. Can your child sit for at least 8 seconds when their hands are placed in front of them on the
floor?
o
Yes
o
No
Correct
This is important with developing core strength, head/neck strength, balance, weight bearing
through arms, and will lead to independent sit and play with a toy.
2. While laying on his/her back, does your child hold his/her feet?
o
Yes
o
No
Correct
This is important for increasing the child’s overall core strength and developing motor
planning of hand/leg play.
3. While laying on his/her tummy, does your child hold up their head for at least 15 seconds?
o
Yes
o
No
Incorrect
Important for strengthening the neck muscles needed for head control.
4. Does your child push up on their arms while lying on their tummy?
o
Yes
o
No
Incorrect
Important for strengthening the upper extremities, head control, ability to move against gravity
and allow a more erect posture which leads into supporting themselves on extended arms.
5. When you move a toy in front of your child, will they follow it with their eyes?
o
Yes
o
No
Incorrect
Important for ocular-motor control and tracking.
6. Does your child purposefully reach towards toys?
o
Yes
o
No
Incorrect
Development of hand/eye coordination and interest in toys. Important for visual
scanning/tracking, depth perception, grading the movement, eye hand coordination, and the
development of motor planning out an activity.
7. Can your child move a toy from one hand to the other?
o
Yes
o
No
Incorrect
Important development of right and left sides of the body, and crossing midline, which is
needed for higher level.
8. Does your child hold their bottles during feedings?
o
Yes
o
No
Incorrect
Important for two hand use, body awareness, and precursor to self feeding.
9. Is your child sleeping 8-12 hours without interruption?
o
Yes
o
No
Incorrect
Suggests sensory regulation needed for arousal and attention.
10. Does your child react to changes in your voice?
o
Yes
o
No
Incorrect
For example, smiling with a “happy sounding voice” or crying/showing displeasure when
he/she hears “yelling”. Important for developing joint emotion and communication skills.
Distinguishes pleasant vs angry inflection. By 6 months, stops when they hear “no”, and turns
to name much of the time. This is important for early cause/effect understanding for basic
concept.
11. Does your child laugh and babble when happy?
o
Yes
o
No
Incorrect
Also, begins to babble using speech sound p, b, m, with combinations such as “ma ma” or “bu
bu” beginning close to 6 months. Important for development of speech. Babbling continues to
develop, with /p, b, m/ surfacing. Begins to intentionally vocalize to others and babbles
several syllables at a time.
12. Does your child locate and follows sounds with their eyes?
o
Yes
o
No
Incorrect
Important for attaching meaning to items in the environment for future learning.
4-7 Months Milestones
GROSS AND FINE MOTOR
 Rolls from tummy to back and back to tummy
 Sits with, and then without support of hands
 Props self up on arms when on stomach
 Can support whole body weight on legs
 Reaches for objects with hands
 Head in midline, turns from side to side
 Fully extended hips and trunk while on tummy
 Rakes at small objects (reaches for objects with fingers bent)
 Ulnar palmar grasp
 Hand-mouth coordination
 Bilateral reach grasp
 Grasp and thumb in partial opposition
 Visual attention to scribbling
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Transfers objects from hand to hand (5–6 months)
Wrist rotation (5–6 months)
Radial palmar grasp (5–6 months)
Beginning pincer (5–6 months)
Reaching across midline
LANGUAGE/ORAL MOTOR
Turns to sounds and voices
Responds to own name
Distinguishes emotions by tone of voice
Begins to respond to “no”
Responds to sounds by making sounds and may imitate sounds
Uses voice to express joy and displeasure
Babbles chains and consonants
Suckles in anticipation
Munch chew pattern (5–6 months)
Tongue and jaw move as one unit
Poor coordination of suck, swallow, and breathing
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Rooting decreases by 5 months
Phasic bite reflex decreases by 5 months
Gag reflex
PERSONAL AND SOCIAL
 Finds partially hidden objects
 Explores things with hands and by putting items in mouth
 Works to get objects that are out of reach
 Enjoys social play
 Notices small things, such as pieces of cereal in front of them
 Responds to other people’s expressions of emotion
 Squeals and make other high-pitched sounds when happy
 Smiles when looking at self in mirror
 Shows frustration when trying new skills such as turning over
VISUAL
 Explores environment, reaches for objects (3–5 months)
 Has improved distance vision
 Has improved ability to track moving objects
7-9 Months Questionnaire
Results
1 of 11 questions answered correctly
You have reached 1 of 11 points, (9.09%)

Development occurs along a continuum and children can vary in their development. We
encourage you to go back to the developmental stage prior to where your child is currently.
