4-5 Years Questionnaire
Quiz-summary
0 of 16 questions completed
Questions:
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
Information
Your child is now riding a bike with training wheels, jumping over objects, and galloping. He/she is able to cut simple shapes, dress and undress independently. Your child should be using 5-6 word sentences, name at least 4 colors, count 10 objects, use pronouns, take turns and stay on topic during conversations.
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading...
You must sign in or sign up to start the quiz.
You have to finish following quiz, to start this quiz:
Results
0 of 16 questions answered correctly
Time has elapsed
You have reached 0 of 0 points, (0)
Categories
- Not categorized 0%
-
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.
-
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.
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- Answered
- Review
-
Question 1 of 16
1. Question
Can your child perform 1-2 sit-ups?
Correct
Important for strength, sitting balance, speech production, and endurance.
Incorrect
Important for strength, sitting balance, speech production, and endurance.
-
Question 2 of 16
2. Question
Can your child jump over a 12 inch object using two feet at the same time?
Correct
Important for coordination, balance and motor planning.
Incorrect
Important for coordination, balance and motor planning.
-
Question 3 of 16
3. Question
Can your child throw a ball overhand for 5′ and hit a target while using opposite arm/leg movements?
Correct
Important for strength, eye-foot and eye-hand coordination, balance and peer interaction.
Incorrect
Important for strength, eye-foot and eye-hand coordination, balance and peer interaction.
-
Question 4 of 16
4. Question
Can your child stand on one foot for at least 9 seconds?
Correct
Important for balance and core strength.
Incorrect
Important for balance and core strength.
-
Question 5 of 16
5. Question
Can your child gallop?
Correct
Important for coordination, planning, and sequencing of movements.
Incorrect
Important for coordination, planning, and sequencing of movements.
-
Question 6 of 16
6. Question
Can your child pedal a tricycle or bike with training wheels?
Correct
Important for coordination, planning, sequencing of movements, and balance.
Incorrect
Important for coordination, planning, sequencing of movements, and balance.
-
Question 7 of 16
7. Question
Can your child dress and undress?
Correct
Important for motor planning, problem solving, body awareness, and bilateral coordination.
Incorrect
Important for motor planning, problem solving, body awareness, and bilateral coordination.
-
Question 8 of 16
8. Question
Can your child cut out simple shapes such as a circle, square, and triangle?
Correct
This is an important skill that encourages bilateral integration (use of both hands working together doing 2 different things) and hand eye coordination. This is important for the development of the child’s cognitive skills and motor skills. By age 4, the child is able to hold both forearms in midposition for cutting. In hand manipulation, eye-hand coordination, and rotating the paper with the non cutting hand is needed to accomplish this type of cutting.
Incorrect
This is an important skill that encourages bilateral integration (use of both hands working together doing 2 different things) and hand eye coordination. This is important for the development of the child’s cognitive skills and motor skills. By age 4, the child is able to hold both forearms in midposition for cutting. In hand manipulation, eye-hand coordination, and rotating the paper with the non cutting hand is needed to accomplish this type of cutting.
-
Question 9 of 16
9. Question
Can your child form a vertical line, horizontal line, circle, cross (4 yrs), square( 4.5 yrs), and X (5 yrs)?
Correct
Important for the development of visual-motor integration, spatial awareness, and readiness for writing.
Incorrect
Important for the development of visual-motor integration, spatial awareness, and readiness for writing.
-
Question 10 of 16
10. Question
Is your child’s speech understandable at least 90% of the time?
Correct
By age 5, speech is completely intelligible and child is able to produce all speech sounds (though r and l may still be developing) within 5-6 word sentences. Important for being able to functionally communicate clearly.
Incorrect
By age 5, speech is completely intelligible and child is able to produce all speech sounds (though r and l may still be developing) within 5-6 word sentences. Important for being able to functionally communicate clearly.
-
Question 11 of 16
11. Question
Does your child use full sentences when speaking?
Correct
By the age of 5, a child should be able to speak using complete sentences during spontaneous conversation. A child’s language should be growing rapidly at this age.
Incorrect
By the age of 5, a child should be able to speak using complete sentences during spontaneous conversation. A child’s language should be growing rapidly at this age.
-
Question 12 of 16
12. Question
Can your child name at least 4 colors and 3 shapes?
Correct
Important for developing visual discrimination skills.
Incorrect
Important for developing visual discrimination skills.
-
Question 13 of 16
13. Question
Can your child count at least 10 objects?
Correct
Child understand 1:1 correspondence and can count sequentially.
Incorrect
Child understand 1:1 correspondence and can count sequentially.
-
Question 14 of 16
14. Question
Does your child use pronouns such as he, she, me, I, her, him, we?
Correct
By the age of 4, a child should be able to use all pronouns accurately. This is important to make sure their grammar skills are developing appropriately.
Incorrect
By the age of 4, a child should be able to use all pronouns accurately. This is important to make sure their grammar skills are developing appropriately.
-
Question 15 of 16
15. Question
Can your child follow 3-step directions and retell a story from memory?
Correct
Child can readily follow 3-step directions, retell stories from memory, and can sequence 3-step picture sequences. Child also demonstrates solid understanding of time concepts (e.g., night, yesterday) and spatial concepts (e.g, behind, next to).
Incorrect
Child can readily follow 3-step directions, retell stories from memory, and can sequence 3-step picture sequences. Child also demonstrates solid understanding of time concepts (e.g., night, yesterday) and spatial concepts (e.g, behind, next to).
-
Question 16 of 16
16. Question
Does your child take turns and stay on topic during a conversation?
Correct
Child is able to take turns and maintain a conversation topic for multiple conversation exchanges. Important for development of social skills within conversation.
Incorrect
Child is able to take turns and maintain a conversation topic for multiple conversation exchanges. Important for development of social skills within conversation.
