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Ear Infections and Language Development
Part 2: Is my child achieving milestones of language development?

INSTRUCTIONS— Read each question through your child’s age group and check yes or no. Add the total and see below.

All Yes: Your child is developing hearing, speech, & language in the typical way.
1– 2 No: Your child may have delayed hearing, speech & language development. Seek professional advice if you are unsure.
3 or more No: Ask for a referral to an audiologist or speech- language pathologist.

Circle One Hearing & Understanding Child’s Age Talking Circle One
YES NO
Startles to loud sounds. Birth to 3 Months Makes pleasure sounds (cooing, gooing). YES NO
YES NO
Smiles when spoken to. Cries differently for different needs. YES NO
YES NO
Seems to recognize your voice and quiets if crying. Smiles when she sees you. YES NO
YES NO
Increases or decreases sucking behavior in response to sound.

YES NO
Moves eyes in direction of sounds. 4 - 6 Months Babbling sounds more speech- like with many different sounds, including p, b, and m. YES NO
YES NO
Responds to changes in tone of your voice. Vocalizes excitement and displeasure. YES NO
YES NO
Notices toys that make sounds. Makes gurgling sounds when left alone and when playing with you. YES NO
YES NO
Pays attention to music.

YES NO
Enjoys games like peek- a- boo and pat- a- cake. 7 Months to 1 Year Babbling has both long and short groups of sounds such as “tata upup bibibibi.” YES NO
YES NO
Turns and looks in direction of sounds. Uses speech or non- crying sounds to get and keep attention. YES NO
YES NO
Listens when spoken to. Imitates different speech sounds. YES NO
YES NO
Recognizes words for common items like “cup,” “shoe,” “juice.” Has 1 or 2 words (“ bye- bye,” “dada,” “mama,” “no”) although they may not be clear. YES NO
YES NO
Begins to respond to requests.

YES NO
Points to pictures in a book when named. 1 - 2 Years Says more words every month. YES NO
YES NO
Points to a few body parts when asked. Uses some 1– 2- word questions (“ Where kitty?” “Go bye- bye?” “What’s that?”). YES NO
YES NO
Follows simple commands and understands simple questions (“ Roll the ball,” “Kiss the baby,” “Where’s your shoe?”). Puts 2 words together (“more cookie,” “no juice,” “mommy book”). YES NO
YES NO
Listens to simple stories, songs, and rhymes. Uses many different consonant sounds at the beginning of words. YES NO

YES NO
Understands differences in meaning (“ go- stop,” “in -on,” “big- little,” “up- down”). 2 - 3 Years Has a word for almost everything. YES NO
YES NO
Follows two requests (“Get the book and put it on the table”). Uses 2– 3- word “sentences” to talk about and ask for things. YES NO
Speech is understood by familiar listeners most of the time. YES NO
Often asks for or directs attention to objects by naming them. YES NO

YES NO
Hears you when you call from another room. 3 - 4 Years Talks about activities at school or at friends’ homes. YES NO
YES NO
Hears television or radio at the same loudness level as other family members. Usually talks easily without repeating syllables or words. YES NO
YES NO
Understands simple “who?,” “what?,” “where?” questions. People outside family usually understand child’s speech. YES NO
Uses a lot of sentences that have 4 or more words. YES NO

YES NO
Pays attention to a short story and answers simple questions about it. 4 - 5 Years Voice sounds clear like other children’s. YES NO
YES NO
Hears and understands most of what is said at home and in school. Uses sentences that give lots of details (e. g., “I like to read my books”). YES NO
Tells stories that stick to topic. YES NO
Communicates easily with other children and adults. YES NO
Says most sounds correctly except a few, like l, s, r, v, z, j, ch, sh, th. YES NO
Uses adult- like grammer. YES NO


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