Complete the questionnaire from that developmental stage and see how they perform. If your
child obtains a score of 80% from that developmental stage, no further steps are needed. If
your child performs below 80% on that questionnaire, it is recommended you talk with your
pediatrician about the results of the questionnaire as well as any concerns you may have. You
can also call our office and schedule a free screening at 815-462-4928. Often we can provide
suggestions to help you get your child’s development on track.
Please click the “View Questions” button below for an explanation of why the questions
you answered are so important.
1. While lying on his/her back, can your child pull themselves into sitting?
o
Yes
o
No
Incorrect
Important to increase core strength, begin movement in space and lead to independent sitting.
2. When laying on their back, can your child roll onto their tummy?
o
Yes
o
No
Incorrect
Stimulates the vestibular system, core strength, trunk rotation, and body awareness.
3. Can your child play while sitting?
o
Yes
o
No
Incorrect
Important for independent play, cognitive development, eye-hand coordination, and core
strength.
4. Is your child able to rock back-n-forth while on their hands/knees?
o
Yes
o
No
Incorrect
Important precursor for independent crawling, increases proprioception through hands for
increased fine motor skills.
5. While on their tummy, can your child reach with one hand to get a toy?
o
Yes
o
No
Incorrect
This is important for upper extremity strength and endurance, weight shifting, and reaching
for an object to play with independently.
6. If your child hears a loud sound, will they look around to see where it came from?
o
Yes
o
No
Incorrect
Localization of sound
7. Does your child use gestures to indicate their wants?
o
Yes
o
No
Incorrect
(e.g., reaches to be picked up or for desired item). Important for development of robust
communication skills.
8. Does your child respond to words?
o
Yes
o
No
Incorrect
For example, waves when you say “hi” or stops when you say “no”. Recognizes family
members & attends to pictures and music. Important building block for learning to follow
directions and respond within conversation.
9. Can your child eat from a spoon?
o
Yes
o
No
Incorrect
Child should be able to sit up and take bites from a spoon. Prepares child for solid-type foods
10. Can your child pick up food and bring it to their mouth?
o
Yes
o
No
Incorrect
Important in development of smaller muscles in the hand; which is needed to manipulate
smaller objects, develops hand/eye coordination, precision, and self feeding.
11. Is your child consistently babbling during the day?
o
Yes
o
No
Correct
Important for learning to combine sounds into true words. Plays speech games like Peek-aBoo, vocalize to music, beginning gestures. This new use of syllables is indicative of
emerging imitation, which is critical in the development of first words.
8-12 Months Milestones
GROSS MOTOR
 Gets to sitting position without assistance
 Gets to hands-and-knees position independently
 Crawls
 Stands holding on with support
 Pulls self to stand
 Walks holding onto furniture
 Stands momentarily without support
 Possibly walks 2 or 3 steps without support
FINE MOTOR
 Uses pincer grasp
 Puts objects into container
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Takes objects out of container
Lets go of objects voluntarily
Pokes at things with index finger
Independent wrist and finger movements
Left or right hand preference observed
Turns pages/pushes a toy car/stacks rings
LANGUAGE/ORAL MOTOR
 Pays increasing attention to spoken words of others
 Talks or “jabbers” all the time, usually with nonsensical sounds
 Responds to simple verbal requests
 Stops doing something if told “no”, but only momentarily
 Says “dada” and “mama”
 Uses exclamations such as “uh-oh”
 Tries to imitate words/indicates wants
 Cup drinking is unstable; jaw/tongue protrusion on swallow
 Some jaw separation from tongue and lip during bite
 Improved coordination to suck, swallow, and breathe (10–12 months)
PERSONAL AND SOCIAL
 Explores objects in different ways (shaking, banging, throwing, dropping)
 Finds hidden objects easily
 Looks at correct picture when the image is named
 Begins to use objects correctly (drinking from cup, brushing hair, holding phone to ear)
 Imitates gestures
 Is shy or anxious with strangers
 Cries when mom or dad leaves
 Enjoys imitating people
 Shows specific preferences for certain people and toys
 Tests parental responses to behaviors
 May be fearful in some situations
 Prefers primary caregiver over others
 Repeats sounds or gestures for attention
 Feeds self with fingers
 Extends arm or leg to help when being dressed
VISUAL
 Improved eye hand coordination; shifts focus (5–8 months)
 Looks for hidden objects; imitates faces (8–15 months)
10-12 Months Questionnaire
Results
13 of 13 questions answered correctly
You have reached 13 of 13 points, (100%)

Congratulations your child is developing skills as expected for their age! Check back during
your child’s next developmental period to ensure they stay on track.
