| Cognitive: |
Yes |
No |
| 1. Finds hidden or partially hidden objects |
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| 2. Touches different textures such as paper, grass, food and doesn't mind being messy |
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| 3. Brings feet to the mouth |
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| 4. Plays peek a boo |
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| 5. Plays with a single toy 2-4 minutes |
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| 6. Tracks object horizontally and vertically |
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| 7. Looks at familiar people when named |
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| 8. Takes two, then three objects when offered |
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| 9. Looks for familiar voices and sounds or words |
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| 10. Looks at a picture book |
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| Speech: |
Yes |
No |
| 11. Shouts for attention |
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| 12. Babbles to people |
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| 13. Reacts to music |
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| 14. Waves or responds to greetings such as hi and bye |
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| 15. Baba sounds |
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| 16. Plays interactively with games like peek a boo with a small towel or hands |
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| Gross Motor: |
Yes |
No |
| 17. Sits with support or independently |
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| 18. Rolls back to side or belly |
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| 19. Bears some, or all weight on legs |
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| 20. Lifts head when lying on the back |
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| 21. Stands holding on |
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| 22. Beginning to crawl forward |
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| Fine Motor: |
Yes |
No |
| 23. Grasp object with palm of hand |
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| 24. Builds a tower with 2 blocks, starting to understand balance |
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| 25. Puts objects in a container |
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| 26. Picks up objects using thumb and pointer finger together |
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| 27. Bangs objects on a table |
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| 28. Crumple up paper |
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| Social/Emotional: |
Yes |
No |
| 29. Lifts arms to caregivers |
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| 30. Cooperates in games such as pat a cake or peek a boo |
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| 31. Explores environment enthusiastically |
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| 32. Shows others toys or objects, but not releasing |
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| 33. Smiles at mirror image |
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| Self Help: |
Yes |
No |
| 34. Sleeps nights 8-12 hours, may awaken for feedings |
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| 35. Naps 2-3 times per day, lasting 1-4 hours each time |
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| 36. Holds food source, such as a bottle or cup |
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| 37. Munches on solid foods, can finger feed self |
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| 38. Drinks from an open cup held for them |
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