Gross Motor
When your child is held upright is he able to support his head for few minutes?
Yes No
Does your child hold chin and shoulders off couch and weight is borne on forearm in prone position?
Yes No
Hands
Does your child keep hands frequently loosely open?
Yes No
Vision
Does your child follow-dangling toy from side to side (180 degrees)?
Yes No
Does your child promptly looks at object in midline?
Yes No
Hearing
Does your child turn head to sound?
Yes No
Vocalization
Does your child respond when spoken to and makes squeaks of pleasure?
Yes No
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