Please click the “View Questions” button below for an explanation of why the questions
you answered are so important.
1. Can your child get into sitting from his/her back and tummy?
o
Yes
o
No
Correct
Important for independent play, moving in space, and beginning motor planning/sequence
development. Important for trunk strength, balance, upper extremity strength, vestibular and
proprioceptive input.
2. Can your child sit for several minutes on the floor without support?
o
Yes
o
No
Correct
Important for trunk control, independent play.
3. Can your child pull up into standing on a sturdy object?
o
Yes
o
No
Correct
Important to develop motor planning/sequencing, leg strength and leads to independent
standing.
4. Can your child roll in both directions?
o
Yes
o
No
Correct
Initiated by head, shoulder, or hips. Rolling is important because it’s the child’s first method
of mobility. This develops trunk rotation, and provides strengthening and vestibular input.
5. Can your child pick up a small item (Cheerio/Puff) by using their thumb and fingers?
o
Yes
o
No
Correct
Development of eye hand coordination, motor control, refinement of hand/finger skills.
6. Does your child drop objects into a container?
o
Yes
o
No
Correct
Voluntarily releases objects in a container and dumps it out-This helps develop sequencing
skills, controlled release and child exploration, and promotes bilateral coordination. This is
important for the cognitive development of object permanence, and the desire to practice
releasing objects. Cause and effect, and expands the horizons of the child’s exploration, and
promotes bilateral hand coordination.
7. Does your child feed himself/herself a cookie or cracker?
o
Yes
o
No
Correct
Motor planning needed for hand to mouth pattern.
8. Does your child imitate use of toys after demonstration?
o
Yes
o
No
Correct
This is important for attending skills, problem solving, and sequencing a simple task.
9. Does your child play “peek-a-boo” or “pat-a-cake”?
o
Yes
o
No
Correct
Baby enjoys playing early cause effect games such as “peek-a-boo” or “pat-a-cake”. Important
for learning problem solving, joint play, and imitation.
10. Does your child understand words for common objects?
o
Yes
o
No
Correct
(e.g., dog, juice, ball, mommy). Important for learning vocabulary and communication
development.
11. Does your child wave “hi” and “bye”?
o
Yes
o
No
Correct
The ability for a child to wave “hi” and “bye” gives us critical information regarding their
understanding of social communication, as well as their ability to use appropriate gestures.
12. Is your child beginning to use words? (end of 1st year)
o
Yes
o
No
Correct
For example: Mama, Dada, bye-bye, hi, doggie, ball (may be approximations of words).
Children need to first attach meaning to items, then they begin to imitate speech sounds and
attach sounds to form words for labeling items. Imitates environmental sounds, and imitates
names of familiar objects, “talks” to objects and people through longer verbal patterns. These
skills look into emerging play skills, and increase in communicative intent to more specific
needs. It is also the foundation of learning the reciprocal communication pattern. This builds
pragmatic skills as well.
13. Does your child understand simple commands or questions?
o
Yes
o
No
Correct
At this age, a child should demonstrate ability to follow simple commands such as “sit” and
“come here”, and respond to simple questions such as “more juice”. These are important
skills, which indicate age appropriate comprehension. Begins to understand simple directions
like “where”. Listens to speech for longer periods, gestures in response to verbal requests,
points to body parts. This basic knowledge facilitates body awareness and their progression of
separation from familiar family members. Evident of known strangers and potential danger.
1-2 Years Milestones
GROSS MOTOR
 Walks independently
 Pulls toys while walking
 Carries large toy or several toys while walking
 Stoops to pick item up and stands again without holding onto anything
 Can walk backwards
 Kicks a ball
 Walks up and down stairs
FINE MOTOR
 Scribbles spontaneously
 Turns over containers to put out contents
 Builds tower of 3–4 blocks (15–17 months) 6–8 blocks (18–23 months)
 Possibly uses one hand more frequently than the other
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Functional supination
Nests cups
Releases and places an object in horizontal opening (17-18 months)
Strings one bead (17–18 months); 3 beads (18–24 months)
Imitates vertical stroke (17–18 months)
Places 3 shapes into form board puzzle(18–23 months)
LANGUAGE/ORAL MOTOR
 Turns and looks when name is called
 Points to object or picture when it is named
 Waves “bye-bye” when someone is leaving, and says “bye-bye”
 Recognizes names of familiar people, objects, and body parts
 Says several single words like up and out
 Uses two word phrases such as “want drink”
 Follows simple instructions
 Repeats words overheard in conversation
 Uses objects, body gestures, and simple words to communicate
 Lip closure during chewing
 Reduced tongue extension during swallowing (16–18 months)
 Controlled bite without associated head movement (16–18 months)
 Uses tongue to clean lips (19–24 months)
 Straw drinking with lips (19–24 months)
 Chews meat completely (19–24 months)
 Transfers across midline (19–24 months)
PERSONAL AND SOCIAL
 Finds object even when hidden under two or three covers
 Can perform simple tasks or chores around the house
 Can pull off some clothing
 Begins to play make-believe
 Imitates behavior of others, especially adults and children
 Is more aware of self as separate from others; recognizes self in photos
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Is increasingly enthusiastic about the company of other children
OTHER CHARACTERISTICS
 Demonstrates increased independence
 Strives to leave caretakers to explore, but fears separation
 Begins to show defiant behavior
 Displays separation anxiety which increases towards 1½ years and fades as 2nd birthday
approaches
1-2 Years Questionnaire
From 12-15 months your toddler may be walking, crawling up stairs, and throwing a ball. He/she
may be using simple words and may use gestures to indicate wants and needs. Your toddler will
also start imitating actions they see others perform.
From 15-18 months your toddler is now walking everywhere and starting to run and climb.
He/she can turn pages in a book, use a spoon, and can drink from an open face cup. He/she is
now using 15-25 words and is following simple commands.
From 18-21 months your child is challenging their balance by climbing and standing on one foot.
Your child is starting to show a greater interest in puzzles, shape sorters, and is beginning to
form lines while drawing. Your child is using 10-50 words, use phrases, respond to yes/no
questions, and is beginning to follow 2-step commands.
From 21-24 months your child is walking up/down stairs, jumping with 2 feet, and
demonstrating ball skills such as kicking, catching, and throwing. Your child can feed himself
with a spoon and fork. He/she can remove and put on their shoes and socks. Your child’s
vocabulary is exploding and they may be using upwards of 300 words. Your child is using
pronouns and can follow 2 step command
Results
12 of 12 questions answered correctly
You have reached 12 of 12 points, (100%)

Congratulations your child is developing skills as expected for their age! Check back during
your child’s next developmental period to ensure they stay on track.
Please click the “View Questions” button below for an explanation of why the questions
you answered are so important.
1. Can your child walk for at least 8 feet independently?
o
Yes
o
No
Correct
Important for independent play/explore in home. Leads to standing ball skills.
2. Does your child lower himself to the floor with control while holding onto a piece of
furniture?
o
Yes
o
No
Correct
Develops core strength, leg strength, balance, and motor control
3. Can your child play on his/her knees (up tall) for at least 5 seconds?
o
Yes
o
No
Correct
Builds core and leg strength for independent walking. Beginning skill for transition into stand
from floor.
4. Can your child scribble with a crayon?
o
Yes
o
No
Correct
This is important for the progression of many grasps, and a precursor for the 3 finger grasp,
the use of the thumb and finger tips to hold an object. As this matures, scribbling evolves into
the handwriting skills.
5. Does your child pretend to sleep and/or eat?
o
Yes
o
No
Correct
This is important for symbolic and exploratory play. The child develops body scheme, sensory
integrative and motor skills; and also is able to formulate, test, classify and refine his/her
ideas, feelings and actions.
6. Does your child play with toys appropriately?
o
Yes
o
No
Correct
While playing with toys, a child should be using them functionally. For example, when
playing with cars, a child should drive them around a track or on the ground instead of
throwing them across the room. This is important to assure the child’s play skills are
developing appropriately.
7. Can your child pull his/her socks off?
o
Yes
o
No
Correct
This is important in developing self help skills, using 2 hands together, and body awareness,
which is needed for independence with self care.
8. Does your child point to objects?
o
Yes
o
No
Correct
Important for the development of joint engagement and relationship development.
