DENVER II (1998) PRESCREENING DEVELOPMENTAL QUESTIONNAIRE (PDQ-II) INFORMATION FOR PROFESSIONALS The revised Denver Prescreening Developmental Questionnaire (R-POQ) has boon newly revised to update monitoring and screening of children's development. The PDG-Ilis designed to achieve three goais: 1) to make parents more aware Of the development of their children; 2) to document the developmental progress of individual children in a systematic manner; and 3) to facilitate earlier identification of children whose development may be delayed. INSTRUCTIONS FOR PREPARATION OF THE PDQ-II 1 Use the following guide to determine which of the four PDQ-II forms is appropriate for the child: Orange (0-9 MONTHS); Purple (9-24 MONTHS); Cream (2-4 YEARS); White (4-6 YEARS) 2, Select the appropriate form and write the child's name, today’s date, and the child's birthdate at the top of the PDQ-II form. 3. Complete the age calculation in the box on the front of the form, Figure the number of days first, then the number of months, and finally the number of years. Should it become necessary to “borrow” when subtracting, 1 month borrowed adds 30 days to the “day” column and 1 year borrowed adds 12 months to the "month" column (See. ‘example below) 45 Gia) a5 97 3 () Today's Date: A Hind sshiay Child's Birthdate: 96 yr__ 7, mo 25 day Subtract to get Chile's Exact Age: Tyr 8mo 20day 4. For PDQ. resuits to be quickly and correctly interpreted (ses back of form), itis necessary to convert the child's exact age to a PDO-II age. For children below 24 months of age, the PDO-II age is expressed in completed months and weeks, as shown: Child's Exact Age: lyr 8mo 20day PDO-II Age: -yr 20mo 2 completed weeks For children above 24 months of age, the PDQ-II age is expressed in years and months. Thera is no need to write in the completed weeks after 24 months of age. Child’s Exact Age: 3yr 6 mo. 28 day PDQ-II Age: 3yr 6 mo. - completed weeks DO NOT ROUND OFF TO THE NEXT HIGHER AGE TO EXPRESS THE PDQ-II AGE. ONLY COMPLETED WEEKS, COMPLETED MONTHS, AND COMPLETED YEARS SHOULD BE CONSIDERED, 5. Give the prepared form to the child's caregiver and ask that (s)he note who is completing the form, and his/her relation to the child. The caregiver should then answer questions until: 1) 3 "NOs” are circled (they do not have to be consecutive); or 2) all of the questions on both sides of the form have been answered. 6. Check form to see that all appropriate questions have been answered.INSTRUCTIONS FOR INTERPRETING PDQ-Il RESULTS. The items on the PDG-II are arranged in chronological order according to the ages at which 90% of the children in the DENVER i" standardization sample could pectorm them. A "NO" response may signify a delay. Steps in interpretation are as follows: 1 Review “YES” and "NO" responses. Assure that the child's caregiver understood each question and scored the items correctly. Give particular attention to the scoring of questions that require verbal responses by the child, and that require the child to draw. 2. Identify “delays.” Ages at which 90% of children in the DENVER II sample passed the items are listed under "90%" in the “For Office Use” column. These ages are shown in months and weeks up to 24 months (for examale, 20-2" indicates 20 months, 2 weeks), and in years and months after 24 months (for example, “3y-6" indicates 3 years, 6 months). A “delay” is any itam passed by 90% of children at a younger age (by even one day) than the child being screened. Highlight “delays” by circling the 90% age to the right of the item that the child was not able to perform. 3. Optional - Identify “cautions.” Ages at which 75% of children in the DENVER Il sample passed the items are listed under “7596” in the “For Office Use" column. A “caution” is any item passed by 75% of children at a younger ‘age (by even one day) than the child being screened. Highlight “cautions” by circling the 75% age to the right of the item that the child was not able to perform (see examples below). 