Child Development Questionnaire #2 (12-18 months old)

Name*

First Last

Child's Name*

First name

Child's Birthday*

12-18 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. Will change behavior when a new rule is being set?

Yes
Sometimes / Shows intention of doing
Not yet

2. Child imitates the sounds of different objects? (like an ambulance, car engine or telephone ring)

Yes
Sometimes / Shows intention of doing
Not yet

3. Uses an object for its intended use after watching it being used correctly? (eg: hairbrush to brush hair)

Yes
Sometimes / Shows intention of doing
Not yet

1. Understands the meaning of 3-word phrases? (eg: “Look at me!” or “Go over there!”)

Yes
Sometimes / Shows intention of doing
Not yet

2. Can answer simple questions with simple words, gestures or changes in behavior?

Yes
Sometimes / Shows intention of doing
Not yet

3. Pronounces the name of 3 or more objects?

Yes
Sometimes / Shows intention of doing
Not yet

4. Begins to speak with changes in tone of voice? (sounds more like regular speech)

Yes
Sometimes / Shows intention of doing
Not yet

1. Uses an object to push or pull another object? (eg. Using a stick to push a ball forward)

Yes
Sometimes / Shows intention of doing
Not yet

2. Can build a tower with 3 or more blocks?

Yes
Sometimes / Shows intention of doing
Not yet

3. Can use fingers to twist a bottle cap on or off?

Yes
Sometimes / Shows intention of doing
Not yet

4. Scribbles randomly using large shoulder movements?

Yes
Sometimes / Shows intention of doing
Not yet

1. Will point to show others something interesting?

Yes
Sometimes / Shows intention of doing
Not yet

2. Copies others, in particular older children and adults?

Yes
Sometimes / Shows intention of doing
Not yet

3. Gets excited when he/she sees and gets to be with other children?

Yes
Sometimes / Shows intention of doing
Not yet