9. Does your child share excitement/joy/objects with you?
o
Yes
o
No
Correct
Child consistently points to items, shows items, or brings items to caregiver to interact jointly
with caregiver and items. Important for the development of joint engagement and relationship
development.
10. Does your child follow simple commands such as “give me”,” point to”, etc.?
o
Yes
o
No
Correct
Important for development of understanding and interpreting language to interact
purposefully.
11. Does your child use 1-8 words?
o
Yes
o
No
Correct
By 12 months, a child should be saying his/her first words. From this point on, a child should
increasingly be saying and repeating more, which is necessary for him/her to be able to
express their wants/needs. Names one object (usually preferred) frequently; says 8-10 words
spontaneously with varying pitches during jargon-like utterances. This expression stage is
important to their ability to ask to have their needs met. First 1-6 words by 15 months.
Important building blocks necessary for child to become a verbal communicator.
12. Does your child shake his/her head no?
o
Yes
o
No
Correct
The ability to shake head and to no at this stage is important to assure the child is able to
understand what is being asked or offered, and indicate wants/needs.
2-3 Years Milestones
GROSS MOTOR MILESTONES
 Climbs well
 Runs and jumps well
 Walks up and down stairs, alternating feet
 Kicks ball forward
 Throws ball overhand
 Can balance on one foot for one to two seconds
 Pedals tricycle or Big Wheel
 Bends over easily without falling
FINE MOTOR
 Turns pages of a book one at a time
 Holds pencil in writing position
 Screws and unscrews jar lids
 Turns rotating handles
 Sorts objects by shape and color
 Completes 3–4 piece puzzles
 Makes mechanical toys work
 Cuts with scissors
 Imitates horizontal stroke (24–29 months)
 Copies circle (30–35 months)
 Traces a cross
 Builds tower of 9 blocks
 Traces square
 Catches large ball
 Uses a hammer
 Moves individual fingers
 Preferential use of one hand
LANGUAGE/ORAL MOTOR
 Follows a 2–3 part command (get the doll and bring it to me)
 Ask questions/uses pronouns (me, you) and some plurals
 Recognizes and identifies many common objects and pictures
 Matches an object in hand or room to picture in book
 Knows major body parts, can say name, age, and sex (boy or girl)
 Uses 4–5 word sentences
 Appropriate jaw grading for bite
 Total disassociation of head movement for bite
 Smooth transfer of food from side to side
 Gradual refinement of tongue movements
 Tongue-lip elevation for swallowing/internal jaw stabilization
PERSONAL AND SOCIAL
 Plays make-believe with dolls, animals, and people
 Understands concept of two
 Can wash and dry hands
 Imitates adults and peers



Spontaneously shows affection for familiar playmates
Can take turns in games
Understands concept of “mine”, “his” or “hers”
OTHER CHARACTERISTICS
 Expresses affection openly, objects to major changes in routine
 Possibly puts on some clothes that are easy to get on
 Expresses wide range of emotions - Separates easily from parents by age 3
2-3 Years Questionnaire
From 2 – 2.5 years, your child is walking up/down stairs, running, jumping, and climbing.
He/she can remove his/her clothing and can pull up their pants. Your child is using 2-3 word
phrases, can follow 2-3 sep directions, and is understandable 75% of the time to friends and
family. At this stage, your child should play alongside peers and begin pretend play.
From 2.5 – 3 years, your child continues to improve their balance and gross motor skills as they
can stand on their toes and ride a tricycle. Your child is beginning to draw a face with respective
parts and is cutting across a line. His/her speech and language skills continue to develop and they
can state their name, identify their gender, identify objects by use, and is using approximately
450 words
Results
16 of 16 questions answered correctly
You have reached 16 of 16 points, (100%)

Congratulations your child is developing skills as expected for their age! Check back during
your child’s next developmental period to ensure they stay on track.
Please click the “View Questions” button below for an explanation of why the questions
you answered are so important.
1. Can your child walk up and down at least 4 stairs without holding on?
o
Yes
o
No
Correct
Important for coordination, safety in various settings, and general leg strength and balance.
2. Does your child run well without losing their balance?
o
Yes
o
No
Correct
Important for coordination, balance, and body awareness.
3. Can your child jump up and down with 2 feet?
o
Yes
o
No
Correct
Important for motor planning, strength, and balance.
