Child Development Questionnaire #2 (10-12 months old)

Name*

First Last

Child's Name*

First Name

Child's Birthday*

10-12 Months Questionnaire #2

We hope you enjoyed your first experience of your personalized toy boxes from Happy Baton! Now that you’ve passed on the baton, we want to find out more about your child’s specific needs to reach the next milestone and grow in the right direction. Please fill out this questionnaire so that we can curate even more suitable toys for your upcoming toy boxes.

1. Baby looks for toy immediately after you hide it?

Yes
Sometimes / Shows intention of doing
Not yet

2. Baby can imitate your facial expressions? (eg: raising your eyebrows, sticking out tongue)

Yes
Sometimes / Shows intention of doing
Not yet

3. Can move arms and/or bounces body in response to music (with minimal coordination)?

Yes
Sometimes / Shows intention of doing
Not yet

1. Attempts to have conversation with you by babbling in turns?

Yes
Sometimes / Shows intention of doing
Not yet

2. Will refer to one or both parents with something like “mom” or “dad”?

Yes
Sometimes / Shows intention of doing
Not yet

3. Uses sign language to communicate simple needs and words? (eating, “please/thank you”)

Yes
Sometimes / Shows intention of doing
Not yet

1. Can grasp object using all fingertips?

Yes
Sometimes / Shows intention of doing
Not yet

2. Can uses fingers to flip a single or a few pages of a book?

Yes
Sometimes / Shows intention of doing
Not yet

3. Can pick up a small object, like a button, with thumb and index finger?

Yes
Sometimes / Shows intention of doing
Not yet

1. Hands you a book or toy that they want you to read/play with? (eg: showing interest in object/activity)

Yes
Sometimes / Shows intention of doing
Not yet

2. Starting to have favorite toys, food, people?

Yes
Sometimes / Shows intention of doing
Not yet