Child development questionnaire (2-3 years old)

Your first and last name*

Child's name*

Child's birthday*

2-3 Years Questionnaire

Welcome to Happy Baton! We’re so excited to bring you a box of toys that are put together specific to your child’s needs. We just need to know more about your child to curate a toy box that will truly help him/her to thrive. Please fill out this questionnaire below and indicate whether your child displays the following behaviors with yes/sometimes/no.

Cognitive

1. Sort shapes and colors (when given at least 4 choices)?

Yes
Sometimes / Shows intention of doing
Not yet

2. Builds towers of 4 or more blocks?

Yes
Sometimes / Shows intention of doing
Not yet

3. Can work toys with buttons, levers, and moving parts?

Yes
Sometimes / Shows intention of doing
Not yet

Language

1. Points to things or pictures when they are named?

Yes
Sometimes / Shows intention of doing
Not yet

2. Knows names of familiar people and body parts?

Yes
Sometimes / Shows intention of doing
Not yet

3. Says sentences with 2 to 4 words?

Yes
Sometimes / Shows intention of doing
Not yet

4. Understands common verbs by performing action?

Yes
Sometimes / Shows intention of doing
Not yet

Physical

1. Can hold and kick a ball?

Yes
Sometimes / Shows intention of doing
Not yet

2. Climbs up and down (like on a ladder at the playground)?

Yes
Sometimes / Shows intention of doing
Not yet

3. Pedals a tricycle (3-wheel bike)?

Yes
Sometimes / Shows intention of doing
Not yet

4. Walks up and down stairs independently (while holding onto something)?

Yes
Sometimes / Shows intention of doing
Not yet

Social & Emotional

1. Copies others, especially adults and older children?

Yes
Sometimes / Shows intention of doing
Not yet

2. Gets excited when with other children?

Yes
Sometimes / Shows intention of doing
Not yet

3. Takes turns in games?

Yes
Sometimes / Shows intention of doing
Not yet

4. Shows a wide range of emotions?

Yes
Sometimes / Shows intention of doing
Not yet