4. Can your child catch a ball tossed to them from 3-5 feet away by encircling it with their
arms/hands?
o
Yes
o
No
Correct
Important for hand-eye coordination, balance, and social play with peers.
5. Can your child imitate a vertical and horizontal line?
o
Yes
o
No
Correct
This is important for pre-writing skills, visual tracking in a vertical plane, and grasping skills.
6. Can your child cut across a line?
o
Yes
o
No
Correct
This is important for in-hand manipulation skills. Visual perceptual, cognitive and motor skill
development become more integrated. This leads to more complex cutting, as the bilateral
skills mature.
7. Can your child take off his or her clothes independently without any fasteners?
o
Yes
o
No
Correct
This is an important self care task to increase self independence and body awareness.
8. Can your child brush his/her teeth with assistance?
o
Yes
o
No
Correct
This teaches hygiene and self help skills. It’s also important for hand mouth manipulation,
which is needed in self feeding with utensils.
9. Can your child put on their coat?
o
Yes
o
No
Correct
This is important for body awareness, problem solving, and independence with self care skills.
10. Can your child pull up his/her pants?
o
Yes
o
No
Correct
This is important for body awareness, problem solving, bilateral coordination, and
independence with self care skills.
11. Does your child use 2-3 word phrases and use approximately 300 words?
o
Yes
o
No
Correct
Important for being able to engage in functional communication about his/her world.
12. Can your child follow 2-step directions and understand simple concepts of “in/on/under”,
“big/little”?
o
Yes
o
No
Correct
Important building block for being able to independently attach meaning to language and
interact accordingly.
13. Can your child imitate play sequences and play next to other children?
o
Yes
o
No
Correct
Child is beginning to imitate pretend play sequences (e.g., pretending to talk on a phone), and
will play next to other children (parallel play). Important for learning through daily activities
and for relationship development. At this age, a child should begin to play next to other
children. They do not necessarily play with the other child, but tolerate being near one another
while playing. This is a critical milestone for the development of interaction and play skills.
14. Does your child use “me” when referring to him/her?
o
Yes
o
No
Correct
A child should regularly be using “me” to refer to him/herself. This is important for the
development of verbal expression.
15. Does your child understand and answer simple questions?
o
Yes
o
No
Correct
A child should be able to understand and answer simple Wh- questions. This is an important
milestone for receptive language development.
16. Does your child use the following speech sounds: m, n, p, b, t, d, h, w and ‘ng’, k, g are
emerging?
o
Yes
o
No
Correct
Speech is 75% understandable to family and friends. Important for use of intelligible speech.
3-4 Years Milestones
GROSS MOTOR
 Hops on one foot and can balance on one foot for 3–4 seconds
 Goes upstairs and downstairs without holding on


Catches bounced ball most of the time
Moves forward and backward with agility
FINE MOTOR
 Draws a person with 2–4 body parts
 Uses scissors and cuts on a line
 Copies a cross (36–41 months)
 Copies a square (42–47 months)
 Prints some letters
 Colors with direction
 Builds a tower of 10 blocks
 Cuts out a circle (42–47 months)
 Ties a knot
LANGUAGE
 Understands the concepts of “same” and “different”
 Correctly names some colors
 Understands the concept for counting and possibly knows a few numbers
 Recalls some details from a story
 Speaks in sentences of five words or more
 Speaks clearly enough for strangers to understand
 Tells stories
PERSONAL AND SOCIAL
 Begins to have clearer sense of time
 Engages in imaginative play
 Is interested in new experiences
 Cooperates with other children
 Plays Mom or Dad (acts out family roles in play)
 Dresses and undresses self/negotiates solutions to conflicts
OTHER CHARACTERISTICS
 Imagines that many unfamiliar images may be “monsters”
 Views self as whole person involving body, mind, and feelings
 Possibly has trouble distinguishing between fantasy and reality
3-4 Years Questionnaire
Your child is running, climbing, and going up rungs to go down a slide. Your child can kick a
ball using opposite arm/leg movements. Your child is showing a hand preference, can form lines
and circles, and can button. Your child is understandable 90% of the time while using 4-5 word
sentences. Your child is sharing stories and experiences and is beginning to understand emotions.
Results
13 of 17 questions answered correctly
You have reached 13 of 17 points, (76.47%)

Development occurs along a continuum and children can vary in their development. We
encourage you to go back to the developmental stage prior to where your child is currently.
