Is my child achieving milestones of language development?

INSTRUCTIONS—Read each question through your child’s age group and check yes or no. Add the total and see below.

    All Yes: Your child is developing hearing, speech, & language in the typical way.
    1–2 No: Your child may have delayed hearing, speech & language development. Seek professional advice if you are unsure.
    3 or more No: Ask for a referral to an audiologist or speech-language pathologist.

Check One

Check One

YES

NO

Hearing &
Understanding

Child's Age

Talking

YES

NO

Startles to loud sounds

Birth
to
3 Mos

Makes pleasure sounds (cooing, gooing).

Smiles when spoken to.

Cries differently for different needs.

Seems to recognize your voice and quiets if crying.

Smiles when she sees you.

Increases or decreases sucking behavior in response to sound.

Moves eyes in direction of sounds.

4-6 Mos

Babbling sounds more speech-like with many different sounds, including p, b, and m.

Responds to changes in tone of your voice.

Vocalizes excitement and displeasure.

Notices toys that make sounds.

Makes gurgling sounds when left alone and when playing with you.

Pays attention to music.

Enjoys games like peek-a-boo and pat-a-cake.

7 Mos
to
1
Yr

Babbling has both long and short groups of sounds such as "taa upup bibibibi."

Turns and looks in direction of sounds.

Uses speech or non-crying sounds to get and keep attention.

Listens when spoken to.

Imitates different speech sounds.

Recognizes words for common items like"cup," "shoe," and "juice."

Has 1 or 2 words ("bye-bye," "dada," "mama," "no") although they may not be clear.

Begins to respond to requests.

Points to pictures in a book when named.

1–2
Yrs

Says more words every month.

Points to a few body parts when asked.

Uses some 1-2 word questions ("Where kitty?" "Go bye-bye?" "What's that?").

Follows simple commands and understands simple questions ("Roll the ball," "Kiss the baby," "Where's your shoe?").

Puts 2 words together ("more cookie," "no juice," "mommy book").

Listens to simple stories, songs, and rhymes.

Uses many different consonant sounds at the beginning of words.

Understands differences in meaning ("go-stop," "in-on," "big-little," "up-down."

2-3
Yrs

Has a word for almost everything.

Follows two requests ("Get the book and put it on the table").

Uses 2-3 word "sentences" to talk about and ask for things.

Speech is understood by familiar listeners most of the time.

Often asks for or directs attention to objects by naming them.

Hears you when you call from another room.

3-4
Yrs

Talks about activities at school or at friends' homes.

Hears television or radio at the same loudness level as other family members.

Usually talks easily without repeating syllables or words.

Understands simple "who?," "what?," "where?" questions.

People outside family usually understand child's speech.

Uses a lot of sentences that have 4 or more words.

Pays attention to a short story and answers simple questions about it.

4-5
Yrs

Voice sounds clear like other children's.

Hears and understands most of what is said at home and in school.

Uses sentences that give lots of details (e.g., "i like to read my books").

Tells stories that stick to topic.

Communicates easily with other children and adults.

Says most sounds correctly except a few, like l,s,r,v,z,j, ch, sh, th.

Uses adult-like grammar.

(Adapted with permission from the brochure How Does Your Child Hear and Talk? © American Speech-Language-Hearing Association.)

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