• ASQ 15-16 months

  • Child's Birthday*
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  • Communication Section

  • Does your child point to, pat, or try to pick up pictures in a book?*
  • Does your child say four or more words in addition to “Mama” and“Dada”?*
  • When your child wants something, do they tell you by pointing to it?*
  • When you ask your child to, do they go into another room to find a familiar toy or object? (You might ask, “Where is your ball?” or say, “Bring me your coat,” or “Go get your blanket.”)*
  • Does your child imitate a two-word sentence? For example, when you say a two-word phrase, such as “Mama eat,” “Daddy play,” “Go home,” or “What’s this?” does your child say both words back to you? (Mark “yes” even if her words are difficult to understand.)*
  • Does your child say eight or more words in addition to “Mama” and“Dada”?*

  • Gross Motor

  • Does your child stand up in the middle of the floor by themself and take several steps forward?*
  • Does your child climb onto furniture or other large objects, such as large climbing blocks?*
  • Does your child bend over or squat to pick up an object from the floor and then stand up again without any support?*
  • Does your child move around by walking, rather than crawling on their hands and knees?*
  • Does your child walk well and seldom fall?*
  • Does your child climb on an object such as a chair to reach something they want (for example, to get a toy on a counter or to “help” you in the kitchen)?*

  • Fine Motor

  • Does your child help turn the pages of a book? (You may lift a page for their to grasp.)*
  • Does your child throw a small ball with a forward arm motion? (If they simply drops the ball, mark “not yet” for this item.)*
  • Does your child stack a small block or toy on top of another one? (You could also use spools of thread, small boxes, or toys that are about 1inch in size.)*
  • Does your child stack three small blocks or toys on top of each other by themself?*
  • Does your child make a mark on the paper with the tip of a crayon (or pencil or pen) when trying to draw?*
  • Does your child turn the pages of a book by themself? (They may turn more than one page at a time.)*

  • Problem Solving

  • After you scribble back and forth on paper with a crayon (or a pencil or pen), does your baby copy you by scribbling? (If they already scribbles on their own, mark “yes” for this item.)*
  • Does your baby poke at or try to get a crumb or Cheerio that is inside a clear bottle (such as a plastic soda-pop bottle or baby bottle)?*
  • Does your baby drop two small toys, one after the other, into a container like a bowl or box? (You may show them how to do it.)*
  • After you have shown your child how, do they try to get a small toy that is slightly out of reach by using a spoon, stick, or similar tool?*
  • Without your showing them how, does your child scribble back and forth when you give them a crayon (or pencil or pen)?*
  • After a crumb or Cheerio is dropped into a small, clear bottle, does your child turn the bottle upside down to dump it out? (You may show them how.)*

  • Personal-Social

  • Does your child feed himself with a spoon, even though they may spill some food?*
  • Does your child help undress themself by taking off clothes like socks, hat, shoes, or mittens?*
  • Does your baby play with a doll or stuffed animal by hugging it?*
  • While looking at themself in the mirror, does your child offer a toy to their own image?*
  • Does your child get your attention or try to show you something by pulling on your hand or clothes?*
  • Does your child come to you when they need help, such as with winding up a toy or unscrewing a lid from a jar?*

  • Overall

  • Should be Empty: