3-4 Years Questionnaire
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Your child is running, climbing, and going up rungs to go down a slide. Your child can kick a ball using opposite arm/leg movements. Your child is showing a hand preference, can form lines and circles, and can button. Your child is understandable 90% of the time while using 4-5 word sentences. Your child is sharing stories and experiences and is beginning to understand emotions.
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Congratulations your child is developing skills as expected for their age! Check back during your child’s next developmental period to ensure they stay on track.
Please click the “View Questions” button below for an explanation of why the questions you answered are so important.
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Development occurs along a continuum and children can vary in their development. We encourage you to go back to the developmental stage prior to where your child is currently. Complete the questionnaire from that developmental stage and see how they perform. If your child obtains a score of 80% from that developmental stage, no further steps are needed. If your child performs below 80% on that questionnaire, it is recommended you talk with your pediatrician about the results of the questionnaire as well as any concerns you may have. You can also call our office and schedule a free screening at 815-462-4928. Often we can provide suggestions to help you get your child’s development on track.
Please click the “View Questions” button below for an explanation of why the questions you answered are so important.
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Question 1 of 17
1. Question
Can your child form lines, a circle, and a cross?
Correct
These skills are necessary for pre-writing, writing readiness, and spatial awareness.
Incorrect
These skills are necessary for pre-writing, writing readiness, and spatial awareness.
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Question 2 of 17
2. Question
Can your child walk up and down 4 stairs with one foot on each step?
Correct
Important for balance, strength, coordination, and being able to reach things overhead.
Incorrect
Important for balance, strength, coordination, and being able to reach things overhead.
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Question 3 of 17
3. Question
Can your child climb up rungs to go down a slide?
Correct
Important for planning, balance, and coordination.
Incorrect
Important for planning, balance, and coordination.
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Question 4 of 17
4. Question
Can your child stand on one foot for at least a few seconds without holding on?
Correct
Important for balance and core strength.
Incorrect
Important for balance and core strength.
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Question 5 of 17
5. Question
Can your child jump forward with two feet for at least 6 inches?
Correct
Important for coordination, balance, timing and sequencing of movement.
Incorrect
Important for coordination, balance, timing and sequencing of movement.
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Question 6 of 17
6. Question
Can your child walk on their tip toes for 3-5 feet?
Correct
Important for safety within home, school and playground. Important for eye-foot coordination and strength.
Incorrect
Important for safety within home, school and playground. Important for eye-foot coordination and strength.
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Question 7 of 17
7. Question
Can your child kick a ball forward using opposite arm/leg motion?
Correct
Important for balance, strength, peer interaction and eye-foot coordination.
Incorrect
Important for balance, strength, peer interaction and eye-foot coordination.
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Question 8 of 17
8. Question
Can your child string small beads?
Correct
This is important for development of fine and visual motor skills. This also encourages using both hands together at the same time, which is needed for complex fine motor tasks.
Incorrect
This is important for development of fine and visual motor skills. This also encourages using both hands together at the same time, which is needed for complex fine motor tasks.
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Question 9 of 17
9. Question
Can your child complete simple puzzles?
Correct
This is important for cognition, visual perceptual, matching, memory, eye-hand coordination, spatial awareness, and problem solving skills. Puzzles give children an understanding of certain themes such as animals, vehicles and the alphabet.
Incorrect
This is important for cognition, visual perceptual, matching, memory, eye-hand coordination, spatial awareness, and problem solving skills. Puzzles give children an understanding of certain themes such as animals, vehicles and the alphabet.
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Question 10 of 17
10. Question
Does your child hold a pencil/crayon with their thumb, index finger, and middle finger?
Correct
The child demonstrates a hand preference at age 4. At this stage, the intrinsic muscles of the hand move the pencil, which produces more fluidity when writing.
Incorrect
The child demonstrates a hand preference at age 4. At this stage, the intrinsic muscles of the hand move the pencil, which produces more fluidity when writing.
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Question 11 of 17
11. Question
Can your child point to several body parts?
Correct
Important for body awareness and understanding the relationship between body parts.
Incorrect
Important for body awareness and understanding the relationship between body parts.
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Question 12 of 17
12. Question
Can your child button buttons?
Correct
This is important for eye-hand coordination for manipulating fasteners, in hand manipulation skills and the knowledge of using both sides of the body together for independent dressing.
Incorrect
This is important for eye-hand coordination for manipulating fasteners, in hand manipulation skills and the knowledge of using both sides of the body together for independent dressing.
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Question 13 of 17
13. Question
Is your child’s speech 90% understandable while using 4-5 word sentences?
Correct
By the age of 3, a child should be combining 3-4 words during play to spontaneously form short sentences. This is an age appropriate skill for verbal expression. By the age of 4, a child’s utterances should be 4-5 words. By 4 years, a child is using approximately 1000 words, and speech is 90% understandable within several 4-5 word sentences.
Incorrect
By the age of 3, a child should be combining 3-4 words during play to spontaneously form short sentences. This is an age appropriate skill for verbal expression. By the age of 4, a child’s utterances should be 4-5 words. By 4 years, a child is using approximately 1000 words, and speech is 90% understandable within several 4-5 word sentences.
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Question 14 of 17
14. Question
Does your child understand the concepts on, off, in/out, and one, some/all, rest, and few?
Correct
A child should be able to understand directions containing these concepts. This is important to assure a child is able to follow commands and understands these concepts.
Incorrect
A child should be able to understand directions containing these concepts. This is important to assure a child is able to follow commands and understands these concepts.
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Question 15 of 17
15. Question
Can your child follow 3 step commands?
Correct
By 4 years, a child is able to follow 3-step commands (including quantity, number, location, and time concepts) and can recall details to retell a short story. Important for development of short term memory and processing of language.
Incorrect
By 4 years, a child is able to follow 3-step commands (including quantity, number, location, and time concepts) and can recall details to retell a short story. Important for development of short term memory and processing of language.
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Question 16 of 17
16. Question
Can your child retell a story?
Correct
Important for development of short term memory and processing of language.
Incorrect
Important for development of short term memory and processing of language.
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Question 17 of 17
17. Question
Does your child understand others feelings and respond appropriately?
Correct
Child is less self-focused and more aware of others feelings. Important for development of empathy and relationship development.
Incorrect
Child is less self-focused and more aware of others feelings. Important for development of empathy and relationship development.
