DEVELOPMENTAL CHECKLIST - 3 TO 4 YEARS

CHILD’S NAME: Ayesha

DATE OF BIRTH:

PARENT OR GUARDIAN:

DATE
OBSERVED
MOVEMENT
Feb 22
✔ Hops and stands on one foot up to 5 seconds
Feb 22
✔ Goes upstairs and downstairs without support
Feb 22
✔ Kicks ball forward
Feb 22
✔ Throws ball overhand
Feb 22
✔ Catches bounced ball most of the time
Feb 22
✔ Moves forward and backward
Feb 22
✔ Uses riding toys
HAND AND FINGER SKILLS Feb 22
Feb 22
✔ Copies square shapes
Feb 22
✔ Draws a person with 2-4 body parts
Feb 22
✔ Uses scissors
Feb 22
✔ Draws circles and squares
Feb 22
✔ Begins to copy some capital letters
Feb 22
✔ Can feed self with spoon
LANGUAGE MILESTONES Feb 22
Feb 22
✔ Understands the concepts of "same" and "different"
Feb 22
✔ Has mastered some basic rules of grammar
Feb 22
✔ Speaks in sentences of 5-6 words
Feb 22
✔ Asks questions
Feb 22
✔ Speaks clearly enough for strangers to understand
Feb 22
✔ Tells stories
COGNITIVE MILESTONES Feb 22
Feb 22
✔ Correctly names some colors
Feb 22
✔ Understands the concept of counting and may know a few numbers
Feb 22
✔ Begins to have a clearer sense of time
Feb 22
✔ Follows three-part commands
Feb 22
✔ Recalls parts of a story
Developmental Checklists Birth to Five
Adapted by First Look and The Early Childhood Direction Center - 2006
Page 1
 Feb 22
✔ Understands the concept of same/different
COGNITIVE MILESTONES (continued) DATE
OBSERVED
Feb 22
✔ Engages in fantasy play
Feb 22
✔ Understands causality ("I can make things happen")
SOCIAL MILESTONES Feb 22
Feb 22
✔ Interested in new experiences
Feb 22
✔ Cooperates/plays with other children
Feb 22
✔ Plays "mom "or "dad"
Feb 22
✔ More inventive in fantasy play
Feb 22
✔ Dresses and undresses
Feb 22
✔ More independent
EMOTIONAL MILESTONES Feb 22
Feb 22
✔ Often cannot distinguish between fantasy and reality
Feb 22
✔ May have imaginary friends or see monsters

DEVELOPMENTAL RED FLAGS (3 TO 4 YEARS)

✔ Cannot jump in place
✔ Cannot ride a trike
✔ Cannot grasp a crayon between thumb and fingers
✔ Has difficulty scribbling
✔ Cannot copy a circle
✔ Cannot stack 4 blocks
✔ Still clings or cries when parents leave him
✔ Shows no interest in interactive games
✔ Ignores other children
✔ Doesn't respond to people outside the family
✔ Doesn't engage in fantasy play
✔ Resists dressing, sleeping, using the toilet
✔ Lashes out without any self-control when angry or upset
✔ Doesn't use sentences of more than three words
✔ Doesn't use "me" or "you" appropriately
COMMENTS:\
Most of her gross motor skills are nearly well developed as for her fine
motor skills there were a lot of instruction regarding fine motor skills
activities that she can’t follow.

Developmental Checklists Birth to Five

Adapted by First Look and The Early Childhood Direction Center - 2006
Page 2
 DEVELOPMENTAL CHECKLIST - 4 TO 5 YEARS
CHILD’S NAME: Nica B.

DATE OF BIRTH:Nov. 5, 2020

PARENT OR GUARDIAN: Nita B.

DATE
OBSERVED
MOVEMENT Feb 23
Feb 23
✔ Stands on one foot for 10 seconds or longer
Feb 23
✔ Hops, somersaults
Feb 23
✔ Swings, climbs
Feb 23
✔ May be able to skip
MILESTONES IN HAND AND FINGER SKILLS Feb 23
Feb 23
✔ Copies triangle and other geometric patterns
Feb 23
✔ Draws person with body
Feb 23
✔ Prints some letters
Feb 23
✔ Dresses and undresses without assistance
Feb 23
✔ Uses fork, spoon
Feb 23
✔ Usually cares for own toilet needs
LANGUAGE MILESTONES Feb 23
Feb 23
✔ Recalls parts of a story
Feb 23
✔ Speaks sentences of more than 5 words
Feb 23
✔ Uses future tense
Feb 23
✔ Tells longer stories
Feb 23
✔ Says name and address
COGNITIVE MILESTONES Feb 23
Feb 23
✔ Can count 10 or more objects
Feb 23
✔ Correctly names at least 4 colors
Feb 23
✔ Better understands the concept of time
Feb 23
✔ Knows about things used every day in the home (money, food, etc.)
SOCIAL MILESTONES
Feb 23
✔ Wants to please and be with friends
Feb 23
✔ More likely to agree to rules
Developmental Checklists Birth to Five
Adapted by First Look and The Early Childhood Direction Center - 2006
Page 3
 Feb 23
✔ Likes to sing, dance, and act
Feb 23
✔ Shows more independence

Developmental Checklists Birth to Five

Adapted by First Look and The Early Childhood Direction Center - 2006
Page 4
 DEVELOPMENTAL RED FLAGS (4 TO 5 YEARS)
✔ Exhibits extremely aggressive, fearful or timid behavior
✔ Is unable to separate from parents
✔ Is easily distracted and unable to concentrate on any single activity for more than 5 minutes
✔ Shows little interest in playing with other children
✔ Refuses to respond to people in general
✔ Rarely uses fantasy or imitation in play
✔ Seems unhappy or sad much of the time
✔ Avoids or seems aloof with other children and adults
✔ Doesn't express a wide range of emotions
✔ Has trouble eating, sleeping or using the toilet
✔ Can't differentiate between fantasy and reality
✔ Seems unusually passive
✔ Can't understand two-part commands and prepositions ("put the cup on the table"; "get the ball under the
couch")
✔ Can't give his first and last name
✔ Doesn't use plurals or past tense
✔ Cannot build a tower of 6 to 8 blocks
✔ Seems uncomfortable holding a crayon
✔ Has trouble taking off clothing
✔ Can't brush teeth or wash and dry hands
COMMENTS:

Developmental Checklists Birth to Five

Adapted by First Look and The Early Childhood Direction Center
Page 5