HEARING AND COMMUNICATION MILESTONES:

Yes/No Birth to 3 Months ____ Reacts to loud sounds ____ Calms down or smiles when spoken to ____ Recognizes your voice and calms down if crying ____ When feeding, starts or stops sucking in response to sound ____ Coos and makes pleasure sounds ____ Has a special way of crying for different needs ____ Smiles when he or she sees you Yes/No 4 to 6 Months ____ Follows sounds with his or her eyes ____ Responds to changes in the tone of your voice ____ Notices toys that make sounds ____ Pays attention to music ____Babbles in a speech-like way and uses many different sounds, including sounds that begin with p, b, and m ____ Laughs ____ Babbles when excited or unhappy ____ Makes gurgling sounds when alone or playing with you Yes/No 7 Months to 1 Year ____ Enjoys playing peek-a-boo and pat-a-cake ____ Turns and looks in the direction of sounds ____ Listens when spoken to ____ Understands words for common items such as cup, shoe, or juice ____ Responds to requests (Come here or Want more?) ____ Babbles using long and short groups of sounds (tata, upup, bibibi) ____ Babbles to get and keep attention ____ Communicates using gestures such as waving or holding up arms ____ Imitates different speech sounds ____ Has one or two words (Hi, dog, Dada, or Mama) by 1st birthday Yes/No 1 to 2 Years ____ Knows a few parts of the body and can point to them when asked ____ Follows simple commands (Roll the ball) and understands simple questions (Wheres your shoe?) ____ Enjoys simple stories, songs, and rhymes ____ Points to pictures, when named, in books ____ Acquires new words on a regular basis ____ Uses some one- or two-word questions (Where kitty? or Go bye-bye?) ____ Puts two words together (More cookie or No juice) ____ Uses many different consonant sounds at the beginning of words Yes/No 2 to 3 Years ____ Has a word for almost everything ____ Uses two- or three-word phrases to talk about and ask for things ____ Uses k, g, f, t, d, and n sounds ____ Speaks in a way that is understood by family members and friends ____ Names objects to ask for them or to direct attention to them Yes/No 3 to 4 Years ____ Hears you when you call from another room ____ Hears the television or radio at the same sound level as other family members ____ Answers simple WH questions (who, what, where, why, how) ____ Talks about activities at daycare, preschool, or friends homes ____ Uses sentences with four or more words ____ Speaks easily without having to repeat syllables or words Yes/No 4 to 5 Years ____ Pays attention to stories and answers questions about them ____ Understands sequencing words (first, next, last, today, tomorrow, yesterday) ____ Hears and understands most of what is said ____ Uses sentences with details ____ Tells stories that remain on topic ____ Uses grammar like the rest of the family ____ says most sounds correctly

(*Checklist adapted from: How Does Your Child Hear and Talk?, courtesy of the American SpeechLanguageHearing Association.)

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