April 19, 20217-8 Months – Developmental Questionnaire This quiz should take a maximum of 5 minutes. The final question will allow you to add comments for any questions you have not discussed or covered in the quiz. Depending on the child’s age within the range, answering “NO” isn’t necessarily a cause for concern. The difference between a 2 week old and a 2-month-old is significant. With that in mind, we will ask about your child's birthday and have a specialist look over your responses. We are happy to reach out to you if there's anything we see that the computer may have overlooked. First Name Last Name Zip Code Your Email Phone Number w/ Area Code Child's Age (e.g. 7.5 months) [Physical Developmental Skills] My child is able to army crawl forward. Yes No [Physical Developmental Skills] My child can get on their hands and knees. Yes No [Physical Developmental Skills] My child can rock on their hands and knees. Yes No [Physical Developmental Skills] My child sits independently and can play using his/her hands. Yes No 1 out of 3 [Occupational Developmental Skills] My child can hold 1 object in each hand at the same time. Yes No [Occupational Developmental Skills] My child can hit two objects together while holding them. Yes No [Occupational Developmental Skills] My child enjoys noisy toys. Yes No [Occupational Developmental Skills] My child enjoys peek-a-boo. Yes No [Occupational Developmental Skills] My child can clap. Yes No [Occupational Developmental Skills] My child can hold their bottle independently. Yes No [Occupational Developmental Skills] My child understands the word "NO". Yes No [Occupational Developmental Skills] My child makes noises including crying for attention. Yes No [Occupational Developmental Skills] My child can imitate hand and arm motions. Yes No 2 out of 3 [Speech Developmental Skills] My child can follow sounds by turning their head. Yes No [Speech Developmental Skills] My child shows interest when I'm talking to them. Yes No [Speech Developmental Skills] My child vocalizes to get attention. Yes No [Speech Developmental Skills] My child might point or use gestures to communicate. Yes No [Speech Developmental Skills] My child imitates a variety of sounds and noises. Yes No 3 out of 3 Please fill in the comment box below. Time's up