20, Speeet Alkcinderstandable mom 79% When your chid talks to anopla who dothnawhimwstaco thoy |e oy | usually understand everything he is saying? ‘ED NO. 651. Hops on One Foot Have you eid hop on ona foot or ener! tas wou oling on toning, Sepping doesnot count Did she hap 2 oF mo" teen? es eee 2. Dresses, No Help ‘adr Genyou Gh lout oes to wear an des ims com pis wnat hep? ‘ee | @ 4. Children who have no “delays” or “cautions” are considered to be developing normally. A few age-appropriate developmental activities may be suggested to their caregivers. Ita child has one “delay” or two “cautions,” the caregiver should be given age-appropriate developmental activi- ties to pursue with the child, and the child should be scheduled for resoreening with the PDQ-II one month later. IM, on rescreening a month later, the child has one or more “delays,” schedule second-stage screening with the DENVER Il, administered by a qualified examiner, as soon as possible. 6 Children who have two or more “delays” or three or more “cautions” on the first-stage soreening with the PDG-ll should be scheduled for a second-stage screening with the Denver Il as soon as possible 7. on second-stage screening with the DENVER Il, a child receives other than normal results (suspect or untestable), that child should be considered for a diagnostic evaluation. For ease in interpreting PDC-II results to a child's caregiver, each item has been given the same tile as the corresponding DENVER II item, The name of the sector where the item is located on the DENVER II is shown in the "For Office Use" column of the PDQ-II as follows: PS (Personal Social}; FMA (Fine Motor-Adaptive); L (Lan- guage}; and GM (Gross Motor) “Frankenburg, W.K., Dodds, J, Archer, P. et al, The DENVER Il: A major revision and standardization of the Denver Develop- ‘mental Screering Test, Pediatrics 1992; 89: 91-97.DENVER PRESCREENING DEVELOPMENTAL QUESTIONNAIRE II g=F E& child's Name g & Person Completing PDQ-II @ __ Relation to Child é CONTINUE ANSWERING UNTIL 3 “NOs” ARE CIRCLED 1, Equal Movements 8. Head Up 90 Degrees ‘When your baby is lying on his back, can he move each of his ‘When your baby is on her stomach on a flat surface, can she lift arms as easily asthe other and each of his legs as easly as the her head and chest to look straight ahead like this picture? ‘thor? Circle NO if your baby makes jerky or uncoordinated YES NO movements with one or both of his arms orlegs. YES NO 2. Responds to Sounds g 1 Does your baby respond (with eye movements, change in breathing or other change in activity) to a new sound outside his line of vision? YES NO 9. Hands Together Does your baby play with his hands by touching them together? ‘YES NO When your baby is lying on her back, does she look at you and watch your face? YES NO 10. Regards Own Hand Have you seen your baby stare at his own hand for at least § seconds? YES NO 4. Vocalizes Does your baby make sounds other than crying, such as uh, eh oF cooing? YES NO 11. Squeals Does your baby make happy, excited, high-pitched squealing sounds which are not crying? YES NO 5. Smiles Responsively When you smile and talk to your baby, does he smile baok at you? YES NO 12, Bears Weight on Legs When you stand your baby up, holding her under the arms, does 6. Head Up 45 Degrees she try to stand on her feet and support some of her own weight? ‘When your baby is on her stomach on a flat surface, can she lit YES NO her head at least as far as this picture? 13, Follows 180 Degrees 5 le your baby is on his back, move your hand from one side to the other above his face. Did your baby watch your hand by turing his head from one side all the way to the other side lke this 7. *Oo0"/"Aaa” picture? Does your baby make vowel sounds such as “oo” or “aaa”? YES NO RK “& YES NO (Please turn page) GW. K.Frankonburg, M.,, 1975, 1986, 1996 eWihelmine R. Frankenburg 2009CONTINUE ANSWERING UNTIL 3 “NOs” ARE CIRCLED 14. Chest Up-Arm Support ‘When your baby is on her stomach on a. her chest using her arms to hold herself 22, Sits, No Support ‘Without being propped by pillows, a chair, or a wall, can your baby YES NO sit by hersalf for at least 10 seconds? YES NO x 23. Looks For Yarn 16, Regards Smal it, Grop it tothe floor. Did yc Gan your baby fous her eyes on smal objects the sizeof & Pea, went? ‘YES NO a raisin or a penny? 