Developmental Monitoring Checklist
Cognitive/Adaptive
Week of______________
Not Applicable (NA):
1 (Not Yet):
2 (In Progress):
3 (Consistent):
Skill or behavior has not been introduced/Not Age Appropriate
Child cannot demonstrate skill or behavior at this time.
Child demonstrates skill or behavior intermittently
Child can consistently demonstrate skill or behavior with proficiency.
NA
1
2
3
NA
1
2
3
Follows classroom routines independently.
Gives self-identification information (e.g. name, gender,
birthday, parents name, teacher names, siblings,
address, and/or telephone number, etc).
Keeps up with own materials.
Demonstrates age appropriate eating behaviors.
Uses basic hygiene (toileting, wash hands, etc.).
Completes familiar routines independently.
Completes instructional level assignments
independently.
Responds to situations with appropriate emotions.
Asks for help when needed.
Demonstrates awareness of safety routines.
(Attach work samples for this area.)
Recognizes and names the 8 basic colors.
Sorts objects by size, shape, and color.
Can correctly count up to 10 objects.
Recognizes his or her first name in print.
Reproduces a 3-object pattern.
Correctly matches upper and lower case letters.
Traces, copies, & generates shapes, letters, & numerals.
Identifies the name and use of common objects.
Tells what is happening in a picture.
Can complete an age-appropriate puzzle.
Developmental Monitoring Checklist
Social/Emotional
Week of______________
Not Applicable (NA):
1 (Not Yet):
2 (In Progress):
3 (Consistent):
Skill or behavior has not been introduced/Not Age Appropriate
Child cannot demonstrate skill or behavior at this time.
Child demonstrates skill or behavior intermittently
Child can consistently demonstrate skill or behavior with proficiency.
NA
Complies with rules, limits, and routines.
Responds appropriately to an understood direction.
Interacts appropriately with peers.
Has success with taking turns and sharing.
Interacts appropriately with adults.
Establishes and maintains appropriate social
interactions.
Appropriately asks for help.
Has a group of friends.
Participates and intends to teacher directed tasks.
Is able to appropriately deal with conflict as it arises.
Completes age appropriate tasks.
1
2
3
Developmental Monitoring Checklist
Articulation/Speech Sound Production
Week of______________
Not Applicable (NA):
1 (Not Yet):
2 (In Progress):
3 (Consistent):
Skill or behavior has not been introduced/Not Age Appropriate
Child cannot demonstrate skill or behavior at this time.
Child demonstrates skill or behavior intermittently
Child can consistently demonstrate skill or behavior with proficiency.
NA
Do you understand the student’s speech in normal
conversation?
Do unfamiliar listeners understand the student’s speech
in normal conversation?
Does the student’s peers understand his/her speech in
normal conversation?
Does the student appear to be free of frustration (crying,
anger, refusal to repeat, etc.) if misunderstood?
Does the student answer questions and participate in
discussions?
Can you listen to what the student is saying without
being distracted by his/her speech?
Does the student’s speech allow for participation and
progress in the general curriculum?
Does the student actively engage in social interactions?
1
2
3
Developmental Monitoring Checklist
Language
Week of______________
Not Applicable (NA):
1 (Not Yet):
2 (In Progress):
3 (Consistent):
Skill or behavior has not been introduced/Not Age Appropriate
Child cannot demonstrate skill or behavior at this time.
Child demonstrates skill or behavior intermittently
Child can consistently demonstrate skill or behavior with proficiency.
NA
Does the student listen to a story or presentation as
appropriately as his/her peers do?
Does the student ask and answer questions for
clarification or further information when he/she does
not understand?
Does the student use sentences as long and complex as
his/her peers?
Does the student tell stories and explain events or
actions as appropriately as his/her peers?
Does the student informally communicate with teachers
as same-aged peers?
Does the student initiate, maintain, and terminate
conversations appropriately?
Does the student express his/her ideas so that others
can understand?
Does the student recall information presented
auditorially?
Does the student understand and/or use vocabulary
consistent with same-aged peers?
Does the student follow multi-step directions?
1
2
3
Developmental Monitoring Checklist
Motor
Week of______________
Not Applicable (NA):
1 (Not Yet):
2 (In Progress):
3 (Consistent):
Skill or behavior has not been introduced/Not Age Appropriate
Child cannot demonstrate skill or behavior at this time.
Child demonstrates skill or behavior intermittently
Child can consistently demonstrate skill or behavior with proficiency.
NA
Demonstrates basic locomotor movements such as
walking, running, jumping, hopping, galloping, and
skipping.
Demonstrates nonlocomotor movements such as
bending, stretching, pulling, and pushing.
Balances on one foot for approximately 5 seconds.
Demonstrates hand and eye coordination (using a pencil,
crayon, fitting puzzles).
Holds and uses pencils, crayons, or markers using a 3finger grasp.
Cuts with scissors along a presented line (straight or
curvy).
Traces and copies shapes, letters, and numerals.
Independently draws a recognizable shape.
Forms recognizable numbers and letters in a defined
space.
1
2
3