Names at least one color

Tries to get you to watch by saying "Look at me"

Says his or her first name when asked

Draws lines

Talks so other people can understand him or her most of the time

Washes and dries hands without help even if you turn on the water

Asks questions beginning with "why" or "how"- like "Why no cookie?"

Explains the reasons for things, like needing a sweater when it's cold

Compares things - using words like "bigger" or "shorter"

Answers questions like "What do you do when you are cold?" or "when you are sleepy?"

Does your child seem nervous or afraid?

Does your child seem sad or unhappy?

Does your child get upset if things are not done in a certain way?

Does your child have a hard time with change?

Does your child have trouble playing with other children?

Does your child break things on purpose?

Does your child fight with other children?

Does your child have trouble paying attention?

Does your child have a hard time calming down?

Does your child have trouble staying with one activity?

Is your child aggressive?

Is your child fidgety or unable to sit still?

Is your child angry?

Is it hard to take your child out in public?

Is it hard to comfort your child?

Is it hard to know what your child needs?

Is it hard to keep your child on a schedule or routine?

Is it hard to get your child to obey you?

Does your child bring things to you to show them to you?

Is your child interested in playing with other children?

When you say a word or wave your hand, will your child try to copy you?

Does your child look at you when you call his or her name?

Does your child look if you point to something across the room?

How does your child usually show you something he or she wants?
(Please select all that apply)

What are your child's favorite play activities?
(Please select all that apply)

Do you have any concerns about your child's learning or development?

Do you have any concerns about your child's behavior?