4 Year Developmental Milestone Screener

  • 📝 4-Year-Old Development Check-In

  • 🌟 Welcome to Tri-County Therapy!

    We’re so glad you’re here.

    This quick 3–5 minute screening helps highlight your child’s strengths and identify any areas where a little extra support may be helpful.

    🧠 A quick note: Every child develops at their own pace. This screening provides a general overview of skills typically seen at your child’s age—it’s not a diagnosis.


    📋 What to expect:

    Each page focuses on a different area of development
    Simple questions you can answer quickly
    No preparation needed—just go with your gut!

    📊 Your Results:

    At the end of the screening, you’ll receive:

    A summary of your child’s results
    Personalized recommendations for next steps
    📧 We’ll also send a copy to your email so you can review it anytime.

  • 💬 Speech & Language

  • Does your child understand and follow directions that include descriptive words (like ‘get the red ball’ or ‘put the cup on the table’)?*
  • Does your child understand pronouns like ‘he,’ ‘she,’ ‘him,’ or ‘them’? (For example, if you say ‘Give it to her,’ do they know who you mean?)*
  • Can your child tell you what everyday objects are used for? (For example, ‘What do you use a spoon for?’)*
  • Does your child produce a variety of 5-6 word sentences?*
  • Can your child answer questions about hypothetical events? (For example: what do you do if you feel sick?)*
  • Is your child’s speech understandable to familiar and unfamiliar people at least 75% of the time?*
  • Can your child correctly produce at least 8 of these sounds within words (p, m, t, k, g, f, sh, ch, s, l) ?*

  • 🧑‍🤝‍🧑Social Interaction and Sensory Processing

  • Does your child respond to their name when called, even when they are busy or distracted?*
  • Can your child move from one activity to another without becoming upset?*
  • Does your child greet or respond to others appropriately (like saying ‘hi,’ waving, or making eye contact)?*
  • Does your child use toys and materials in different ways rather than repeating the same actions over and over?*
  • Does your child engage with other children during play (like talking, sharing, or taking turns)?*
  • Does your child eat a varied diet without limiting foods to only a few preferred items?*
  • Is your child comfortable with everyday sensations like grooming, water, and different textures?*

  • ✍️ Fine Motor Skills

  • Can your child draw a person with at least 2-4 body parts?*
  • When coloring or drawing, does your child use a tripod grasp?*
  • Image field 157
  • Can your child cut out a large 6 inch shape close to the lines, while opening and closing scissors independently?*
  • While looking at a ‘+’ or an ‘X’, can your child draw one that looks similar, with lines crossing?*
  • Can your child fasten large buttons?*
  • Can your child participate in structured table-based activities without frequently getting up?*

  • 🏃 Gross Motor

  • Can your child balance/stand on one foot for at least 5 seconds?*
  • Can your child jump forward at least 3 feet with both feet at the same time?*
  • Can your child hop on one foot 3x in a row?*
  • Can your child walk backwards in a straight line?*
  • Can your child throw a small ball overhand more than 5 feet?*
  • Can your child walk up and down stairs independently without using a handrail?*
  • Does your child walk on their tip toes often?*
  • Does your child seem clumsy or fall frequently?*

  • ✨ Almost done!

    You’ve completed the screening—great job.

  • 🎯 Your Child's Results

  • Speech & Language Development: On Track 🎉
    Based on your responses, your child is meeting expected speech and language milestones for their age. Communication skills are developing appropriately—keep encouraging language through play, reading, and conversation!

  • 🗣️ Speech & Language: Evaluation Recommended
    Based on your responses, your child may benefit from a speech and language evaluation. Early support can make a big difference in communication skills, and we’d be happy to guide you through next steps.

  • Social & Sensory Development: On Track 🎉
    Your child appears to be engaging socially and responding to their environment in expected ways. These are important building blocks for learning and interaction.

  • 👥 Social & Sensory: Evaluation Recommended
    Based on your responses, your child may benefit from further evaluation of social and/or sensory development. Early support can help improve engagement, regulation, and daily interactions. For social skills, we recommend a speech therapy evaluation. For sensory processing, we recommend an Occupational Therapy evaluation.

  • Fine Motor Skills: On Track 🎉
    Your child’s fine motor skills—such as using their hands for play and daily tasks—are developing as expected. Keep encouraging activities like drawing, stacking, and manipulating small objects.

  • ✏️ Fine Motor Skills: Evaluation Recommended

    Based on your responses, we recommend an occupational therapy evaluation to further support your child’s fine motor development and hand skills.

  • Gross Motor Skills: On Track 🎉
    Your child appears to be developing age-appropriate movement skills like running, jumping, and coordination. Keep encouraging active play and movement!

  • 🏃 Gross Motor Skills: Evaluation Recommended
    Based on your responses, your child may benefit from a physical therapy evaluation. Early support can help improve strength, coordination, and confidence with movement.

  • To receive a copy of your results and learn more about services we offer, enter your email and click 'What's Next?'

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