24, Rakes Raisin 16. Rolls Over Can your baby pick up tiny objects, such as raisins or pieces of Has your baby rolled over at least 2 times, from stomach to back, food with either his whole hand using a raking or back to stomach? YES NO ‘or with his thumb and fingers ike any of these pictures? YES NO 17. Turns to Sound Does your Baby usually tun his head toward a sot sound, when Cc €& LL & the source of the sound is out of sight? YES NO 25. Single Syllables Does your baby make sounds that have both consonants and vowels such as “da”, “ba, “ga’, or "ma"? 18. Reaches Can your baby pick up a toy if itis placed within her reach? YES NO YES NO 19. Works For Toy When your baby wants something that is out of easy reach, does your baby try to get it by stretching his arms or body? YES NO Can your baby stand holding on to a chair or table for 10 seconds or more? YES NO 20. Feeds Self Can your baby feed herseif a cracker or cookie? If she has never 27. Imitates Speech Sounds been given one, Circle NO. YES NO baby ever copy you when you make some speech ‘sounds like kissing, coughing or saying a word? YES NO 21. Turns To Voice When your baby is playing and you come up quietly behind him, does your baby usually urn his head as though he heard you? YES NO tly W200 ‘ow. K Frankenburg, M.D, 1976, 1986, 1998 GvWhelmine A. Frankenburg 2008DENVER PRESCREENING DEVELOPMENTAL QUESTIONNAIRE II o> ES ES child's Name. 3 @ Person Completing PDQ-II & Relation to Child s Q CONTINUE ANSWERING UNTIL 3 “NOs” ARE CIRCLED 28. Mama/Dada, Non-Specific (35. Jabbers: Does your baby make either “mama” or “dada” sounds? When your baby is playing alone, does he jabber as though really YES NO talking? This jabbering does not have to be understandable. YES NO 29. Pulls To Stand When in a crib or beside furniture, can your baby pull herself up to a standing position without helo? YES NO| 30. Gets to Sitting When crawling or ving down, can your baby get into a sitting position without help? YES NO say “Dada” when he wants or sees his father? ‘say “Mama” when he wants or sees his mother? 31. Combines Syllables Circle YES if your child says either one, Does your baby repeat the same sounds several times in a row YES NO like *dadadada,” or “gagagaga"? YES NO 32. Thumb-Finger Grasp ‘When your baby pioks up a tiny object, such as a raisin, does he do so by squeezing it between his thumb and at least one finger like either of these pictures? ae & 93. Plays Pat-A-Cake ‘When you or someone else waves and says “bye-bye” to your Can your baby play “pat-a-cake" with someone without any help, child, can your child wave back without help? such as helping him clap his hands? YES NO stand alone (without having to hold on to some- YES NO YES NO food oF a toy) into ‘a few seconds? YES NO 41. Stoops and Recovers 34, Stands - 5 Seconds Without holding on to something or touching the floor, can your ‘Can your baby stand alone (without having to hold on to some- bend over or stoop to pick up a toy or ather object on the floor thing) for about 5 seconds? and stand up again? YES NO YES NO (Please tum page) @Wm. K, Frankenburg, M.., 1975, 1986, 1998 ©Wihelmine A. Frankenburg 2008Child's Name. Person Completing PDQ-II Relation to Child DENVER PRESCREENING DEVELOPMENTAL QUESTIONNAIRE II CONTINUE ANSWERING UNTIL 3 “NOs” ARE CIRCLED 57. Combines Words Does your child put two words together when she speaks, such as “Want drink” and “Get down"? Do not count “thank you” and “bye-bye. Yes NO 58. Names One Picture Point to the pictures below, one at a time, and say, “What is does not know what the picture is, do not id your child name at least one picture correctly fog, man)? (The name of a pet counts, but animal sounds lke meowing and barking do not count) YES NO BEC 2 ot 59. Body Parts Circle the body parts you name them oné foot—tummy--hait 60. Jumps Up him to jump get both feet 61. Puts on Clothing Can your child put on any of her own clothing such as shoes, ants or T-shirt? YES NO Pictures Show id the pictures in #58 again, and tell him, one at a time, the: bird~man--dog--cat~horse." Did your child Point to at least 4 pictures correctly? YES NO For Office Uso 90% 75% 2yt 224 23293 1b 2y-d 22-2 2y-6 2y-2 PS 2y6 Bet For OFice Use ‘Today's Date. ye mo. day