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Developmental Screening

Children's Clinic recognizes the importance of early detection and intervention in treating developmental delays. Based on recommendations from the American Academy of Pediatrics (AAP) we include developmental screening tools for all well child checkups for children 9 months of age through 24 months of age.

Children's Clinic uses Ages and Stages Questionnaires (ASQ) at the 9, 12 and 24 month well child checkups to identify children who would benefit from a more comprehensive developmental evaluation. You will be asked to complete these questionnaires before seeing the physician so please come a few minutes early to these appointments if possible. Due to the publisher's licensing restrictions, we are unable to post the questionnaires on our website; however, we have posted information about the ASQ-3 system as well as a sample of questions for each age level.

9 Months

  • If you ask your baby to, does he play at least one nursery game even if you don't show him the activity yourself ("bye-bye", "peek-a-boo", "clap your hands", "so big")?
  • After one or two tries does your baby pick up a piece of string with her first finger and thumb? (The string may be attached to a toy.)
  • Does your baby successfully pick up a crumb or Cheerio by using her thumb and all of her fingers in a raking motion?
  • Does your baby poke at or try to get a crumb or Cheerio that is inside a clear bottle (plastic drink bottle or baby bottle)?
  • Does your baby drink from a cup while you hold it?

12 Months

  • Does your baby throw a small ball with a forward arm motion?
  • Does your baby help turn the pages of a book? (You may lift a page for him to grasp.)
  • After watching you completely hide a small toy under a piece of paper or cloth, does your baby find it?
  • If you put a small toy into a bowl or box, does your baby copy you by putting in a toy, although she may not let go of it?
  • Does your baby roll or throw a ball back to you so that you can return it to him?

24 Months

  • Does your child say two or three words that represent different ideas together, such as "See dog", "Kitty gone" or "Mommy come home"?
  • Does your child jump with both feet leaving the floor at the same time?
  • Does your child stack seven small blocks or toys on top of each other by herself?
  • Can your child string small items such as beads, macaroni or pasta onto a string or shoelace?
  • After watching you draw a line from the top of the paper to the bottom does your child copy you by drawing a single line on the paper in any direction?
  • After a crumb or Cheerio is dropped into a small, clear bottle does your child turn the bottle upside down to dump out the crumb or Cheerio? (Do not show him how.)
  • Does your child pretend objects are something else? For example, does your child hold a cup to her ear, pretending it is a telephone?
  • Does she put a box on her head, pretending it is a hat?

At your child's 18 month well child checkup we will ask you to complete the Modified Checklist for Autism in Toddlers (M-CHAT). The M-CHAT is a screening tool to help pediatricians with the early identification of children with autism. The M-CHAT does not provide a diagnosis, but can identify a child at risk.

Developmental Milestones

For general information about what to expect at different ages, click on the appropriate link below:

All children do not develop on the same schedule. If you have any concerns about your child's development, please speak with your physician.