0-3 Month Milestones Checklist

All our milestones are supported by American Academy of Pediatrics findings. Use this
checklist to track your child’s development. If you notice your child isn’t meeting any of their
milestones, bring this checklist to your healthcare provider to discuss your observations and
concerns.
Yes No
Motor
While lying on tummy, supports self on arms
While lying on tummy, lifts and holds head up
Able to move fists from closed to open
Able to bring hands to mouth
Moves legs and arms off of surface when excited

Sensory
While lying on back, visually tracks a moving toy from side to side
While lying on back, attempts to reach for a toy held above their chest
While lying on back, keeps head centered to watch faces or toys
Able to calm with rocking, touching, and gentle sounds
Enjoys a variety of movements

Communication
Makes eye contact
Cries differently for different needs (e.g. hungry vs. tired)
Coos and smiles
Turns head towards sound or voice
Quiets or smiles in response to sound or voice
Shows interest in faces

Feeding
Latches onto nipple or bottle
Tongue moves forward and back to suck
Drinks 2 oz. to 6 oz. of liquid per feeding
Sucks and swallows well during feeding

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4-6 Month Milestones Checklist
All our milestones are supported by American Academy of Pediatrics findings. Use this
checklist to track your child’s development. If you notice your child isn’t meeting any of their
milestones, bring this checklist to your healthcare provider to discuss your observations and
concerns.
Yes No
Motor
Reaches for toys while on tummy
While lying on back, transfers toy from hand to the other
While lying on back, reaches both hands to play with feet
Uses hands to support self while sitting
Rolls from back to tummy and tummy to back
While standing with support, accepts entire weight with legs

Sensory
Uses both hands to explore toys
Generally happy when not hungry or tired
Brings hands and objects to mouth
Able to calm with rocking, touching, and gentle sounds
Is not upset by everyday sounds
Enjoys a variety of movements

Communication
Begins to use consonant sounds in babbling, e.g. “da, da, da”
Makes different kinds of sounds to express feelings
Uses babbling to get attention
Listens and responds when spoken to
Reacts to sudden noises or sounds
Notices toys that make sounds

Page 1

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part of this work must be obtained from Pathways.org. Materials are provided
at no cost; no fees or charges may be associated with any of the Pathways.org
Pathways.org is a 501(c)(3) not-for-profit organization.
materials without prior written approval.
Please visit www.Pathways.org to find more FREE resources on child development. Copyright © 2024 Pathways Foundation
4-6 Month Milestones Checklist
All our milestones are supported by American Academy of Pediatrics findings. Use this
checklist to track your child’s development. If you notice your child isn’t meeting any of their
milestones, bring this checklist to your healthcare provider to discuss your observations and
concerns.

Yes No
Feeding
Shows interest in food
Experiments with food using utensils and hands
Moves pureed food from front of mouth to back
At approximately 6 months, begins to eat baby safe foods, other than milk -
such as pureed or solid foods

Page 2

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DO NOT CHANGE. MUST ACKNOWLEDGE PATHWAYS.ORG. Permission to cite any
part of this work must be obtained from Pathways.org. Materials are provided
at no cost; no fees or charges may be associated with any of the Pathways.org
Pathways.org is a 501(c)(3) not-for-profit organization.
materials without prior written approval.
Please visit www.Pathways.org to find more FREE resources on child development. Copyright © 2024 Pathways Foundation
7-9 Month Milestones Checklist
All our milestones are supported by American Academy of Pediatrics findings. Use this
checklist to track your child’s development. If you notice your child isn’t meeting any of their
milestones, bring this checklist to your healthcare provider to discuss your observations and
concerns.
Yes No
Motor
Sits without support
Sits and reaches for toys without falling
Moves from tummy or back into sitting
Starts to move with alternate leg and arm movement
e.g. creeping, crawling
Picks up head and pushes through elbows during Tummy Time
Turns head to visually track objects while sitting
Shows more control while rolling and sitting
Picks up small objects with thumbs and fingers
In simple play imitates others

Sensory
Explores and examines an object using both hands and mouth
Turns several pages of a chunky (board) book at once
Experiments with the amount of force needed to pick up different objects
Focuses on objects near and far
Investigates shapes, sizes, and textures of toys and surroundings
Observes environment from a variety of positions – while lying on back
or tummy, sitting, crawling, and standing with assistance
Enjoys a variety of movements – bouncing up and down,
rocking back and forth

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part of this work must be obtained from Pathways.org. Materials are provided
at no cost; no fees or charges may be associated with any of the Pathways.org
Pathways.org is a 501(c)(3) not-for-profit organization.
materials without prior written approval.
Please visit www.Pathways.org to find more FREE resources on child development. Copyright © 2024 Pathways Foundation
7-9 Month Milestones Checklist
All our milestones are supported by American Academy of Pediatrics findings. Use this
checklist to track your child’s development. If you notice your child isn’t meeting any of their
milestones, bring this checklist to your healthcare provider to discuss your observations and
concerns.

Yes No
Communication
Imitates sounds
Uses increased variety of sounds and syllable combinations in babbling
Participates in two-way communication
Recognizes sound of their name
Looks at familiar objects and people when named
Shows recognition of commonly used words
Simple gestures, e.g. shaking head for “no”

Feeding
Begins to eat thicker pureed and mashed table foods
Enjoys chew toys that can massage sore and swollen gums
during teething
Stays full longer after eating
Shows strong reaction to new smells and tastes

Page 2

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DO NOT CHANGE. MUST ACKNOWLEDGE PATHWAYS.ORG. Permission to cite any
part of this work must be obtained from Pathways.org. Materials are provided
at no cost; no fees or charges may be associated with any of the Pathways.org
Pathways.org is a 501(c)(3) not-for-profit organization.
materials without prior written approval.
Please visit www.Pathways.org to find more FREE resources on child development. Copyright © 2024 Pathways Foundation
10-12 Month Milestones Checklist
All our milestones are supported by American Academy of Pediatrics findings. Use this
checklist to track your child’s development. If you notice your child isn’t meeting any of their
milestones, bring this checklist to your healthcare provider to discuss your observations and
concerns.

Yes No
Motor
Releases objects into a container with a large opening
Uses thumb and pointer finger to pick up tiny objects
Pulls to stand and cruises along furniture
Stands alone and takes several independent steps
Moves in and out of various positions to explore environment and
get desired toys
Maintains balance in sitting when throwing objects
Claps hands
Regularly moves with alternate leg and arm movement e.g. creeping,
crawling

Sensory
Enjoys listening to songs
Explores toys with fingers and mouth
Crawls to or away from objects baby sees in the distance

Page 1

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DO NOT CHANGE. MUST ACKNOWLEDGE PATHWAYS.ORG. Permission to cite any
part of this work must be obtained from Pathways.org. Materials are provided
at no cost; no fees or charges may be associated with any of the Pathways.org
Pathways.org is a 501(c)(3) not-for-profit organization.
materials without prior written approval.
Please visit www.Pathways.org to find more FREE resources on child development. Copyright © 2024 Pathways Foundation
10-12 Month Milestones Checklist
All our milestones are supported by American Academy of Pediatrics findings. Use this
checklist to track your child’s development. If you notice your child isn’t meeting any of their
milestones, bring this checklist to your healthcare provider to discuss your observations and
concerns.

Yes No
Communication
Meaningfully uses “mama” or “dada”
Imitates speech sounds
Babbling has sounds and rhythms of speech
Responds to “no”
Responds to simple directions, e.g. “Come here”
Pays attention to where you are looking and pointing
Produces long strings of gibberish in social communication
Begins using hand movements to communicate wants and needs,
e.g. reaches to be picked up

Feeding
Finger feeds self
Eating an increasing variety of food
Begins to use an open cup
Ready to try soft-cooked vegetables, soft fruits, and finger foods
(banana slices, cooked pasta)
Might be ready to start self feeding with utensils
Enjoys a greater variety of smells and tastes

