First 3 months Development
- Becomes startled at loud noises
- Is soothed by calm, gentle voices
- Likes to cuddle and enjoys being held
- Cries, gurgles, grunts, says "ah"
- Has strong muscles in cheeks and tongue
- Shows no reaction to sound
4-6 months Development
- Tries to "talk" to you
- Enjoys interacting with you and smiles at you
- Establishes eye contact with mother
- Watches your face with interest when you talk
- Coos and squeals for attention
- Has a special cry when hungry
- Laughs during play
- Repeats some sounds often
- Are any of the above behaviors absent?
6-12 months Development
- Babbles using a variety of sounds (i.e., baba, dada, nana)
- Begins to use jargon (babbling that sounds like real talking)
- Uses speech intentionally for the first time
- Uses gestures to communicate (waving bye, pointing)
- Tries to sing along with radio or TV
- Laughs and may imitate cough
- Understands some common words when used with gestures (i.e., "bye-bye", "up", "give me" and own name)
- Responds to own name
- Understands "no"
- Recognizes words for common objects
- Are you concerned about your child's responsiveness or babbling?
- Does your child have recurrent ear infections?
12-18 months Development
- Uses 3-10 words, primarily nouns
- Expresses wants by using gestures and vocalizations
- Nods "yes" and shakes head for "no"
- Understands simple questions/statements (i.e., "Where is your nose?", "Give me...")
- Recognizes pictures of familiar persons
- Enjoys rhythm and likes to "dance" to music
- Plays by him/herself
- Does you child not talk at all?
- Is your child sociable?
18-24 months Development
- Says some 2 word sentences such as "more milk", "all gone", "me go"
- Asks for a cookie or toy
- Pronouns emerge (i.e., me, mine)
- Asks questions (i.e., "go bye-bye?" "Where mommy?")
- Uses 50-100+ words
- Understands "where is mommy/daddy?"
- Understands more words than can speak/say
- Understands 300+ words
- Enjoys listening to stories
- Follows two-step commands (e.g., "Get the ball and put it on the table.")
- Knows 5 body parts
- Speech is understood 25-50% of the time
- Does your child use more gestures than words?
- Are you concerned about your child's ability to talk and/or understand?
2-3 years Development
- Combines words in 3-4 word sentences (e.g., "Me do it.")
- Uses 200-300 words
- Uses action verbs (e.g., "go")
- Answers simple questions (i.e., What's your name?', "Which one is the big doll?")
- Can put a toy "in", "on", "under" when asked
- Answers simple questions about objects (e.g., "Which one do we eat with?")
- Understand 500-900 words
- Understands concepts such as one/all, on/off, big/little
- Speech is understood 50-70% of the time
- Uses consonants (p, b, m, n, h, w) correctly
- Does your child show frustration when trying to talk?
- Do you have difficulty understanding your child's speech?
- Does your child put 2 words together?
3-4 years Development
- Tells first and last name
- Tells a short story (e.g., two kids played blocks)
- Gives directions such as "Fix this for me."
- Asks many questions (i.e., "what", "where", "why")
- Expresses feelings (i.e., happy, sad)
- Consistently uses plurals, possessives, verbs
- Understands questions about a picture story (e.g., "Where did the dog go?")
- Understands 800-1500 words
- Follows 3-step directions
- Plays in groups
- Speech sounds are 80% intelligible
- Is your child's speech difficult to understand?
- Are your child's speech skills not at age level described?
4-5 years Development
- Describes objects and events
- Can show you "top", "bottom", and several colors
- Uses 1,000- 2,000 words
- Communicates easily with peers and adults
- Uses 8-10 word sentences
- Uses grammatically correct sentences
- Understands 2,800 words
- Answers questions regarding object functions (e.g., "What do you do with a spoon?")
- Answers complex "wh" questions
- Demonstrates complex role plays
- Shows interest in group activity
- Plays simple games
- Does your child use complete sentences?
- Does your child stutter?
- Does your child not seem to be able to follow directions?
5-6 years Development
- Vocabulary of approximately 2,000-3,000 words
- Uses almost all adult forms and structures, with occasional errors
- Tells stories, asks questions, exchanges information
- Tells imaginative tales and familiar stories
- Can answer telephone and carry on logical conversations