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* 1. Your Name, Your Child's Name, Child's Date of Birth, Name of Daycare

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* 2. Type your name below if you consent to your child being screened by Thrive Speech Therapy their daycare

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* 3. Your Phone Number and e-mail address

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* 4. Does your child understand differences in meaning ("go-stop", "in-on", "big-little", "up-down")

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* 5. Is your child able to follow two-step requests ("Get the book and put it on the table)

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* 6. Does you child have words for nearly everything? - Vocabulary of 300-1000 words

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* 7. Does your child use 3 or more word sentences and questions?

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* 8. Is your child able to produce k, g, f, t, d, and n sounds and most vowels?

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* 9. Is your child understood by at least 90% of people?

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* 10. Can your child name most body parts?

T