Child Development Questionnaire #3 (12-18 months old)

Name*

First Last

Child's Name*

First name

Child's Birthday*

12-18 Months Questionnaire #3

We’d love to know how your child has developed with the help of our toys over the past couple of months. Please fill out this questionnaire so we can fill up the box with more toys your child will love.

1. Child imitates actions of frequently seen behavior? (eg: driving like dad, typing on computer like mom)

Yes
Sometimes / Shows intention of doing
Not yet

2. Can sort objects by shape and color when given 3-5 choices?

Yes
Sometimes / Shows intention of doing
Not yet

3. Can follow 2-step verbal commands like “Pick up your shoes and put them in the closet”?

Yes
Sometimes / Shows intention of doing
Not yet

1. Can point to the corresponding animal when you mimic the sound of it?

Yes
Sometimes / Shows intention of doing
Not yet

2. Can point to body parts when prompted?

Yes
Sometimes / Shows intention of doing
Not yet

3. Tries to sing along to a familiar song by babbling or with a few words?

Yes
Sometimes / Shows intention of doing
Not yet

1. Knows how to open doorknobs, turn on sink handles?

Yes
Sometimes / Shows intention of doing
Not yet

2. Can hold onto an object without dropping it unless he/she intentionally wants to?

Yes
Sometimes / Shows intention of doing
Not yet

3. Uses wrist when scribbling?

Yes
Sometimes / Shows intention of doing
Not yet

1. Mainly plays independently, but is beginning to enjoy playing with others?

Yes
Sometimes / Shows intention of doing
Not yet

2. Shows defiant behavior? (doing what he/she is told not to do)

Yes
Sometimes / Shows intention of doing
Not yet

3. Participates in simple chores like cleaning up without prompting?

Yes
Sometimes / Shows intention of doing
Not yet