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18 Months |
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24 Months |
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1. |
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Does your child enjoy being swung, bounced on your knee, etc.? |
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2. |
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Does your child take an interest in other children? |
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Does your child like climbing on things, such as stairs? |
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Does your child enjoy playing peek-a-boo/hide-and-seek? |
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Does your child ever pretend, for example, to talk on the phone or take care of a doll or pretend other things? |
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6. |
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Does your child ever use his or her index finger to point, to ask? |
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Does your child ever use his/her index finger to point, to indicate interest in something? |
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8. |
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Can your child play properly with toys (e.g., cars or bricks) without just mouthing, fiddling or dropping them? |
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Does your child ever bring objects over to you (parent) to show you something? |
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Does your child look you ni the eye for more than a second or two? |
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Does your child ever seem oversensitive to noise (e.g., plugging ears)? |
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Does your child smile in response to your face or smile? |
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13. |
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Does your child imitate you (e.g., you make a face - will your child imitate it)? |
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14. |
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Does your child respond to his/her name when you call? |
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15. |
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If you point at a toy across the room, does your child look at it? |
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16. |
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Does your child walk? |
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17. |
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Does your child look at things you are looking at? |
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18. |
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Does your child make unusual finger movements near his/her face? |
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19. |
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Does your child try to attract your attention to his/her own activity? |
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20. |
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Have you ever wondered if your child is deaf? |
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21. |
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Does your child understand what people say? |
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22. |
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Does your child sometimes start at nothing or wander with no purpose? |
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23. |
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Does your child look at your face to check your reaction when faced with something unfamiliar? |
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Have you ever filled out this form for this child before |
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