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Developmental Checklist (36-48 months)
Leave This Blank:
Child's date of birth
Diagnosis, if any
Full term/Preemie (how many weeks)
Check the box next to the skills your child has mastered.
Hops and stands on one foot up to 5 seconds.
Goes upstairs and downstairs without support.
Kicks a ball forward.
Throws a ball overhand.
Catches a bounced ball most of the time.
Copies square shapes.
Draws a person with 2-4 body parts.
Draws circle and squares.
Begins to copy some capital letters.
understands the concept of same and different.
Speaks in sentences 5-6 words long.
Uses pronouns (I, you, me, we, they).
Speaks clearly enough for strangers to understand.
Tells stories to adults.
Correctly names 2-3 colors.
Understands the concept of counting and may know a few numbers.
Begins to have clearer sense of time.
Follows three part commands.
Recalls facts from a simple story.
Engages in pretend activities.
Knows that they cause things to happen.
Can feed self with a spoon without spilling.
Washes/dries hand and face.
Can do simple household chores such as set the table.
Can put simple clothing on with help for buttons, zippers and shoelaces.
Can brush or comb through own hair.
Interested in new experiences.
Cooperates/plays with other childrlen
Plays 'mom' and 'dad.'
Can stay on topic during a conversation.
Plays simple games with simple rules.
Begins to share toys.
Often cannot distinguish between pretend and reality.
May have imaginary friends or see monsters.
Please contact me for follow up:
Regardless if there is a concern or not
Only if there is a concern.
The best way to reach me is
By phone (listed above)
By email (listed above)
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