1
Social
2
Language
3
Cognitive
4
Physical
5
Summary

Social/Emotional

Calms down when spoken to or picked up *
Looks at your face *
Seems happy to see you when you walk up to her *
Smiles when you talk to or smile at her *

Language/Communication

Makes sounds other than crying *
Reacts to loud sounds *

Cognitive (Learning, Thinking, Problem-Solving)

Watches you as you move *
Looks at a toy for several seconds *

Movement/Physical Development

Holds head up when on tummy *
Moves both arms and both legs *
Opens hands briefly *
My Child's Summary
Yes
Not Yet
Not Sure

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Your Itemized Responses

Social/Emotional
Calms down when spoken to or picked up
Looks at your face
Tries to look at parent
Seems happy to see you when you walk up to her
Language/Communication
Makes sounds other than crying
Reacts to loud sounds
Cognitive (Learning, Thinking, Problem-Solving)
Watches you as you move
Looks at a toy for several seconds
Movement/Physical Development
Holds head up when on tummy
Moves both arms and both legs
Opens hands briefly

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