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 None Physical Developmental Skills My child can get on their hands and knees. Yes No None Physical Developmental Skills My child can rock on their hands and knees. Yes No None Physical Developmental Skills My child sits independently and can play using his/her hands. Yes No None 1 out of 3 Occupational Developmental Skills My child can hold 1 object in each hand at the same time. Yes No None Occupational Developmental Skills My child can hit two objects together while holding them. Yes No None Occupational Developmental Skills My child enjoys noisy toys. Yes No None Occupational Developmental Skills My child enjoys peek-a-boo. Yes No None Occupational Developmental Skills My child can clap. Yes No None Occupational Developmental Skills My child can hold their bottle independently. Yes No None Occupational Developmental Skills My child understands the word "NO". Yes No None Occupational Developmental Skills My child makes noises including crying for attention. Yes No None Occupational Developmental Skills My child can imitate hand and arm motions. Yes No None 2 out of 3 Speech Developmental Skills My child can follow sounds by turning their head. Yes No None Speech Developmental Skills My child shows interest when I'm talking to them. Yes No None Speech Developmental Skills My child vocalizes to get attention. Yes No None Speech Developmental Skills My child might point or use gestures to communicate. Yes No None Speech Developmental Skills My child imitates a variety of sounds and noises. Yes No None 3 out of 3 Please fill in the comment box below. Time's up