Child's Birthdat yr mo. day [Subtract to get Child's Exact Age___yr mo. day PDAIl Age: v ‘mo___— completed wis| For 63. Tower of 8 Cubes ea Can your child stack 8 or more small blocks on top of each other? | 90% 75% if she has never ted this, Circle NO. YES NO | 27 2 FMA 64. Speech Halt-Understandable When your child talks to people who dont know him well, do they usually understand at least haf of what your child's saying? YES NO | y-10 2441 L 65. Names 4 Pictures For #58, did your child name at least 4 pictures corectly? YES NO | ayt0 a7 L 66. Washes and Dries Hands Can your child wash and cry her hands well enough so you don’t hhave f0 do tham over? It you do not allow her to wash and dry her hands by herself, Circle NO, ves NO | eee 67, Names Friend Ask your cid to tell ou the name of one of his friends, Did your child name someone vio is not a family member or pox? ‘ves no [eeanaiem 68, Imitates Vertical Line 1 Child with this task. Draw a straight one illustrated below. Say to your child, YYour child should not trace the line. Look at these examples and score your child's drawing, CroieNO_¢ 9 | \ ) (() if ike one ? of these of these Yes No |sv2 29 FMA (Please turn page) ow. Fankonburg, MD, 1975, 1995, 1986 \eremine A. Fankenburg 2209CONTINUE ANSWERING UNTIL 3 “NOs” ARE CIRCLED 69. Knows 2 Actions Show your child the pictures in #58, and ast ‘correct picture as you ask, one at a time, “Whi - -barks--gallops?” Did your child poi 70. Broad Jump Without letting your child take a running jump, tell her to jump length-wise over this questionnaire. Did she do this without landing on the pay YES NO 71. Balances - Each Foot 8 Seconds Have your child balance on the right foot as long as he can without holding on to anything. Show him how, it necessary. balance? Now have your child balance on his left foot. How many seconds did your child balance? Did your child balance 3 seconds or more on the right foot and ‘on the left foot? YES NO 72, Knows 2 Adjectives ‘Write your child's answer to the following questions. Give no help ‘except to repeat the question. “What clo you do when you are coki?" “What do you do when you are tired?” “What do you do when you are hungry?” “have lunch” Hungry- “eat”, “ask for something to eat", Did your child answer at least 2 questions correctly with words, not with just motions or gestures? YES NO For Office Use 20% 75% ay2 2-9 a7 3y L 3y-2 2y-10 GM sy-4 2-9 GM L 73. Thumb Wiggle Make a fst with your thumb point and wiggle your thumb. Have your hand and then with the other. Did y the thumb of either hand without mi i 74, Names One Color Point to the squares below one at a time, and ask your child to name each color. Do not let your child know if his responses are right oF wrong. Did your child name one or more colors correctly? as in the picture below, imitate you, frst with one child make a fist and wiggle ing any other finger? YES NO YES NO 75. Use of 2 Objects \Write your child's answer to the following questions. Ask the questions one at a time and wait for your child to answer. Give no help except to repeat the question. “What do you do with a cup?" “What is a chair used for?” “What is a pencil used for?” Count any action word (such as “drink” for cup) as correct. An answer like “milk” for cup is not correct. Did your child answer at least 2 questions correctly? YES NO 76. Counts 1 ‘Tear 4 small pieces off a piece of paper. Tell your child to give you one piece of paper. If he gives you m one, circle NO. If your child gives you only one, ask him, "How many pieces of paper do I have?" If he answered “one”, circle YES. If he answered anything else, circle NO. YES NO wv K Office Use 20% 75%, 9y-7 9y-3 FMA 3y-8 y-3 OL 8y-9 y-4 L B10 96 L arg, MO, 1975, 666, 1098 C¥ihaimine R.Fankenbug 2000,Child’s Name. Person Completing PDQ-II + Relation to Child DENVER PRESCREENING DEVELOPMENTAL QUESTIONNAIRE II CONTINUE ANSWERING UNTIL 3 “NOs” ARE CIRCLED For Office Use 90% 75% raw ths figure in the space below, Do not say raw @ picture just lke this one,” and point to the ese examples and score your chile’s best drawing, Circle YES Circle ittike one of (7 & C) ittike one of ¢) @ OC” these these Did your child draw a circle? YES