Complete the questionnaire from that developmental stage and see how they perform. If your
child obtains a score of 80% from that developmental stage, no further steps are needed. If
your child performs below 80% on that questionnaire, it is recommended you talk with your
pediatrician about the results of the questionnaire as well as any concerns you may have. You
can also call our office and schedule a free screening at 815-462-4928. Often we can provide
suggestions to help you get your child’s development on track.
Please click the “View Questions” button below for an explanation of why the questions
you answered are so important.
1. Can your child form lines, a circle, and a cross?
o
Yes
o
No
Incorrect
These skills are necessary for pre-writing, writing readiness, and spatial awareness.
2. Can your child walk up and down 4 stairs with one foot on each step?
o
Yes
o
No
Correct
Important for balance, strength, coordination, and being able to reach things overhead.
3. Can your child climb up rungs to go down a slide?
o
Yes
o
No
Correct
Important for planning, balance, and coordination.
4. Can your child stand on one foot for at least a few seconds without holding on?
o
Yes
o
No
Correct
Important for balance and core strength.
5. Can your child jump forward with two feet for at least 6 inches?
o
Yes
o
No
Incorrect
Important for coordination, balance, timing and sequencing of movement.
6. Can your child walk on their tip toes for 3-5 feet?
o
Yes
o
No
Correct
Important for safety within home, school and playground. Important for eye-foot coordination
and strength.
7. Can your child kick a ball forward using opposite arm/leg motion?
o
Yes
o
No
Incorrect
Important for balance, strength, peer interaction and eye-foot coordination.
8. Can your child string small beads?
o
Yes
o
No
Incorrect
This is important for development of fine and visual motor skills. This also encourages using
both hands together at the same time, which is needed for complex fine motor tasks.
9. Can your child complete simple puzzles?
o
Yes
o
No
Correct
This is important for cognition, visual perceptual, matching, memory, eye-hand coordination,
spatial awareness, and problem solving skills. Puzzles give children an understanding of
certain themes such as animals, vehicles and the alphabet.
10. Does your child hold a pencil/crayon with their thumb, index finger, and middle finger?
o
Yes
o
No
Correct
The child demonstrates a hand preference at age 4. At this stage, the intrinsic muscles of the
hand move the pencil, which produces more fluidity when writing.
11. Can your child point to several body parts?
o
Yes
o
No
Correct
Important for body awareness and understanding the relationship between body parts.
12. Can your child button buttons?
o
Yes
o
No
Correct
This is important for eye-hand coordination for manipulating fasteners, in hand manipulation
skills and the knowledge of using both sides of the body together for independent dressing.
13. Is your child’s speech 90% understandable while using 4-5 word sentences?
o
Yes
o
No
Correct
By the age of 3, a child should be combining 3-4 words during play to spontaneously form
short sentences. This is an age appropriate skill for verbal expression. By the age of 4, a
child’s utterances should be 4-5 words. By 4 years, a child is using approximately 1000 words,
and speech is 90% understandable within several 4-5 word sentences.
14. Does your child understand the concepts on, off, in/out, and one, some/all, rest, and few?
o
Yes
o
No
Correct
A child should be able to understand directions containing these concepts. This is important to
assure a child is able to follow commands and understands these concepts.
15. Can your child follow 3 step commands?
o
Yes
o
No
Correct
By 4 years, a child is able to follow 3-step commands (including quantity, number, location,
and time concepts) and can recall details to retell a short story. Important for development of
short term memory and processing of language.
16. Can your child retell a story?
o
Yes
o
No
Correct
Important for development of short term memory and processing of language.
17. Does your child understand others feelings and respond appropriately?
o
Yes
o
No
Correct
Child is less self-focused and more aware of others feelings. Important for development of
empathy and relationship development.
