Question Title

* 1. Your Name

Question Title

* 2. Your Child's Name and Date of Birth

Question Title

* 3. Your Phone Number and e-mail address

Question Title

* 4. Does your child have a vocabulary of approximately 5-20 words?

Question Title

* 5. Does your child use some repeating of the same word or phase repeatedly? (ball, ball, ball)

Question Title

* 6. Does your child use jargon (their own language) with inflection?

Question Title

* 7. Does your child follow simple commands? ("roll the ball")

Question Title

* 8. Does your child point to a few body parts when asked?

Question Title

* 9. Does your child listen to simple stories, songs, and rhymes?

Question Title

* 10. Does your child use different consonant sounds at the beginning of words?

T