Page 2

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DO NOT CHANGE. MUST ACKNOWLEDGE PATHWAYS.ORG. Permission to cite any
part of this work must be obtained from Pathways.org. Materials are provided
at no cost; no fees or charges may be associated with any of the Pathways.org
Pathways.org is a 501(c)(3) not-for-profit organization.
materials without prior written approval.
Please visit www.Pathways.org to find more FREE resources on child development. Copyright © 2024 Pathways Foundation
13-18 Month Milestones Checklist
All our milestones are supported by American Academy of Pediatrics findings. Use this
checklist to track your child’s development. If you notice your child isn’t meeting any of their
milestones, bring this checklist to your healthcare provider to discuss your observations and
concerns.
Yes No
Motor
Walks independently and seldom falls
Squats to pick up a toy
Stacks two objects or blocks

Sensory
Helps with getting dressed/undressed
Eats an increasing variety of foods

Communication
May use 5-10 words
Imitates simple words and actions
Combines sounds and gestures
Consistently follows simple directions
Shows interest in pictures
Can identify 1-2 body parts when named
Understands 50 words
Responds to questions
Repeats words overheard in conversation
Continues to produce speech-like babbling
Points at familiar objects and people in pictures
Understands “in” and “on”

Feeding
Continues to eat an increased variety of food
Holds and drinks from a cup

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part of this work must be obtained from Pathways.org. Materials are provided
at no cost; no fees or charges may be associated with any of the Pathways.org
Pathways.org is a 501(c)(3) not-for-profit organization.
materials without prior written approval.
Please visit www.Pathways.org to find more FREE resources on child development. Copyright © 2024 Pathways Foundation
19-24 Month Milestones Checklist
All our milestones are supported by American Academy of Pediatrics findings. Use this
checklist to track your child’s development. If you notice your child isn’t meeting any of their
milestones, bring this checklist to your healthcare provider to discuss your observations and
concerns.
Yes No
Motor
Starts to jumps with both feet leaving the ground
When walking, able to pull toys behind them
Runs
Stands on tiptoes
Climbs on low furniture
Kicks large ball
Goes up and down stairs with support

Sensory
Uses crayons, pens, or markers to make marks on paper
Sorts shapes and colors
Stacks 5 or more small blocks or toys on top of each other
Takes toys apart and puts them back together

Communication
Uses at least 50 words
Consistently imitates new words
Names objects and pictures
Understands simple pronouns (me, you, my)
Understands new words quickly
Identifies 3-5 body parts when named
Uses gestures and words during pretend play
Begins to use 2 word phrases
Uses simple pronouns (me, you, my)
Understands action words
Follow 2-step related directions, e.g. “Pick up your coat and bring it to me.”

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part of this work must be obtained from Pathways.org. Materials are provided
at no cost; no fees or charges may be associated with any of the Pathways.org
Pathways.org is a 501(c)(3) not-for-profit organization.
materials without prior written approval.
Please visit www.Pathways.org to find more FREE resources on child development. Copyright © 2024 Pathways Foundation
2-3 Years Milestones Checklist
All our milestones are supported by American Academy of Pediatrics findings. Use this
checklist to track your child’s development. If you notice your child isn’t meeting any of their
milestones, bring this checklist to your healthcare provider to discuss your observations and
concerns.

Yes No
Communication - By 30 Months
Consistently uses 2-3 word phrases
Uses “in” and “on”
At least 50% of speech is understood by caregiver
Follow 2-step unrelated directions,
e.g. “give me the ball and go get your coat”
Understands basic nouns and pronouns
Understands “mine” and “yours”

Yes No
Communication - By 36 Months
Ask “what” and “where” questions
Uses plurals, e.g. “dogs”
Most speech is understood by caregiver
Understands most simple sentences
Simple understanding of color, space, time
Understands “why” questions

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part of this work must be obtained from Pathways.org. Materials are provided
at no cost; no fees or charges may be associated with any of the Pathways.org
Pathways.org is a 501(c)(3) not-for-profit organization.
materials without prior written approval.
Please visit www.Pathways.org to find more FREE resources on child development. Copyright © 2024 Pathways Foundation