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If your child is not meeting these milestones, talk to your physician and contact your local early intervention program (birth to age three), your local university, school or Therapedics for a free screening.

By the time your child is 12 months old:

  • She should use a variety of vowel and consonant sounds.

  • She should be putting sounds together in babbling or repeating of syllable combinations

  • She should be taking turns making sounds back and forth with you.

  • She should be imitating movement, gestures, sounds and first words or word approximations.

  • She should be asking for things by using a gesture together with sounds

  • She should follow simple, familiar directions with gesture cues (you point at something)

  • She should make attempts at saying words.

  • She should understand a lot more words than she can say.

By 18 months:

  • She should have at least 10-20 words in her vocabulary

  • She should follow most familiar directions

  • She should look at you when you call her name and maintain eye contact as you are talking

  • She should initiate “talking”

  • She should use sounds like b, p, m, n, t, d, k, g in most of her word attempts

  • She should show an interest in looking at books.

By 24 months

  • She should use more than 50 words

  • She should put two or more words together in phrases/sentences

  • She should follow 2-step familiar directions

  • She should use additional sounds like n, w in words

  • She should show an interest in having books read to her, helping turn pages, point to things on the page

By three years
  • She should be using simple, complete 3-4+ word sentences

  • She should relay simple personal events using sentences

  • She does not follow most directions familiar or unfamiliar.

  • She should appropriately answer most simple questions

  • She should have additional sounds like f, v, y, ng in words

  • She should pretend to read books and may even begin to recognize a few letters or numbers
By four years

  • She should relay events or maintain conversation using complex sentences

  • She should include additional sounds like s, z, sh, ch, j, l, r, th in words

By Four years


  • She should hear you when you call from another room.

  • She should hear television or radio at the same loudness level as other family members.

  • She should be able to answer simple "who?", "what?", "where?", and "why?" questions.

  • She should be able to talk about activities at school or at friends' homes.

  • People outside of the family usually understand child's speech.

  • She should use a lot of sentences that have 4 or more words.

  • Usually talks easily without repeating syllables or words.

By five years

  • She should recognize letters or letter sounds

  • She should sound out simple words

  • She should meet grade expectations for reading or spelling

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