This important checklist will provide useful information about risk factors for learning challenges in young children. Additionally, this list can be used to emphasize and develop areas of concern for greater neuro-developmental support and success.
Between the ages of 2 and 5, did your child:
| Attention | |
| Control his/her activity level (e.g., was not too “hyper”)? | __Yes __No |
| Feel satisfied or content (didn’t want things all the time)? | __Yes __No |
| Sleep well at night? | __Yes __No |
| Comments: | |
| Memory | |
| Recall the names of people s/he had met before? | __Yes __No |
| Remember stories or nursery rhymes? | __Yes __No |
| Remember the names of colors and numbers? | __Yes __No |
| Comments: | |
| Language | |
| Pronounce words properly? | __Yes __No |
| Read beginning words easily (e.g., cat, a, run)? | __Yes __No |
| Speak in complete sentences? | __Yes __No |
| Comments: | |
| Spatial Ordering | |
| Know his/her left from right? | __Yes __No |
| Recognize letters or numbers? | __Yes __No |
| Put his/her clothes on the correct way? | __Yes __No |
| Comments: | |
| Temporal-Sequential Ordering | |
| Know the days of the week? | __Yes __No |
| Recite the alphabet in the correct order? | __Yes __No |
| Say numbers in order? | __Yes __No |
| Comments: | |
| Neuromotor Function | |
| Tie his/her shoelaces? | __Yes __No |
| Run, hop, and skip smoothly? | __Yes __No |
| Draw using crayons? | __Yes __No |
| Comments: | |
| Higher Order Cognition | |
| Understand about numbers? | __Yes __No |
| Show curiosity about how things work or why things happen? | __Yes __No |
| Use his/her imagination to make up stories or participate in make-believe play? | __Yes __No |
| Comments: | |
| SOCIAL COGNITION | |
| Share with others? | __Yes __No |
| Make friends easily? | __Yes __No |
| Get along with other children? | __Yes __No |
| Comments: | |
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