Question 1 of 24 Emotion and Eye Gaze Do you know when your child is happy and when your child is upset? Not Yet Sometimes Often Next Question 2 of 24 Emotion and Eye Gaze When your child plays with toys, does he/she look at you to see if you are watching? Not Yet Sometimes Often Previous Next Question 3 of 24 Emotion and Eye Gaze Does your child smile or laugh while looking at you? Not Yet Sometimes Often Previous Next Question 4 of 24 Emotion and Eye Gaze When you look at and point to a toy across the room, does your child look at it? Not Yet Sometimes Often Previous Next Question 5 of 24 Communication Does your child let you know that he/she needs help or wants an object out of reach? Not Yet Sometimes Often Previous Next Question 6 of 24 Communication When you are not paying attention to your child, does he/she try to get your attention? Not Yet Sometimes Often Previous Next Question 7 of 24 Communication Does your child do things just to get you to laugh? Not Yet Sometimes Often Previous Next Question 8 of 24 Communication Does your child try to get you to notice interesting objects just to get you to look at the objects, not to get you to do anything with them? Not Yet Sometimes Often Previous Next Question 9 of 24 Gestures Does your child pick up objects and give them to you? Not Yet Sometimes Often Previous Next Question 10 of 24 Gestures Does your child show objects to you without giving you the object? Not Yet Sometimes Often Previous Next Question 11 of 24 Gestures Does your child wave to greet people? Not Yet Sometimes Often Previous Next Question 12 of 24 Gestures Does your child point to objects? Not Yet Sometimes Often Previous Next Question 13 of 24 Gestures Does your child nod his/her head to indicate yes? Not Yet Sometimes Often Previous Next Question 14 of 24 Sounds Does your child use sounds or words to get attention or help? Not Yet Sometimes Often Previous Next Question 15 of 24 Sounds Does your child string sounds together, such as uh oh, mama, gaga, bye bye, dada? Not Yet Sometimes Often Previous Next Question 16 of 24 Sounds About how many of the following consonant sounds does your child use: ma, na, ba, da, ga, wa, la, ya, sa, sha? None 1-2 3-4 5-8 Over 8 Previous Next Question 17 of 24 Words About how many different words does your child use meaningfully that you recognize? None 1-3 4-10 11-30 Over 30 Previous Next Question 18 of 24 Words Does your child put two words together (for example, more cookie, bye bye Daddy)? Not Yet Sometimes Often Previous Next Question 19 of 24 Understanding When you call your child's name, does he/she respond by looking or turning toward you? Not Yet Sometimes Often Previous Next Question 20 of 24 Understanding About how many different words or phrases does your child understand without gestures? None 1-3 4-10 11-30 Over 30 Previous Next Question 21 of 24 Object Use Does your child show interest in playing with a variety of objects? Not Yet Sometimes Often Previous Next Question 22 of 24 Object Use About how many of the following objects does your child use appropriately: cup, bottle, bowl, spoon, comb or brush, toothbrush, washcloth, ball, toy vehicle, toy telephone? None 1-2 3-4 5-8 Over 8 Previous Next Question 23 of 24 Object Use About how many blocks (or rings) does your child stack? None 2 blocks 3-4 blocks 5 or more Previous Next Question 24 of 24 Object Use Does your child pretend to play with toys (for example, feed a stuffed animal, put a doll to sleep, put an animal figure in a vehicle)? Not Yet Sometimes Often Previous Generate Report
Question 1 of 24 Emotion and Eye Gaze Do you know when your child is happy and when your child is upset? Not Yet Sometimes Often Next Question 2 of 24 Emotion and Eye Gaze When your child plays with toys, does he/she look at you to see if you are watching? Not Yet Sometimes Often Previous Next Question 3 of 24 Emotion and Eye Gaze Does your child smile or laugh while looking at you? Not Yet Sometimes Often Previous Next Question 4 of 24 Emotion and Eye Gaze When you look at and point to a toy across the room, does your child look at it? Not Yet Sometimes Often Previous Next Question 5 of 24 Communication Does your child let you know that he/she needs help or wants an object out of reach? Not Yet Sometimes Often Previous Next Question 6 of 24 Communication When you are not paying attention to your child, does he/she try to get your attention? Not Yet Sometimes Often Previous Next Question 7 of 24 Communication Does your child do things just to get you to laugh? Not Yet Sometimes Often Previous Next Question 8 of 24 Communication Does your child try to get you to notice interesting objects just to get you to look at the objects, not to get you to do anything with them? Not Yet Sometimes Often Previous Next Question 9 of 24 Gestures Does your child pick up objects and give them to you? Not Yet Sometimes Often Previous Next Question 10 of 24 Gestures Does your child show objects to you without giving you the object? Not Yet Sometimes Often Previous Next Question 11 of 24 Gestures Does your child wave to greet people? Not Yet Sometimes Often Previous Next Question 12 of 24 Gestures Does your child point to objects? Not Yet Sometimes Often Previous Next Question 13 of 24 Gestures Does your child nod his/her head to indicate yes? Not Yet Sometimes Often Previous Next Question 14 of 24 Sounds Does your child use sounds or words to get attention or help? Not Yet Sometimes Often Previous Next Question 15 of 24 Sounds Does your child string sounds together, such as uh oh, mama, gaga, bye bye, dada? Not Yet Sometimes Often Previous Next Question 16 of 24 Sounds About how many of the following consonant sounds does your child use: ma, na, ba, da, ga, wa, la, ya, sa, sha? None 1-2 3-4 5-8 Over 8 Previous Next Question 17 of 24 Words About how many different words does your child use meaningfully that you recognize? None 1-3 4-10 11-30 Over 30 Previous Next Question 18 of 24 Words Does your child put two words together (for example, more cookie, bye bye Daddy)? Not Yet Sometimes Often Previous Next Question 19 of 24 Understanding When you call your child's name, does he/she respond by looking or turning toward you? Not Yet Sometimes Often Previous Next Question 20 of 24 Understanding About how many different words or phrases does your child understand without gestures? None 1-3 4-10 11-30 Over 30 Previous Next Question 21 of 24 Object Use Does your child show interest in playing with a variety of objects? Not Yet Sometimes Often Previous Next Question 22 of 24 Object Use About how many of the following objects does your child use appropriately: cup, bottle, bowl, spoon, comb or brush, toothbrush, washcloth, ball, toy vehicle, toy telephone? None 1-2 3-4 5-8 Over 8 Previous Next Question 23 of 24 Object Use About how many blocks (or rings) does your child stack? None 2 blocks 3-4 blocks 5 or more Previous Next Question 24 of 24 Object Use Does your child pretend to play with toys (for example, feed a stuffed animal, put a doll to sleep, put an animal figure in a vehicle)? Not Yet Sometimes Often Previous Generate Report