4-5 Years Questionnaire
4-5 Years Milestones
GROSS MOTOR
 Balances on one foot for five seconds or longer
 Jumps forward with feet together
 Performs a somersault (forward roll)
 Swings and climbs
 Possibly skips
FINE MOTOR
 Draws a person with body parts (about 7 parts)
 Dresses and undresses without assistance
 Uses a fork, a spoon, and sometimes a table knife
 Usually cares for own toilet needs
 Snaps fingers
 Copies diagonal strokes



Colors within the lines
Dynamic tripod improved and used consistently
Builds gate as demonstrated with blocks
LANGUAGE
 Speaks sentences of more than 5 words
 Uses future tense
 Tells long stories with details
 Says address
 Names at least four colors
 Says what to do when a person is tired, hungry, or cold
PERSONAL AND SOCIAL
 Asks a lot of questions
 Can count five or more objects
 Better understands the concept of time
 Knows about things used every day in the home
 Plays board games and card games
 Wants to please friends and be similar to friends
 Is more willing to agree to the rules
 Likes to sing, dance, and act
 Shows more independence
OTHER CHARACTERISTICS AND BEHAVIORS TO EXPECT
 Is aware of gender differences — knows boy from girl
 Is able to distinguish fantasy from reality
 Is sometimes stubborn, demanding and very cooperative
Questionnaire
Your child is now riding a bike with training wheels, jumping over objects, and galloping.
He/she is able to cut simple shapes, dress and undress independently. Your child should be using
5-6 word sentences, name at least 4 colors, count 10 objects, use pronouns, take turns and stay on
topic during conversations.
Results
14 of 16 questions answered correctly
You have reached 14 of 16 points, (87.5%)

Congratulations your child is developing skills as expected for their age! Check back during
your child’s next developmental period to ensure they stay on track.
Please click the “View Questions” button below for an explanation of why the questions
you answered are so important.
1. Can your child perform 1-2 sit-ups?
o
Yes
o
No
Correct
Important for strength, sitting balance, speech production, and endurance.
2. Can your child jump over a 12 inch object using two feet at the same time?
o
Yes
o
No
Correct
Important for coordination, balance and motor planning.
3. Can your child throw a ball overhand for 5′ and hit a target while using opposite arm/leg
movements?
o
Yes
o
No
Correct
Important for strength, eye-foot and eye-hand coordination, balance and peer interaction.
4. Can your child stand on one foot for at least 9 seconds?
o
Yes
o
No
Correct
Important for balance and core strength.
5. Can your child gallop?
o
Yes
o
No
Correct
Important for coordination, planning, and sequencing of movements.
6. Can your child pedal a tricycle or bike with training wheels?
o
Yes
o
No
Correct
Important for coordination, planning, sequencing of movements, and balance.
7. Can your child dress and undress?
o
Yes
o
No
Correct
Important for motor planning, problem solving, body awareness, and bilateral coordination.
8. Can your child cut out simple shapes such as a circle, square, and triangle?
o
Yes
o
No
Incorrect
This is an important skill that encourages bilateral integration (use of both hands working
together doing 2 different things) and hand eye coordination. This is important for the
development of the child’s cognitive skills and motor skills. By age 4, the child is able to hold
both forearms in midposition for cutting. In hand manipulation, eye-hand coordination, and
rotating the paper with the non cutting hand is needed to accomplish this type of cutting.
9. Can your child form a vertical line, horizontal line, circle, cross (4 yrs), square( 4.5 yrs), and
X (5 yrs)?
o
Yes
o
No
Correct
Important for the development of visual-motor integration, spatial awareness, and readiness
for writing.
10. Is your child’s speech understandable at least 90% of the time?
o
Yes
o
No
Correct
By age 5, speech is completely intelligible and child is able to produce all speech sounds
(though r and l may still be developing) within 5-6 word sentences. Important for being able to
functionally communicate clearly.
11. Does your child use full sentences when speaking?
o
Yes
o
No
Correct
By the age of 5, a child should be able to speak using complete sentences during spontaneous
conversation. A child’s language should be growing rapidly at this age.
12. Can your child name at least 4 colors and 3 shapes?
o
Yes
o
No
Correct Important for developing visual discrimination skills.
13. Can your child count at least 10 objects?
o
Yes
o
No
Correct
Child understand 1:1 correspondence and can count sequentially.
14. Does your child use pronouns such as he, she, me, I, her, him, we?
o
Yes
o
No
Correct
By the age of 4, a child should be able to use all pronouns accurately. This is important to make
sure their grammar skills are developing appropriately.
15. Can your child follow 3-step directions and retell a story from memory?
o
Yes
o
No
Incorrect
Child can readily follow 3-step directions, retell stories from memory, and can sequence 3-step
picture sequences. Child also demonstrates solid understanding of time concepts (e.g., night,
yesterday) and spatial concepts (e.g, behind, next to).
16. Does your child take turns and stay on topic during a conversation?
o
Yes
o
No
Correct
Child is able to take turns and maintain a conversation topic for multiple conversation
exchanges. Important for development of social skills within conversation.