NO | 4¥ 3y-8 FMA) 78. Use of 3 Objects Write your child’s answers to the fc questions one at a time and wé help except to repeat the question. “What do you do with a cup?" “What is a chair used for?” wing questions, Ask the your child to answer. Give no "What is a pencil used for?” Count any word (such as “drink” for cup) as correct. An “milk” for cup is not correct. Did your child answer all 3 questions correctly? YES NO |4y-1 9-4 L 79. Knows 4 Actions ‘Show your child the pictures below and ask her to point to the Ife aS OU ask, one at a time, “Which one flles—says ‘barks~gallops?" Did your child point to 4 or 5 a YES No |4¥-2 9-2 L WAL 2 at | For Offoe Use Today's Date a mo day Child's Birthdate, vr mo. day [Subtract to get Chile's Exact Ago. we imo. day PDAIl Age: no ‘completed wks| For oes Use 80. Speech All-Understandable con to When your child talks to people who don't know him wel, do they usually understand everything he is saying YES NO | 42 9-3 L 81, Hops on One Foot Have your child hop on one fect several times without holding on to anything. Skipping does not count. Did she hop 2 or more times? YES NO | 42 910 GM 82. Dresses, No Help Can your child pick out clothes to wear and dress himself com- Pletely without help? Yes No | 45 4 PS the name ofthis picture. Do not give help. st lke this one,” and point to the picture —_ Look at these examples and score your chila's best drawing. Circle YES i ittike one 4 > one fb -j-/- of these Did your child draw a cross? YES NO | 48 4y FMA 84, Understands 4 Prepositions Give your child a piece of pape or look when giving your child Put the paper (or “Put the paper behind y “Put the paper on the chair” “Put the paper in fron Did your child folow all four dections conectly? YES NO. | 4y8 99 L (Please turn page) ‘SW. K Frenkenburg, M.D, 1875 1988, 1968 OWvaina R, Frenkenbu 2008For Office Use 90% 75% CONTINUE ANSWERING UNTIL S “NOs” ARE CIRCLED 85. Names 4 Colors Point to the squares below, one at a time, and ask your child 10 name each color. Do not let your child know if her responses are right or wrong, Did your child name all four colors correctly? YES NO 86. Brushes Teeth, No Help oss your child brush his own teeth alone, including putting ‘toothpaste on the brush and brushing all front and back teeth? YES NO 4-9 42 L Sy 4-2 PS 87. Defines 5 Words Write your child's answers to the following questions. Ask the questions one at a time and wait for an answer after each one. Give no help except to repeat questions. “What is @ ball?” “What Is a lake?” “what is a desk?” “What is house?” tell something about the object's use, shape, what it is made of, or general category (such as, Did your child define at least 5 words correctly? YES NO |5y-3 47-7 L 88, Picks Longer Lit Do not correct your bigger. Show your cr give her help. Do not use the word 2 lines to the right. Say, “Point to the she points, turn the drawing upside it to the line that is longer.” After she points, time, “Pol ‘the longer line all, YES NO 5y-3 4y FMA 89. Knows 3 Adjectives Write your child's answers to the following questions. Give no help ‘except to repeat the question. “What do you do when you are cold?” “What do you do when you are tired?” “What do you do when you are hungry?" Examples of correct answers: Hungry- “eat”, “ask for something to eat, “have lunch" Did your child answer all 3 questions correctly with words, not with Just motions or gestures? YES NO 90. Draws Person - 6 Parts Have your child draw in the space below or on a separate sheet of man, woman, boy, git.” ‘Count a pair ‘one of a pair (eye, arm, leg, ear, et ‘draw a person with 6 or more parts? .) as one part. If there is only jo not count it. Did your child YES NO 91. Balances - Each Foot 8 Seconds Have your child balance on the right foot as long as he can without holding on to anything. Show him how, if necessary. Estimate seconds by counting slowly. balance? Now have your child balance on his left foot. How many seconds did your child balance?, id your child balance 8 seconds or more on the right foot and on the loft foot? YES NO (Oi. K.Frankenbug, M.D, 1978, 1986, 1966 e¥ANoIMNe R Fa For omice Use 90% 75% os 9 ob 5y-7 Sy-1 FMA Sy-10 5y-4 GM