DECA Assessment 18 - 36 months

DECA Assessment 18 - 36 months
This form describes a number of behaviors seen in some toddlers. Please mark the box in the category that tells how often you saw the behavior in the past 4 weeks. Answer each question carefully. There are no right or wrong answers. Please answer every item.
Toddler's Name*
Date of Birth*
Age (in Months)
Name of person completing this form
Relationship to toddler*
During the past 4 weeks how often did the toddler....
1.Enjoy interacting with others?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
2. Show affection for a familiar adult?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
3. Adjust to changes in routine?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
4. Seek comfort from familiar adults?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
5. Makes needs known to a familiar adult?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
6. Act happy with familiar adults?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
7. Show interest in his/her surroundings?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
8. Respond when spoken to?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
9.Show concern for other children?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
10. Try to comfort others?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
11. Act happy when praised?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
12. Participate in group activites?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
13. Make eye contact with others?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
14. Enjoy being cuddled?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
15. Smile back at a familiar adult?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
16. Ask to do new things?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
17. Reach for a familiar adult?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
18. Respond to his/her name?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
19.React to another child's cry?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
20. Smile at familiar adults?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
21. Easily go from one activity to another?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
22. Show pleasure when reacting with adults?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
23. Handle frustration well?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
24. Makes others aware of her/his needs?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
25. Accept comfort from a familiar adult?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
26. Play make believe?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
27. Follow simple directions?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
28. Show preference for a familiar adult?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
29. Try to clean up after her/himself?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
30. Easily follow a daily routine?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
31. Play with other children?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
32. Try to do things for her/himself*
NeverRarelyOccasionallyFrequeutlyVery Frequently
33. Calm him/herself?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
34. Accept another choice when the first choice was not available?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
35. Have regular sleeping patterns?*
NeverRarelyOccasionallyFrequeutlyVery Frequently
36. Express a variety of emotions ( happy, sad, mad)?.*
NeverRarelyOccasionallyFrequeutlyVery Frequently
Should be Empty: