Developmental Assessments

Children need to go for regular development checks following the schedule in their health booklet for development delay and diseases, which are best treated as early as possible, ideally before the age of 4. Assessments can be carried out in polyclinics/nearby CHAS GP clinics.

Domains of Development

  1. Gross Motor

    a. Physical skills which require whole body movement

  2. Vision and Fine Motor

    a. Coordination of what you can see with physical actions

  3. Hearing and Speech

  4. Socio-Emotional

Guidelines When Using The Developmental Milestones Chart

Parents are to refer to the respective milestones relevant to their child - the milestones are introduced for the ages of: birth, 6 weeks, 3 months, 6 months, 9 months, 12 months, 18 months, 2 years, 3 years, 4 years and 5 years.

The chart indicates milestones that 50% of children of that age would have achieved.

🚩 Red Flags (indicated by this red flag logo) are milestones that 90% of children of that age would have achieved - if you see this in your child, this may indicate a delay and you will need to see a doctor for a check. If you suspect that your child is showing some of the delays, please visit the doctor for professional help.

Summary of Red Flags

  • AT 18 MONTHS

    • Not walking on his/her own

    • Says less than 5 single words

  • at 2 years

    • Unable to walk up/down stairs with help

    • Walks unsteadily

    • Unable to scribble

    • Does not follow 1-step command

    • Does not have 2-word phrases

    • Does not copy actions and words

  • at 3 years

    • Does not run or jump

    • Does not copy vertical line

    • Does not follow 2-step command

    • Does not have 3-word phrases

    • Plays alone and does not use imagination when playing

  • at 4 years

    • Shows no interest in interactive games or using imagination when playing

    • Ignores other children or does not respond to people outside the family

    • Does not follow 3 step command

    • Unable to copy a circle

    • Cannot retell a favourite story

    • Speaks unclearly

  • at 5 years

    • Shows extreme behaviour (e.g. frequent outrages, impulsivity amongst others)

    • Easily distracted, has trouble focusing on one activity for more than 5 mins

    • Does not copy square

    • Cannot give full name