Communication Screening

Submitted by Rick on Mon, 2005-06-20 16:14.

Below you will find a list of communication skills that children should be exhibiting at each particular age.



By 6 months, your child should:

Receptive Skills
  • Respond to stern intonation
  • Startle response to loud or sudden noise
  • Turn head toward and look at speaker
  • Watch lips and mouth of speaker

Expressive Skills
  • Produce early babbling sounds (ba, ma)
  • Produce vocal play with toys (squeals, growls, raspberries)
  • Smile and make noise when spoken to
  • Vocalize (laugh, giggle, cry, or fuss) to sounds



By 12 months, your child should:

Receptive Skills
  • Answer questions by shaking head for no; nodding for yes
  • Begin to understand a few familiar words such as mommy, daddy, bye-bye, cup
  • Give toy in hand on request
  • Pat image of self in mirror
  • Respond to music with body movement
  • Respond to No
  • Wave bye-bye in response to goodbye

Expressive Skills
  • Have a vocabulary of 1-3 words
  • Have adult-like intonation
  • Produce and/or imitate babbling (ba-ba-ba or ma-ma-ma)
  • Produce more consonants sounds (p, t, n, d)
  • Produce uh-oh exclamation
  • Say bye-bye on request


By 18 months, your child should:

Receptive Skills
  • Have a receptive vocabulary of 300+ words
  • Identify 1-3 simple body parts by pointing
  • Name at least 5 objects (not in imitation)
  • Point to common objects when named
  • Respond to simple commands (get ball, come here)

Expressive Skills
  • Use 2-word combinations
  • Name some body parts
  • Use a combination of jargon and true words
  • Use rising intonation (me go?)
  • Use words to express wants & needs



By 24 months, your child should:

Receptive Skills
  • Follows simple commands & answers simple questions
  • Has a receptive vocabulary of 500-1000 words
  • Identify more than 5 body parts
  • Point to five or more pictures
  • Respond to some yes/no questions
  • Understand prepositions in and on

Expressive Skills
  • Ask "wh" questions (where momma go?)
  • Name at least 20 everyday objects (chair, fork, car)
  • Produce most vowels and the consonants: m, b, p, k, g, w, h, n, t, d
  • Request items by name
  • Use 50 to 250 or more words
  • Say No




Other information that you may be asked about if take your child in for an evaluation:

Has your child had a hearing screening?
Family history of speech and/or language delay?
Does your child seem frustrated (knows what he/she wants, but cannot say it)?
Is your child showing any behaviors that might be related to a difficulty with communication? For example:
  • Biting self or other children.
  • Frequent fighting with other children.
  • Extreme independence (will try to do everything for him/herself without asking for help).
On a scale of 1-10 (1 = difficult), how well do you understand what your child says?
Does your child demonstrate aversion to certain tastes and textures or have any difficulties with sucking, chewing, and/or swallowing food?