Screening Questions | स्क्रीनिंग क्वेश्चन
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Name / नाम
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Contact Number / मोबाइल नंबर
*
Email / ईमेल
*
City / शहर
*
Age / आयु
Select Your Age / अपनी आयु चुनें
0 - 6 Months /0 - 6 महीने
6 - 12 Months / 6 -12 महीने
1 - 2 Years / 1 -2 वर्ष
2 - 3 Years / 2 -3 वर्ष
3 - 5 Years / 3 -5 वर्ष
5 - 12 Years / 5 -12 वर्ष
Growth Check
1.Is your child giving Eye contact.
Yes
No
2. Is your child has social smile.
Yes
No
3.Is your child Respond to sounds or voices.
Yes
No
Development tips
1. Are you regularly monitor weight gain. Is your child double their birth weight by about 6 months?
Yes
No
2. Are you regularly measure length to track growth.
Yes
No
3.Are you regularly ensure that infants are receiving appropriate amounts of breast milk or formula, as per doctor advice.
Yes
No
Growth Check
1.Is your child giving Eye contact.
Yes
No
2. Is your child has social smile.
Yes
No
3. Is your child Respond to sounds or voices.
Yes
No
4. Is your child respond to their name.
Yes
No
5. Is your child attempts to imitate sounds or movements.
Yes
No
6.Is your child babbling.
Yes
No
Development tips
1. Are you regularly monitor weight gain. Is your child triple their birth weight by their first birthday
Yes
No
2.Are you regularly measure length to track growth.
Yes
No
3. Are you regularly ensure that infants are receiving appropriate amounts of breast milk or formula, as per doctor advice.
Yes
No
4.Are you introducing solid foods at around 6 months of age, as recommended by healthcare professionals.
Yes
No
5. Are you monitor iron intake
Yes
No
Growth Check
1.Is your child giving Eye contact.
Yes
No
2. Is your child has social smile.
Yes
No
3.Is your child Respond to sounds or voices.
Yes
No
4.Is your child respond to their name.
Yes
No
5. Is your child attempts to imitate sounds or movements.
Yes
No
6.Is your child babbling.
Yes
No
7.Is your child using meaningful words &Sentences.
Yes
No
8. Is your child Respond to simple instructions or commands.
Yes
No
9. Is your child pretend play or imitation of others.
Yes
No
10. Is your child has Joint attention (e.g., pointing to objects to share interest).
Yes
No
Development tips
1. Are you monitor growth through regular measurements of height and weight.
Yes
No
2. Are you ensure a varied diet rich in fruits, vegetables, whole grains, protein sources (such as lean meat, fish, eggs, legumes), and healthy fats.
Yes
No
3.Are you monitor portion sizes to prevent overeating or under-eating .
Yes
No
4. Are you encourage healthy snacking options and limit the consumption of sugary snacks and beverages.
Yes
No
5. Are you ensure adequate intake of essential vitamins and minerals, including vitamin D, calcium, and iron.
Yes
No
6. Are you monitor fluid intake, encouraging water as the primary beverage.
Yes
No
Growth Check
1.Is your child giving Eye contact.
Yes
No
2. Is your child has social smile.
Yes
No
3. Is your child Respond to sounds or voices.
Yes
No
4.Is your child respond to their name.
Yes
No
5. Is your child attempts to imitate sounds or movements.
Yes
No
6. Is your child babbling.
Yes
No
7. Is your child using meaningful words &Sentences
Yes
No
8.Is your child Respond to simple instructions or commands.
Yes
No
9. Is your child pretend play or imitation of others.
Yes
No
10.Is your child has Joint attention (e.g., pointing to objects to share interest).
Yes
No
11. Is your child use two-word phrases.
Yes
No
12.Is your child interested in playing with peers.
Yes
No
13. Is your child not involved in repetitive behaviors or restricted interests (Like Hand flapping or Moving Round)
Yes
No
14. Is your child not having problem in transitions or changes in routine.
Yes
No
Development tips
1. Are you monitor growth through regular measurements of height and weight.
Yes
No
2. Are you ensure a varied diet rich in fruits, vegetables, whole grains, protein sources (such as lean meat, fish, eggs, legumes), and healthy fats.
Yes
No
3. Are you monitor portion sizes to prevent overeating or under-eating.
Yes
No
4. Are you encourage healthy snacking options and limit the consumption of sugary snacks and beverages.
Yes
No
5. Are you ensure adequate intake of essential vitamins and minerals, including vitamin D, calcium, and iron.
Yes
No
6. Are you monitor fluid intake, encouraging water as the primary beverage.
Yes
No
Growth Check
1. Is your child Respond to simple instructions or commands.
Yes
No
2. Is your child using Sentences (Speech )
Yes
No
3.Is your child interested in playing with peers.
Yes
No
4. Is your child not involved in repetitive behaviors or restricted interests (Like Hand flapping or Moving Round)
Yes
No
5.Is your child not having problem in transitions or changes in routine.
Yes
No
6. Is your child involved in turn-taking or sharing during play.
Yes
No
7.Is your child understand and express emotions.
Yes
No
Development tips
1. Are you monitor growth through regular measurements of height and weight.
Yes
No
2. Are you ensure a varied diet rich in fruits, vegetables, whole grains, protein sources (such as lean meat, fish, eggs, legumes), and healthy fats.
Yes
No
3.Are you monitor portion sizes to prevent overeating or under-eating .
Yes
No
4. Are you encourage healthy snacking options and limit the consumption of sugary snacks and beverages.
Yes
No
5.Are you ensure adequate intake of essential vitamins and minerals, including vitamin D, calcium, and iron.
Yes
No
6.Are you monitor fluid intake, encouraging water as the primary beverage.
Yes
No
Growth Check
1. Is your child using Sentences (Speech )
Yes
No
2. Is your child interested in playing with peers.
Yes
No
3. Is your child not involved in repetitive behaviors or restricted interests (Like Hand flapping or Moving Round)
Yes
No
4.Is your child not having problem in transitions or changes in routine.
Yes
No
5. Is your child involved in turn-taking or sharing during play.
Yes
No
6.Is your child understand and express emotions.
Yes
No
7.Is your child Respond to simple instructions or commands.
Yes
No
8.Is your child make Friends.
Yes
No
9. Is your child Organize and manage time.
Yes
No
10.Is your child waiting their turn.
Yes
No
11.Is your child good in academic performance or attention in school.
Yes
No
Development tips
1. Are you monitor growth through regular measurements of height and weight.
Yes
No
2.Are you ensure a varied diet rich in fruits, vegetables, whole grains, protein sources (such as lean meat, fish, eggs, legumes), and healthy fats.
Yes
No
3. Are you monitor portion sizes to prevent overeating or under-eating .
Yes
No
4. Are you encourage healthy snacking options and limit the consumption of sugary snacks and beverages.
Yes
No
5. Are you ensure adequate intake of essential vitamins and minerals, including vitamin D, calcium, and iron.
Yes
No
6. Are you monitor fluid intake, encouraging water as the primary beverage.
Yes
No
7. Are you promoting regular physical activity to support overall health and growth.
Yes
No
8. Are you limiting screen time and encourage outdoor play and other forms of physical activity.
Yes
No
9. Are you emphasizing good dental hygiene and limit sugary snacks and beverages to promote oral health.
Yes
No
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