0-3 Months Questionnaire
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During the first 3 months your baby will start to stretch and kick vigorously. He/she will also start to gain better head control. Your baby will start to respond to unexpected and familiar sounds. He/she will focus on your face, smile, coo, and may even mimic facial expressions.
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Congratulations your child is developing skills as expected for their age! Check back during your child’s next developmental period to ensure they stay on track.
Please click the “View Questions” button below for an explanation of why the questions you answered are so important.
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Development occurs along a continuum and children can vary in their development. We encourage you to go back to the developmental stage prior to where your child is currently. Complete the questionnaire from that developmental stage and see how they perform. If your child obtains a score of 80% from that developmental stage, no further steps are needed. If your child performs below 80% on that questionnaire, it is recommended you talk with your pediatrician about the results of the questionnaire as well as any concerns you may have. You can also call our office and schedule a free screening at 815-462-4928. Often we can provide suggestions to help you get your child’s development on track.
Please click the “View Questions” button below for an explanation of why the questions you answered are so important.
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Question 1 of 10
1. Question
While lying on his/her stomach, can your child lift his/her head to the left and right?
Correct
Beginning stages of developing balance, core, head & neck strength. Leads to visual motor skills and precursor skills of sitting & crawling.
Incorrect
Beginning stages of developing balance, core, head & neck strength. Leads to visual motor skills and precursor skills of sitting & crawling.
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Question 2 of 10
2. Question
When placed on his/her side, can your child roll onto his/her back?
Correct
Helps to develop vestibular system. Beginning skills of being able to independently move in their environment. Precursor to cause-n-effect.
Incorrect
Helps to develop vestibular system. Beginning skills of being able to independently move in their environment. Precursor to cause-n-effect.
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Question 3 of 10
3. Question
While laying on his/her back, does your child wave and kick his/her arms and legs?
Correct
Assists with development of the core muscles needed for sitting/crawling. Child is learning how to move his/her body.
Incorrect
Assists with development of the core muscles needed for sitting/crawling. Child is learning how to move his/her body.
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Question 4 of 10
4. Question
Does your child watch your face and look at objects?
Correct
This is important because they are closely tracking objects within their visual field that leads to voluntary control of eye hand coordination.
Incorrect
This is important because they are closely tracking objects within their visual field that leads to voluntary control of eye hand coordination.
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Question 5 of 10
5. Question
Does your child react to loud sounds?
Correct
This is important for learning to locate and recognize sounds. Precursor to processing and interpreting sounds for later learning and speech development.
Incorrect
This is important for learning to locate and recognize sounds. Precursor to processing and interpreting sounds for later learning and speech development.
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Question 6 of 10
6. Question
Does your child bring his/her hands together?
Correct
This encourages use of both hands together, integration of right and left sides of the body needed for play.
Incorrect
This encourages use of both hands together, integration of right and left sides of the body needed for play.
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Question 7 of 10
7. Question
Does your child calm when he/she hears your voice?
Correct
(e.g., calming down, smiling). Important for being able to maintain joint attention & shared emotions for future back and forth communication. Helps develop typical relationship/attachment with caregiver. This is an important skill which precedes other interaction and comprehension skills.
Incorrect
(e.g., calming down, smiling). Important for being able to maintain joint attention & shared emotions for future back and forth communication. Helps develop typical relationship/attachment with caregiver. This is an important skill which precedes other interaction and comprehension skills.
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Question 8 of 10
8. Question
Does your child coo and make sounds?
Correct
Beginning to play with using their voice, using different cries and vocal expressions. Precursor to learning to speak.
Incorrect
Beginning to play with using their voice, using different cries and vocal expressions. Precursor to learning to speak.
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Question 9 of 10
9. Question
Does your child swipe at dangling objects?
Correct
Start of cause-n-effect, eye-hand coordination, and body awareness.
Incorrect
Start of cause-n-effect, eye-hand coordination, and body awareness.
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Question 10 of 10
10. Question
Does your child grasp and shake a rattle?
Correct
Develops hand and finger movements, cause-n-effect, eye-hand coordination.
Incorrect
Develops hand and finger movements, cause-n-effect, eye-hand coordination.
