Does your baby?
Does your Child?
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Have a history of a hospital or NICU stay?​
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Have difficulty with breastfeeding?
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Have difficulty gaining weight?
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Have a tongue tie?
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Refuse bottles?
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Have Colic?
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Have difficulty with sleep?
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Have difficulty with state control?
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Hate tummy time?
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Have excessive spit up/Reflux?
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Have body tension or abnormal tone?
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Have a strong side preference, looking, rolling, and turns head to one side?
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Have any known medical or neurological diagnosis?
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Have trouble using utensils
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Have difficulty drinking from a cup?
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Have difficulty chewing?
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Pocket food?
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Have difficulty with textures?
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Display picky eating?
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Drool excessively
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Excessively mouths toys or objects beyond an age-appropriate time?
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Seem overly sensitive or highly reactivity to sound, touch, or movement?
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Seem under-responsive to certain sensations (e.g., high pain tolerance, doesn't notice cuts/bruises)
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Seem like they are constantly moving, jumping, crashing, bumping?
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Seem easily distracted by visual or auditory stimuli?​
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Seem emotionally reactive?
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Have difficulty coping with change?
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Seem inability to calm self when upset?
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Need adult guidance to initiate play?
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Have difficulty with imitative play?
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Wander aimlessly without purposeful play?
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Move quickly from one activity to the next?
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Not join in with peers/siblings when playing?
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Not cross midline of his or her body during play?
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Avoids tasks and games that require gross motor skills?
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Seem clumsy?
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Have a hard time with coordinaiton?


