|Description: This questionnaire, created for parents, helps them identify concerns in child development. As this questionnaire is non-submittable, no data is collected. There is however a 'Print' link at the bottom of the page which you can use to print your questionnaire results upon completion.
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Children grow and develop very fast. It is not always easy to know whether or not they are developing appropriately and meeting developmental milestones.
As a parent of a young child (birth to age 6), you might be worried about a certain behavior that your child is displaying -- only to find out that this kind of behavior is typical for a child who is the same age as your child.
On the other hand, you might feel that a particular behavior that did not concern you at the time is now a problem and should be addressed right away, either by yourself or by a professional.
If you do worry about your child's development, the following questionnaire will help you pinpoint where these concerns about your child lie. It will also guide you to the appropriate professionals and/or agencies that you should contact.
The questionnaire will start with general questions about children's development and will then lead to questions about specific developmental areas.
This questionnaire contains information about possible concerns about your child's overall development between the ages of birth to 6 years old. This questionnaire is for you to fill in, and to share it with someone of your trust.. Because is a pdf document, it must be printed and only you will know the responses to it. There is no risk for someone else looking at this questionnaire.
We advise you to start with this set of questions. They will help you find out if you need to find out more about specific information about worries or concerns about your child's development
Please note that this questionnaire is NOT a test of your child's abilities. It is only meant to be used as a guide that will help you determine whether or not your child is developing typically.
This questionnaire does not replace professionals such as child psychologists, physiotherapists, occupational therapists, speech and language pathologists, early childhood teachers or physicians. If you are concerned about your child's development, we advise you to seek professional help as soon as possible. This website provides you with different agencies and resources where you can go for help in your community.
- This section contains general statements about different aspects of your child development that may be of your concern.
- For example, you may find that you are very concerned about some aspects of your child development in one area such as motor skills. At the same time you may have a little bit of (or slight) concern for your child's language skills, and that you have no concerns about your child's emotional development.
- Please check one of the boxes for each item. As you go through this section, check all the items that are relevant for you. To find out more on a specific area of development, click on the appropriate link next to the magnifying glass icon.
I am (very much / somewhat / slightly / not) concerned about: