Developmental Checklist For Three To Four Years Of Age
How do I know when I should consider therapy for my child? Please use the Developmental Checklist For Three To Four Years of age.
When you review the Developmental Checklist For Three To Four Years of age below, one or two concerns should not cause alarm. Because it is important to look at your child’s overall tendencies and clusters of behavior. Then if your child has difficulty with three or more examples listed in a category, print a copy of the list, check your concerns.
Because where more than a few concerns are found in a child. Then we recommend you speak with your primary care physician [PCP]. Since it is important to have a discussion about whether to obtain a referral for an assessment by Speech Language Therapy or Occupational Therapy. Because the referral should be for a Speech language Therapist and / or Occupational Therapist professional, which is experienced with working in child development.
Developmental Checklist For Three to Four Years Of Age
Attention and Behavior: Does your child…
Yes __ No__ Have difficulty organizing toys or materials?
Yes __ No__ Need more verbal cues to complete age appropriate tasks than others?
Yes __ No__ Have a short attention span?
Yes __ No__ Have difficulty transitioning from one task to another?
Yes __ No__ Demonstrate aggressive or impulsive behavior?
Yes __ No__ Become frustrated easily?
Yes __ No__ Have difficulty expressing needs or wants?
Yes __ No__ Dislike puzzles or building with blocks
Auditory: Does your child…
Yes __ No__ Seem distracted by sounds, especially those that others don’t seem to notice?
Yes __ No__ Seem overly sensitive to mildly loud noises?
Yes __ No__ Have a history of repeated ear infections?
Yes __ No__ Have a delay in speech development?
Yes __ No__ Hum, sing, or chatter to themselves during independent play or quiet times?
Yes __ No__ Have difficulty paying attention or listening to simple instructions?
Yes __ No__ Appear to have difficulty determining the location of sounds?
Yes __ No__ Appear easily distracted by sounds that seem to go unnoticed by others?
Fine Motor: Does your child…
Yes __ No__ Hold utensils awkwardly or with difficulty, or frequently drop utensils (i.e. spoon, crayon)?
Yes __ No__ Avoid crossing mid-line?
Yes __ No__ Frequently switch hands during craft activities or when eating?
Yes __ No__ Have difficulty manipulating objects that require the use of two hands?
Yes __ No__ Move their tongue or mouth excessively when working with their hands?
Yes __ No__ Grasp items too loose or too tight for the task?
Yes __ No__ Dislike coloring, cutting, or drawing?
Developmental Checklist For Three to Four Years Of Age
Gross Motor: Does your child…
Yes __ No__ Appear clumsy or accident prone (frequently falls, trips, bumps into things, seems off balance)?
Yes __ No__ Tire easily?
Yes __ No__ Have difficulty learning new motor patterns (i.e. peddling feet to ride a tricycle)?
Yes __ No__ Have an awkward walking or running pattern?
Yes __ No__ Have poor posture?
Yes __ No__ Appear to be loose or floppy (low muscle tone)?
Yes __ No__ Have trouble catching or throwing different sized balls?
Yes __ No__ Have trouble sitting still; appears fidgety?
Yes __ No__ Avoid or appear reluctant to participate in physical activities (i.e. sports)?
Yes __ No__ Have difficulty jumping or hopping on one leg?
Yes __ No__ Balancing on one leg?
Yes __ No__ Ascending/descending stairs without a rail?
Oral Motor: Does your child…
Yes __ No__ Tend to be a picky eater or react adversely to common foods?
Yes __ No__ Gag or become distressed when smelling or presented with certain foods?
Yes __ No__ Have difficulty coordinating chewing and swallowing, or a suck/swallow/breath pattern?
Yes __ No__ Drool (past the age of 2)?
Yes __ No__ Over stuff food into their mouth?
Yes __ No__ Tend to crave certain foods?
Yes __ No__ Inappropriately put non-food items into their mouth?
Social and Emotional: Does your child…
Yes __ No__ Have difficulty socializing with others?
Yes __ No__ Prefer to play alone; has difficulty with peers?
Yes __ No__ Have difficulty remaining in group situations?
Yes __ No__ Easily get frustrated or upset, and takes an unusually long amount of time to calm down?
Yes __ No__ Have frequent outbursts or meltdowns?
Yes __ No__ Have difficulty going to new places in the community?
Yes __ No__ Have difficulty with sharing?
Speech and Language: Does your child…
Yes __ No__ Have speech that is difficult to understand?
Yes __ No__ Have difficulty answering or responding to simple questions?
Yes __ No__ Rarely carry on a conversation?
Yes __ No__ Appear not to hear when their name is called upon?
Yes __ No__ Infrequently make eye contact with peers and adults?
Yes __ No__ Use nonverbal gestures instead of words?
Yes __ No__ Appear lost or disinterested when someone is talking to them?
Yes __ No__ Have difficulty saying words that others can understand?
Developmental Checklist For Three to Four Years Of Age
Tactile: Does your child…
Yes __ No__ Over or under react to pain compared to peers, or seem unaware of cuts or bruises?
Yes __ No__ Avoid or crave messy activities more than other children?
Yes __ No__ Appear sensitive to certain textures or fabrics?
Yes __ No__ Dislike being touched?
Yes __ No__ Seek out rough play with peers, frequently crashing or bumping?
Yes __ No__ Appear unaware of the personal space of others?
Yes __ No__ Appear unaware of food on their face or of a runny nose?
Yes __ No__ Avoid or crave going barefoot?
Yes __ No__ Have difficulty with or not seem to notice temperature changes (i.e. seasons, going inside)?
Yes __ No__ Avoid small toys or manipulatives?
Yes __ No__ Frequently drop or have too loose of a grasp on feeding utensils or crayons?
Vestibular: Does your child…
Yes __ No__ Fall frequently?
Yes __ No__ Have poor balance in everyday tasks?
Yes __ No__ Get car or motion sickness easily?
Yes __ No__ Fear or seek out swinging, sliding, stairs, or other activities requiring balance?
Yes __ No__ Get dizzy easily?
Yes __ No__ Never seem to get dizzy?
Yes __ No__ Enjoy twirling, spinning, or rocking more than other children?
Yes __ No__ Have poor endurance for standing or sitting, or needs movement to sustain these tasks?
Yes __ No__ Seem to dislike being picked up or touched more than other children?
Visual: Does your child…
Yes __ No__ Have difficulty discriminating or recognizing items as same or different?
Yes __ No__ Have difficulty following a moving object (i.e. ball)?
Yes __ No__ Having difficulty keeping their gaze on still objects?
Yes __ No__ Appear sensitive to light, preferring dark or dim lighting?
Yes __ No__ Have a diagnosed visual problem?
Yes __ No__ Become excited watching certain types of visual stimuli?
Yes __ No__ Hold books or toys too close to their face or eyes?
Yes __ No__ Leave more space uncolored or add less detail to a picture than peers?
Yes __ No__ Often look at items out of the corner of their eye or tilt their head?