O.T. Developmental Checklist

Occupational Therapy Developmental Skills Checklist (0-36 months)

0-3 months

• Moves arms symmetrically
• Can bring hands to midline while on back
• Blinks at sudden visual stimulus
• Grasps toy actively
• Keeps hands open 50 percent of the time
• Turns head to both sides while on back
• Lifts head while on stomach
• Extends both legs
• Rolls from side to back
• Opens and closes mouth in response to food
• Naps frequently
• Stays awake for longer periods without crying – usually in p.m.
• Coordinates sucking, swallowing, and breathing

• Follows a moving object with eyes while in supported sitting
• Clasps hands
• Keeps hands open most of the time
• Reaches and grasps object
• Drops object
• Rolls from back to side
• Bears almost all weight on legs
• Holds head erect when leaning forward
• Sits momentarily leaning on hands
• Uses tongue to move food in mouth
• Recognizes bottle visually, pats bottle
• Sleeps at night, for 10-12 hours with night awakening
• Places both hands on bottle
• Mouths and munches solid foods

• Bangs object on table
• Manipulates toy actively with wrist movements
• Reaches and grasps object with extended elbow
• Releases object voluntarily
• Sits without hand support for 10 minutes
• Crawls forward/backward
• Gets to sitting without assistance
• Makes stepping movements
• Pulls to standing at furniture
• Feeds self cracker
• Bites and chews toys
• Drinks from cup held
  
• Drools less except when teething

• Pokes with index finger
• Bangs two cubes held in hands
• Puts objects in and takes objects out of container
• Uses both hands freely; may show preference for one
• Lowers to sitting from furniture
• Stands momentarily
• Walks holding onto furniture
• Pivots in sitting – twists to pick up objects
• Finger feeds self
• Holds spoon
• Sleeps nights twelve to fourteen hours
• Cooperates with dressing by extending arm or leg

• Marks paper with crayon
• Puts three or more objects into container
• Builds tower using two cubes
• Points with index finger
• Stands alone well
• Falls by sitting
• Throws underhand in sitting
• Walks without support
• Bends over and looks through legs
• Brings spoon to mouth – turns spoon over
• Holds cup handle

• Child scribbles spontaneously
• Turns small container upside down to obtain tiny object
• Puts many objects into container without removing any
• Uses both hands at midline – one holds, other manipulates
• Builds tower using three cubes
• Throws ball forward
• Pulls toy behind while walking
• Stands on one foot with help
• Walks upstairs with one hand held
• Carries large toy while walking
• Indicates discomfort over soiled pants; by verbal/gesture
• Sleeps nights ten-twelve hours
• Naps one in afternoon one-three hours
• Removes socks
• Places hat on head

• Imitates vertical stroke
• Imitates horizontal stroke
• Builds tower using six cubes
• Strings three one-inch beads
• Snips with scissors
• Helps with simple household tasks
• May have definite food preferences
• Unwraps food
• Pulls pants down with assistance
• Unbuttons large buttons
• Goes up and down slide
• Stands on tiptoes
• Walks with legs closer together
• Catches large ball
• Walks upstairs alone – both feet on step

• Imitates a cross
• Folds paper in half
• Builds tower using eight cubes
• Places six square pegs in pegboard
• Walks on tip-toes a few steps
• Jumps backwards
• Jumps sidewards
• Jumps on trampoline with adult holding hands
• Dresses self with assistance
• May reject many foods
• Insists on doing things independently
• Hangs clothing on hook
• Helps with bathing self

• Imitates cross
• Copies a circle
• Snips on line using scissors
• Builds tower using nine cubes
• Climbs jungle gyms and ladders
• Catches eight inch ball
• Runs on toes
• Makes sharp turns around corners when running
• Pours liquid from small container
• Uses fork
• Uses napkin
• Buttons large buttons
• Dries hands