Little Green Pipsqueak - Basic Screening 19-24 Months

Helping Babies and Tots in Their Development

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Please answer all questions.
If there is an answer that you don't know, please answer "no".

Cognitive:	Yes	No
1. Identifies 1-3 body parts upon request
2. Identifies self in the mirror upon request
3. Colors on the limit of the paper
4. Points to four animals upon requst in a book or environment
5. Can make four animal sounds upon request
6. Points to a piece of clothing by name or pointing upon request
7. Points to a distant object outdoors when interested
Speech:	Yes	No
8. Uses own name to refer to self
9. Imitates and uses two word sentences independently
10. Uses 15-20 words in their vocabulary spontaneously, but consistently
11. Names 2-3 pictures in a book upon request
12. Understood by people outside the family approximately 60% of the time
Gross Motor:	Yes	No
13. Walks backwards
14. Kicks a ball
15. Pushes and pulls a large object
16. Carries a large object
Fine Motor:	Yes	No
17. Imitates vertical strokes in drawing
18. Builds a tower with 4-6 blocks approximately one inch cubes
19. Imitates circular strokes in drawing
20. Strings beads or pasta on a thick string or shoe lace
Social/Emotional:	Yes	No
21. Engages in parallel play
22. Enjoys rough and tumble play
23. Comforts others in distress
24. Follows a one step basic direction
Self Help:	Yes	No
25. Zip and unzip zippers
26. Helps with simple tasks around the house with nice imitation
27. Open door by turning knob
28. Washes and dries hands with some assistance