24 Month Questionnaire Logo
  • 24 Month Questionnaire

    Please provide the following information
  •  - -
  • Child's Information

  •  - -
  • Person filling out questionnaire

  •  -
  •  -
  • Program Information

  • On the following pages are questions about activities children may do. Your child may have already done some of the activities described here, and there may be some your child has not began doing yet. For each item please select that indicates whether your child is doing the activity regularly, sometimes, not yet.

    Important Points to Remember:

    • Try each activity with your child before marking a response.
    • Make completing this questionnaire a game that is fun for you and your child.
    • Make sure your child is rested and fed.

    At this age, many toddlers may not be cooperative when asked to do things. You may need to try the following activities with your child more than one time. If possible, try the activities when your child is cooperative. If your child can do the activity but refuses, mark "yes" for the item.

  • COMMUNICATION

  • GROSS MOTOR

  • FINE MOTOR

  • PROBLEM SOLVING

  • PERSONAL SOCIAL

  • OVERALL

    Parents and providers may use the space below for additional comments.
  • Should be Empty: