Is Your Child On Track?

Our interactive checklist helps parents identify whether their little one is on track or may benefit from an evaluation in speech, feeding, fine motor, gross motor, or counseling services.

Answer a few simple questions and receive guidance on next steps, including tips for supporting your child at home and when to seek professional support.

*This quiz is recommended for parents of children 1 - 4+ years old. It is not intended to replace an evaluation or be considered as medical advice.

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How old is your child?

Select one option below to take the quiz based on your child's age.

12-24 months (1 year old)

24-36 months (2 year old)

36-48 months (3 year old)

48+ months (4 year old)

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Speech & Language Skills

My 12-24 month old:

Check all that your child does consistently:

Reacts to environmental stimuli, people and music

Follows simple directions (e.g. give the ball to mommy)

Imitates actions with toys and body movements (e.g. stacking up or knocking over / clapping hands)

Babbles with different sounds (e.g., “ba,” “da,” “ga”)

Say at least one meaningful word (e.g., “mama,” “dada”)

Uses gestures such as waving or pointing to communicate

Has poor eye contact

Is NOT interested in interacting with other children

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Gross Motor Skills

My 12-24 month old:

Walks along furniture (cruises)

Stands by themself without holding or support

Can move from sitting to standing independently

Crawls on hands and knees

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Social-Emotional & Play Skills

My 12-24 month old:

Shows interest in playing with you (e.g., peekaboo, rolling a ball back and forth)?

Enjoy looking at books with you and turning pages

Can be redirected when upset

Is generally happy

Would rather play independently

Has trouble transitioning or interacting with other people

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Feeding & Sensory

My 12-24 month old:

Drinks from a sippy cup or straw cup

Picks up small pieces of food using their thumb and forefinger (pincer grasp)?

Eats a variety of textures, flavors and foods

Strongly prefers certain textures or food (e.g. crunchy texture, dissolvable snacks, crackers/cookies, fruit only, etc)

Does not like being messy or prefers to be clean

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Speech and Language

My 24-36 month old:

Mainly uses pointing, gestures, signs or grunts to communicate

Mainly uses single words to communicate

Says around 50 words

Says between 1-25 words

Combines words together (e.g. "want cookies, mommy go"

Can follow 2 step simple instructions (e.g. "get your shoes and bring them to me")

Has some difficulty following multi-step instructions

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Fine Motor Skills

My 24-36 month old:

Stack at least 4 blocks

Scribbles with a crayon or marker

Turns pages in a book one at a time

Has difficulty with tasks that require small parts or movements

Can stack blocks or complete play tasks with assistance

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Gross Motor Skills

My 24-36 month old:

Runs without falling

Often trips or falls when walking or running

Is able to jump with both feet off of the ground

Is able to jump when provided support

Goes up and down stairs independently

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Social-Emotional and Play Skills

My 24-36 month old:

Does not usually play with toys as they are intended to be played with

Plays with a variety of toys in many creative ways (e.g. "pretend play, building a castle, etc)

Shows affection (hugs/kisses) and responds to others' emotions

Does not typically show emotions or respond to others' emotions

Takes turns in simple games (e.g. "rolling a ball back and forth)

Prefers to play independently or is more interested in non-toys (e.g. remotes, fans, lights, doors, etc)

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Feeding and Sensory

My 24-36 month old:

Is able to chew a variety of foods, including meats and crunchy textures

Uses a spoon and/or fork with some skill

Drinks from an open cup with minimal spilling

Prefers to eat with his/her hands

Mouths objects often

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Speech and Language Skills

My 36-48 month old:

Speaks in short sentences of at least three words (e.g., “I want ball”)?

Is understood by almost everyone

Cannot easily be understood by unfamiliar listeners or without known context

Uses less than 250 words

Asks simple questions

Uses gestures, signs, pointing, word approximations or single words to communicate

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Feeding and Sensory

My 36-48 month old:

Eats most foods without gagging or choking

Independently uses a fork and spoon

Sits through meal time without needing entertainment

Drinks from an open cup without spilling

Is a selective eater (e.g. prefers only certain snacks or foods)

Has chewing, swallowing, or feeding related concerns

Does not like to be messy

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Fine Motor Skills

My 36-48 year old:

Can string large beads onto a shoelace or string

Copies a circle or a straight line when drawing

Has difficulty with grasping objects holding utensils or manipulating small objects

Needs help with tasks like zipping or snapping fasteners

Uses coloring strokes that are either too hard or too light

Can complete age-appropriate puzzles

Shows a hand preference by using it more consistently for drawing or eating

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Gross Motor Skills

My 36-48 month old:

Can pedal a tricycle

Can balance on one foot for a few seconds

Can jump forward with both feet together

Has difficulty with balance or coordination

Has uncoordinated or jerky movements

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Social-Emotional and Play Skills

My 36-48 month old:

Avoids engaging with peers or has a lack of interest in other children

Has frequent or intense temper tantrums

Enjoys engaging in play with peers

Has difficulty expressing emotions or understanding other's emotions

Engages in imaginative play (e.g., playing “house” or “doctor”)

Has unusual fearsor worries

Enjoys and can follow simple directions and take turns during games

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Speech and Language

My 48+ month old:

Speaks in full sentences and tells simple stories

Answers basic questions like "what do you do when you're hungry?"

Uses a few correct pronouns in sentences, such as "me, mine, his, hers"

Is easily understood by everyone, even if they have a few incorrect sounds

Tells what an object is used for, like “What do you do with a towel?” “You dry off after a bath.”

Has difficulty answering questions or explaining events

Is difficult for others to understand, stutters or has a many speech errors

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Feeding and Sensory

My 48+ month old:

Eats and enjoys different food textures without difficulty

Tolerates brushing their teeth without major resistance

Avoids certain textures, foods or flavors during mealtime without trying them

Enjoys tight squeezes, bites, and/or excessively climbs or runs

Is able to independently dress, eat and use the potty

Is avoidant of grooming and bathing tasks

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Fine Motor Skills

My 48+ month old:

Can draw simple shapes, like squares and triangles

Can cut along a straight line with scissors

Can button and unbutton clothing

Struggles with using scissors, holding a pencil, or writing

Has difficulty with tasks like buttoning, zipping, or tying shoes

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Gross Motor Skills

My 48+ month old:

Can hop on one foot for a few seconds

Can catch a ball with both hands

Runs with coordination and avoid obstacles

Has difficulty with hopping, skipping, running, or balancing compared to peers.

Has a fear of leaving the ground

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Social-Emotional and Play Skills

My 48+ month old:

Is able to make and keep friends

Expresses their feelings and recognizes the feelings of others

Shows interest in group activities, such as playing on a team or completing classroom tasks

Does not show an understanding of. body language or non-verbal communication

Has difficulty expressing their emotions or becomes overly aggressive when upset

Difficulty initiating, engaging or joining in play with other children

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How concerned about your child's development are you?

Not concerned at all

I have a few concerns

I am very concerned

On Track: Keep Up the Great Work!

Your child is meeting key developmental milestones for their age! 🎉 Keep engaging in play, conversation, and activities that support their growth. Every child develops at their own pace, so continue to encourage new skills through interactive play, reading, and exploration. If you ever have concerns, trust your instincts and reach out for guidance!

Monitor & Support: Keep an Eye on Progress

Your child is making progress but may benefit from extra support in certain areas.💡 Reach out to us directly to find out which area may benefit from targeted activities at home to strengthen their skills. Keep monitoring their development over the next few months, and if challenges persist, consider reaching out to a professional for guidance. Early support can make a big difference!

Call us today to review your results: (919) 243-2201

Email: John@abil-ot.com

Use our online form to contact us

Consider an Evaluation: Early Support is Key

Your child is showing signs that may indicate a need for additional support. 💙 We recommend reaching out to a specialist, such as a speech-language pathologist, occupational therapist, physical therapist, or counselor, for a professional evaluation. Early intervention can help build skills and set your child up for success. You’re not alone—there are many resources available to support you and your little one!

Call us today to review your results: (919) 243-2201

Email: John@abil-ot.com

Use our online form to contact us