Three Year Old Checklist

Child's Initials ___J.S.______________

Birth date __04-11-2013_____

LANGUAGE
Transferring Thought into Words
Labeling
1. Names Concrete objects in environment (7 out of 10) ____10/10_____
2. Names ten pictures of 19 common Objects _19/19
3. Names plural form to refer to more than one Yes__
4. Understands use of concrete objects ("what do we
we use to eat with?")___Yes__
5. Recognized and names articles of Clothing he wears ____Yes______
6. Recognized and names Pieces of Furniture _____Yes____
Combining Words; Language Structure
7. Speaks in 4 to 6 word sentence ____Yes____
8. Uses Present Progress verb (He is jumping) _____Yes__
9. Uses past tense (He walked home) ____No___
10. Uses "this" and "that" (I want this. Give me that) ____Yes___
11. Uses Correctly: I You Me He She _____No__
12. Understands: Who What Where Why ____Yes____
13. Asks simple questions using: Who What Why Where ____Yes_____
14. Answers: Who What Where Why ___Yes_____
15. Understands sentences and Questions as indicated _____Yes_____
by a relevant response
Describing
16. Tells action in Picture (The girl is combing her hair) ___Yes_____
17. Tells use of Pictured items ____Yes____
Songs - Fingerplays
18. Sings simple songs or rhymes; 3-4 lines ____Yes_____
19. Memorizes and repeats a fingerplay or songs 4 lines ____Yes_______
20. Understand: Up - Down, Stop - Go, Fast - Slow ____Yes_
Open - Close, Happy - Sad, Hot - Cold
Position Words
21. Understands prepositions: In, Over, On, Top, ____Yes_
In front of, Above, Out, Under, Off, Bottom,
In back of, Below
Learning About self
22. Points to body parts: head, arms, legs, feet, hands ____Yes___
Knees, Chin, face parts
23. Names Body parts: Heads, arms, legs, feet, hands ___Yes___

Knees, Chin, face parts

24. Understands functions of major body parts ____Yes__
25. Tells own sex and age and full names _____Yes__
STIMULATION OF THE FIVE SENSES
Taste, Smell, Touch
26. Matches Textures ____Yes_____
27. Matches Tastes _____Yes__
28. Matches Smells ____Yes___
29. Identifies and describes hidden common objects by _______Yes___
touch alone
Visual Discrimination and Memory
30. Places objects on their outlines ______No_____
31. Recalls three objects that are visually presented _______Yes___
Dog House Banan
32. Identifies whats missing from a picture ____No___
Listening and Auditory Memory
33. Listens to short Stories ______Yes__
34. Follows two directions (put your hands on your ____Yes____
head and walk to the door)
35. Repeats simple sentences of six words (I am a ____Yes__
Great Big Boy)
36. Repeats a sequence of three numbers (8-3-5) ____Yes__
Sound Discrimination
37. Names sounds heard in the home such as vacuum ___Yes_
cleaner, toilet, running water, blender, etc.
38. Matches sounds when given a choice of 3 pairs ______No_
39. Locates the source of a sound (a Whistle, clap, etc.) ___Yes_
Refining Logical Thinking
40. Sequences 3 pictured events from a familiar story ___No__
41. Expresses pictures sequences in 3 thoughts ______No_
Relationships
42. Pairs related objects and pictures (shoe and sock) _____Yes__
43. Recognizes which doesnt belong in a group of 3 items ____Yes__
Inductive Reasoning
44. Reasons inductively (:show me something that roles") ____No__
Math
45. Matches Shapes: Circle, square, triangles, Rectangle ____Yes__
46. Points to appropriate shape upon commands ____Yes___

47. Lables Shapes: : Circle, square, triangles, Rectangle _____Yes__

48. Matches Colors ______Yes________________
49. Points to appropriate color upon command: _______Yes__
Blue Yellow Red Green Orange Blue Brown Black ______Yes___
50. Names the tree primary colors: Red yellow Blue ____Yes____
Counting
51. Rote Counts to: 3 4 5 _____Yes___
52. Counts out objects: 1 2 3 4 5 _____Yes_____
53. Understands number concepts: ___Yes__
1 2 3 _____
4 5 6 _____
(when given number of objects, child can tell how many there are.)
Size Differences; Quantitative Concepts
54. Understands concepts: Full / empty ______Yes__
55. Points to which of 2 sticks is longer ____Yes_____
56. Understands: Big / Tall Little/ Short ____No___
Classifying
57. Sorts objects into two given categories (by size, ____No___
Shape, color, etc.)
Sets
58. Matches sets containing 1 2 3 4 5 Objects _____Yes_____
59. Constructs sets of blocks when given a model: ___Yes___
GROSS MOTOR
Arm - Eye Coordination
60. Rolls a large ball to a 3 foot target ____Yes_____
61. Catches a large ball (from 5 to 8 feet distance) ___Yes___
Mainly with arms and elbows at side of body
With arms slightly extended from the body
62. Throws a Ball overhand with accuracy (4 to 6 ___Yes______
foot distance)
63. Throws a bean bag at an 8 inches diameter target ___Yes______
5 feet away
Body Coordination and Balance
64. Walks up stairs, walks down stairs, Alternates feet, ____Yes____
One step per tread at least 8 steps
65. Walks forward / Backwards on an 8 foot line ____Yes______
Not stepping off more then two times
66. Jumps off floor with feet together w/o losing balance ___Yes____
67. Jumps three jumps with both feet __Yes______
68. Jumps from bottom step (6-9 Inches) and lands on __Yes_____

both feet without losing balance

69. Stands on one foot 2-3 second 4-8 seconds ___Yes_____
Without losing balance
70. Hops on one foot two or more times, Right foot ____No____
Left foot
71. Kicks a ball with one foot accuracy, 6-8 foot distance ____No__
72. Stands on tiptoes for 10 seconds ____Yes___
73. Walks on tiptoes for 5 seconds _____Yes______
74. Rides a tricycle ____Yes_______
75. Imitates actions modeled by teachers ___Yes__
FINE MOTOR
Fingers strength and dexterity
76. Makes balls and snakes with clay _____Yes______
77. Pastes with index fingers _______Yes_______
Hand - Eye Coordination
78. Strings a least four beads (in 1 minutes) ____Yes___
79. Puts ten pegs into pegboard (in 2 minutes) _____Yes____
80. Screws and unscrews nuts, bolts and lids of all sizes _____Yes____
81. Hammers Pegs and Nails ____Yes______
82. Puts together a 3-5, 6-7 piece puzzle ____Yes_____
83. Pours rice or sand ___Yes_____
84. Holds crayon with fingers rather than fist ____No______
85. Paints with large brush on paper (18x24) ____Yes_______
86. Begins to draw human figures (usually head & Legs) ___No_______
87. Laces following a sequence of holes ____Yes____
88. Copies: horizontal lines, vertical lines, Circles, Cress ____No______
Diagonal Line
89. Uses Scissors, but does not necessarily follow lines _____No______
Additional Comments:
While assessing J.S., all he did was smile and giggle. J.S. did a great job and he even sang using
his hands and legs. He wanted to do more than he had too. J.S. completed the assessment in good
terms. I did notice that he needs a bit more practice on identifying on what objects are short, tall,
big or small.

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