Birth - 3 Years

• Physical 1: Find in gross developmental lag 2: Sensory difficulties;
• Cognitive: developmental lag regarding thinking/solving skills;
• Language/Communication Lag: Regarding skills in receiving information (receptive) and expressing information (expressive);
• Social/Emotional: internal and external adaptation to environmental stimuli;
• Self-help: adaptive development to complete basic needs.

3 - 5 Years

Thinking/Cognitive Skills

• Unable to remember shapes, colors, or numbers
• Not able to match objects or colors
• Appears unaware of or unable to anticipate what comes next regarding a familiar event or daily routine
• Difficulty with simple problem-solving
  

Physical/Motor Development

• Unsteady gait and difficulty maintaining balance
• Unable to climb
• Muscles too hard, too soft or often twitching
• Trouble doing activities such as play-dough, or puzzles
  

Vision

• Prefers to be too far or too near to objects or tasks
• Tips head to be able to see things
• Frequently blinks
• Tearing or red swollen eyes.
  

Hearing

• Does not respond to sound or appears to tune out noise
• Pulls on ears or has drainage from ears
  

Social/Emotional/Adaptive Behavior

• Unable to adjust to new situations and people
• Demanding and unable to be redirected
• Exhibits many fears and prefers to play alone
• Unable to do simple self-care tasks such as: drinking from a cup; eating with a spoon; caring for own toilet needs; washing hands and dressing self
  

Speech/Language Development

• Unable to verbalize simple needs and wants
• Unable to ask who, what, when, and where questions
• Unable to follow simple two to three word directions
• Unable to say or sing simple nursery rhymes and songs
• Speech that is not understood by an unfamiliar listener

Kindergarten - 21 Years

Vision

• Holds printed materials very close or very far away
• Tilts head or squints when looking at print or distance objects
• Unable to see at distances others can see
• Unable to locate objects on a table
• Rubs eyes, complains of headaches
• Eyes red, asymmetrical dilation, or other physical differences
  

Hearing

• Unable to hear sounds others hear
• Does not respond to loud or voice range noises
• Repeated hits self on side of the head
• Complains of ringing, buzzing
• Drops sounds out of words (doesn't pronounce s, c, etc.)
• Speaks in a very loud voice
  

Communication

• Does not pronounce words completely or correctly
• Unable to repeat directions
• Mistakes sounds: can not distinguish between pen and pin, get and got, ilk and elk
• Uses whole sentences when could use one word
• Uses only one or two words to communicate
• Unable to follow multi-step directions
• Unable to talk about actions or behaviors
  

Academics

• Difficulty understanding key content
• Extreme difficulty learning to read, write or do mathematics
• Extreme difficulty understanding what is read or how to apply mathematics
• Lack of memory for skills from day-to-day
• Difficulty with abstract reasoning
• Extreme difficulty with organizing self in time and space, understanding time
• Lack of work completion
  

Social/Emotional Behavior

• Inability to develop positive relationships with peers or adults
• Aggressive behavior
• Ritualistic or bizarre behaviors
• Extreme sadness or anxiety
• Extreme inattention/off-task behaviors
• Lack of response to typical discipline
  

Physical Development

• Difficulty holding a pencil, tying shoes, or doing puzzles
• Difficulty catching a ball, throwing a ball, or kicking a ball
• Difficulty standing up or sitting down
• Difficulty with walking, running, skipping or hopping
• Weakness in arms or legs
• Unable to bend at any natural joint (elbow, knew, waist, etc.)