Speech and Language Development Checklist
How to use this checklist: At each immunization or well-baby visit, ask the parents the appropriate questions. If a child is missing
one or more of the developmental milestones, please refer parents to Language Express. DON’T WAIT AND SEE! Anyone can
make the referral with parental consent. Call 1-888-503-8885 or use the age-specific referral checklists available on our website. Our
office can provide you with brochures to give to parents.
Child’s Name: ________________________________________________
Date of Birth: _____________________________
3 months
6 months
12 months
18 months
2 years
30 months
3 years
4 years
Cries and
Startled by
Uses 3 to 5
Follows
Uses more
Understands
Follows
Uses 100-
grunts; has
loud or sudden
different words
simple
150 words and
than 350 words
same/different,
three-step
different cries for
noises
instructions (i.e.,
combines two to
one/all, heavy,
instructions; i.e.,
different needs
Follows
Show me the…
four words in
Understands
night/day
“Get your boots,
Responds
Give me the…)
phrases (e.g.,
put them on and
simple
words that
“moe tee” for
go outside.”
Makes a lot of
Enjoys
when name is
instructions; i.e.,
describe (hot,
“more cheese,”
Points to 3
cooing and
called
“Sit down”,
big, little,
pretend play and
“Truck go
Tells stories
gooing sounds
“Don’t touch”
body parts upon
sticky, wet, a
playing with
down.”)
request (i.e.,
little, a lot,
other children
with a clear
Babbles; i.e.,
eyes, nose,
more)
beginning,
Responds to
Understands
“Ba-ba-ba”,
Follows
mouth)
middle and end,
Talks about
parent/caregiver
“goo-goo”,
“no,” and simple
2-step
Uses “I,”
and can
voice
squeals for
requests “Where
something that
Understands
instructions:
anticipate what
attention
is your ball?”
“You,” “Mine”
happened in the
“Go find your
will happen next
more words than
and “Me”
past (e.g., trip to
Takes a turn
teddy and show
in a story
Recognizes
Imitates
she can say
Grandma’s)
by looking,
it to Grandma.”
Uses some
waiting, and
familiar faces and
sounds (“Whee!”,
Uses adult-
Uses at least
Says 4-7
making facial
objects
“uh-oh!”) and
adult grammar:
Answers
type grammar
expressions
actions (wave,
20 words
“Two cookies,”
words in a
questions
during singing
Enjoys games
head shake)
consistently;
“Bird flying,”
sentence “I want
correctly with
Starts a
and tickling
words do not
“Daddy’s car.”
my red ball”
like “peek-a-
“yes” or “no”
games
Gets
have to be clear
conversation
boo”, tickling
i.e., “Mama” or
and keeps it
Enjoys being
Understands
games
attention by
Begins to
“ba” for “ball”
going on the
Turns toward
looking at your
around other
and asks
offer toys to
same topic for
sounds
Reaches for,
eyes while using
children and
“Who?”
Says “No”
other children
three turns
sounds, pointing,
takes short turns
“What?”
holds, and puts
and to imitate
bringing things to
with them
“Where?” and
Startles at
toys in mouth
other children
Answers
show you
“Why?”
Asks for
sudden loud
Uses words
questions
“Who?”
noises
something by
Smiles and
Uses many
Tries to sing
“How?” and
pointing and
to answer
laughs in
different speech
“How many?”
Adults
along with music
using sounds or
“What” and
Watches
response to
sounds at
questions
words (points to
“Where”
outside of
faces. Loves
parents’ smiles
beginning of
cookie and says,
questions
family
smiles and sing-
and laughter
words
Says the
“num num”)
(“What is
understand at
song voices. Is
(p,b,m,t,d,n,h,w)
he/she doing?”
least half of
following
afraid of loud,
“Where’s the
what child says
sounds correctly
angry voices
Asks
baby?”)
in words:
“What’s that?”
k,y,f,g,d,t
Smiles and
and “Where?”
Remembers
laughs when
and understands
familiar parent
familiar stories
smiles and laughs
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*MCHAT – Modified Checklist for Autism in Toddlers can be downloaded from:
Language Express Preschool Speech and Language accepts referrals for children from birth until January of the year they turn 5.
The program is funded by the Government of Ontario – Ministry of Children and Youth Services.
Language Express offers free service to all families.
For more information call: 1-888-503-8885 or visit:
.