18-Month Milestone Questionnaire Form
Please complete the 18-Month Milestone Questionnaire Form to help track your child's development. This form collects only essential, non-sensitive milestone information.
Child's Full Name
*
First Name
Last Name
Child's Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Can your child walk independently?
*
Yes
Not yet
Does your child use at least 6 words that are understandable to others?
*
Yes
Not yet
Does your child point to show you something interesting?
*
Yes
Not yet
Does your child stack at least two small blocks?
*
Yes
Not yet
Does your child try to copy what you do?
*
Yes
Not yet
Does your child show interest in other children?
*
Yes
Not yet
Is there anything else you'd like to share about your child's development?
Submit Questionnaire
Should be Empty: