Indian Child Development Tracker

While global milestone charts offer a general roadmap, they often overlook the unique cultural nuances of the Indian household. Scroll through the sections below to monitor progress. Remember, milestones are ranges, not deadlines. Click here for a smaller checklist of specific “Red Flags” that may require professional interference.

Disclaimer: This checklist is a screening tool, not a diagnostic one. If a child consistently misses milestones in even one domain for their specific age bracket, it is advisable to consult us.

This comprehensive list requires certain prior experience to fully comprehend. Our Holistic Child Development programmes offer dedicated counsellors who monitor your child’s development throughout their childhood, helping you unlock your child’s true potential.

0 to 3 Months

Ref # Milestone Description Yes/Emerging/Not yet
Cognitive Development
0.1.1 Quiets when picked up Yes
Emerging
Not yet
0.1.2 Shows pleasure when touched or handled Yes Emerging Not yet
0.1.3 Responds to sounds Yes Emerging Not yet
0.1.4 Responds to voice Yes Emerging Not yet
0.1.5 Shows active interest in person/object for about 1 minute
0.1.6 Listens to voice for 30 seconds
0.1.7 Inspects own hands
0.1.8 Watches speaker’s eyes and mouth
Language Development
0.2.1 Cries when hungry or uncomfortable
0.2.2 Makes comfort sounds, reflexive vocalizations
0.2.3 Makes sucking sounds
Gross Motor Development
0.3.1 Turns head to both sides in supine
0.3.2 Lifts head in prone
0.3.3 Holds head up 45 degrees in prone
0.3.4 Holds head to one side in prone
0.3.5 Lifts head when held at shoulder
0.3.6 Holds head in same plane when held in ventral suspension
0.3.7 Rolls side to supine
0.3.8 Kicks reciprocally
0.3.9 Holds chest up in prone weight on forearms
0.3.10 Rotates and extends head
0.3.11 Rolls prone to supine
0.3.12 Holds head beyond plane of body when held in ventral position
Fine Motor Development
0.4.1 Regards colourful objects; Moves arms symmetrically
0.4.2 Regards colourful object for few seconds
0.4.3 Regards colourful object for few seconds
0.4.4 Follows with eyes moving person in supine
0.4.5 Stares and gazes
0.4.6 Follows with eyes to midline
0.4.7 Brings hands to midline in supine
0.4.8 Activates arms on sight of toys
0.4.9 Blinks at sudden visual stimulus
0.4.10 Follows with eyes past midline
0.4.11 Follows with eyes downwards
0.4.12 Indwelling thumb no longer present
0.4.13 Grasps toy actively
0.4.14 Looks from one object to another
Social-Emotional Development
0.5.1 Enjoys and needs physical contact and tactile stimulation
0.5.2 Regards face
0.5.3 Smiles reflexively
0.5.4 Establishes eye contact
0.5.5 Molds and relaxes body when held; cuddles
0.5.6 Molds and relaxes body when held; cuddles
0.5.7 Draws attention to self in distress; Smiles when socially approached
Self-Help Skill Development
0.6.1 Opens/closes mouth in response to food stimulus
0.6.2 Sleeps nights 4-10 hour intervals
0.6.3 Stays awake longer without crying in p.m.
0.6.4 Naps frequently

3 to 6 Months

Ref # Milestone Description Done
Cognitive Development
3.1.1 Shows active interest in person/objects for ~1 min
3.1.2 Searches with eyes for sound
3.1.3 Watches speaker’s eyes and mouth
3.1.4 Uses hand/mouth for sensory exploration of objects
3.1.5 Plays with own hands, feet, fingers, toes
Language Development
3.2.1 Cry varies in pitch/length to indicate needs (hunger, pain)
3.2.2 Laughs
3.2.3 Vocalizes in response to sound or speech
3.2.4 Babbles consonant chains “baba-baba”
3.2.5 Vocalizes joy, anger (other than crying)
3.2.6 Babbles to people
Gross Motor Development
3.3.1 Holds head up 90 degrees in prone
3.3.2 Asymmetrical Tonic Neck Reflex (ATNR) inhibited
3.3.3 Holds head in line with body on pull-to-sit
3.3.4 Holds head steady in supported sitting
3.3.5 Sits with slight support
3.3.6 Bears some weight on legs
3.3.7 Moro reflex inhibited
3.3.8 Protective extension of arms and legs
3.3.9 Bears weight on hands in prone
3.3.10 Extends head/hips back in ventral suspension
3.3.11 Rolls supine to side
3.3.12 Sits momentarily leaning on hands
*Indian children often spend more time on floor mats (“dari”). This can lead to earlier development of floor-sitting and cross-legged stability compared to children primarily using high chairs or strollers.
3.3.13 Circular pivoting in prone
3.3.14 Moves head actively in supported sitting
3.3.15 Holds head erect when leaning forward
3.3.16 Sits indefinitely (may use hands)
3.3.17 Raises hips pushing with feet in supine
3.3.18 Bears almost all weight on legs
3.3.19 Body righting on body reaction
Fine Motor Development
3.4.1 Keeps hands open 50% of the time
3.4.2 Reaches towards toy without grasping
3.4.3 Follows with eyes in supported sitting
3.4.4 Grasp reflex inhibited
3.4.5 Clasps hands
3.4.6 Uses ulnar palmar grasp
3.4.7 Looks with head in midline
3.4.8 Keeps hands open most of the time
3.4.9 Reaches for object bilaterally
3.4.10 Reaches for toy followed by momentary grasp
3.4.11 Uses palmar grasp
3.4.12 Reaches and grasps object
3.4.13 Uses radial palmar grasp
3.4.14 Regards tiny object
3.4.15 Looks at distant objects
3.4.16 Drops objects
3.4.17 Recovers objects
3.4.18 Retains small objects in both hands
Social-Emotional Development
3.5.1 Responds with smile when socially approached
3.5.2 Stops unexplained crying
3.5.3 Vocalizes in response to talk and smile
3.5.4 Discriminates strangers
3.5.5 Socializes with strangers/anyone
3.5.6 Vocalizes pleasure and displeasure
3.5.7 Aware of strange situations
3.5.8 Enjoys social play
Self-Help Skills Development
3.6.1 Coordinates sucking, swallowing, and breathing
3.6.2 Brings hand to mouth
3.6.3 Swallows strained or pureed foods
3.6.4 Brings hand to mouth with toy or object
3.6.5 Recognizes bottle visually
3.6.6 Uses tongue to move food in mouth
3.6.7 Pats bottle
3.6.8 Places both hands on bottle

6 to 9 Months

Ref # Milestone Description Done
Cognitive Development
6.1.1 Plays with paper
6.1.2 Touches toy or adult hand to restart an activity
6.1.3 Reaches for second object purposefully
6.1.4 Works for desired out of reach object
6.1.5 Distinguishes friendly and angry voices
6.1.6 Plays 2-3 minutes with a single toy
6.1.7 Looks for family members or pets when named
6.1.8 Imitates a familiar gesture
6.1.9 Plays peek a boo
Language Development
6.2.1 Coos vowels (aah, ee) and dipthongs (oy as in boy)
6.2.2 Looks and vocalizes at own name
6.2.3 Babbles double consonants “baba”
6.2.4 Babbles to people
6.2.5 Waves or responds to bye-bye
Gross Motor Development
6.3.1 Demonstrates balance reactions in prone
6.3.2 Lifts head and assists when pulled to sitting
6.3.3 Rolls supine to prone
6.3.4 Protective extension of arms to sides and front
6.3.5 Lifts head in supine
6.3.6 Holds weight on one hand in prone
6.3.7 Gets to sitting without assistance
6.3.8 Bears large fraction of weight on legs and bounces
6.3.9 Stands holding on
6.3.10 Pulls to standing at furniture
6.3.11 Brings one knee forward beside trunk in prone
6.3.12 Crawls backwards
6.3.13 Sits without hand support for 10 minutes*Indian children often spend more time on floor mats (“dari”). This can lead to earlier development of floor-sitting and cross-legged stability compared to children primarily using high chairs or strollers.
6.3.14 Crawls forwards
6.3.15 Makes stepping movements
6.3.16 Assumes hand-knee position
6.3.17 Goes from sitting to prone
Fine Motor Development
6.4.1 Watches adult scribble
6.4.2 Reaches for objects unilaterally
6.4.3 Transfers objects
6.4.4 Bangs objects on table
6.4.5 Attempts to secure tiny object
6.4.6 Reaches and grasps object with extended elbow
6.4.7 Uses radial digital grasp
6.4.8 Rakes tiny object
Social-Emotional Development
6.5.1 Demands social attention
6.5.2 Recognizes parent visually
6.5.3 Enjoys frolic play
6.5.4 Repeats enjoyable activities
6.5.5 Displays stranger anxiety
6.5.6 Explores adult features
6.5.7 Responds playfully to mirror
6.5.8 May show fear and insecurity with previously accepted situations
Self Help Skill Development
6.6.1 Uses tongue to move food in mouth
6.6.2 Sleeps nights 10-12 hours with night awakening
6.6.3 Naps 2-3 times each day (1-4 hours)
6.6.4 Mouths and munches solid foods
6.6.5 Holds own bottle
6.6.6 Bites food voluntarily (8 months)
6.6.7 Feeds self a cracker
6.6.8 Bites and chews toys

9 to 12 Months

Ref # Milestone Description Done
Cognitive Development
9.1.1 Imitates new gesture
9.1.2 Responds to simple requests with gestures
9.1.3 Throws objects
9.1.4 Listens to speech without being distracted by other sources
9.1.5 Knows what “no no” means and reacts
9.1.6 Responds to simple verbal requests
9.1.7 Takes ring stack apart
9.1.8 Unwraps a toy
9.1.9 Moves to rhythms
Language Development
9.2.1 Says “dada” or “mama” nonspecifically
9.2.2 Babbles with inflection similar to adult
9.2.3 Babbles monologue when left alone (circle sounds that are present in babble: b m p d t n g k w h f v th s z l r)
Gross Motor Development
9.3.1 Demonstrates balance reactions on hands and knees
9.3.2 Protective extension of arms to back
9.3.3 Lowers to sitting from furniture
9.3.4 Creeps on hands and knees
9.3.5 Stands momentarily
9.3.6 Walks holding on to furniture
9.3.7 Extends head, back, hips and legs on ventral suspension
9.3.8 Pivots in sit, twists to pick up
9.3.9 Creeps on hands and feet
9.3.10 Walks with both hands held
Fine Motor Development
9.4.1 Bangs 2 cubes held in hands
9.4.2 Takes objects out of container
9.4.3 Releases objects voluntarily
9.4.4 Tries to imitate scribble
9.4.5 Uses both hands freely – may show preference for one
9.4.6 Grasps crayon adaptively
9.4.7 Puts objects in container
9.4.8 Places one block on top of another without balancing
9.4.9 Uses thumb and finger to pick up small objects
Social-Emotional Development
9.5.1 Shows anxiety over separation from parent
9.5.2 Cooperates in games
9.5.3 Struggles against supine position
9.5.4 May show fear and insecurity with previously accepted situations
9.5.5 Shows like/dislike for certain people, objects, places
9.5.6 Lets only parent meet his needs
9.5.7 Tests parental reactions during feeding
9.5.8 Tests parental reactions at bedtime
9.5.9 Engages in simple relational play
9.5.10 Explores environment enthusiastically (professionals to discuss safety precautions)
Self-Help Skill Development
9.6.1 Bites food voluntarily
9.6.2 Drinks from cup held for her
9.6.3 Drools less except when teething
9.6.4 Chews food with coordinated movements
9.6.5 Finger feeds self
9.6.6 Holds spoon*
*In many Indian households, eating with hands is the cultural norm. If a child finger-feeds expertly but does not use a spoon, it is often a matter of lack of exposure rather than a developmental delay.
9.6.7 Sleeps nights 12-14 hours

12 to 15 Months

Ref # Milestone Description Done
Cognitive Development
12.1.1 Demonstrates drinking from a cup
12.1.2 Enjoys looking at pictures in books
12.1.3 Stacks rings
12.1.4 Hands toy back to adult
12.1.5 Enjoys messy activities
12.1.6 Nests two then three cans
12.1.7 Understands pointing
12.1.8 Looks at place where ball rolls out of sight
12.1.9 Helps turn pages
Language Development
    – Produces these sounds frequently in babbling (circle those present): b m p d t n g k w h f v th s z l r
12.2.1 Shows understanding of words by behaviour/gesture
12.2.2 Babbles in response to human voice
12.2.3 Says “dada” for father or “mama” for mother
12.2.4 Uses single-word sentences
12.2.5 Uses expressive vocabulary of 1-3 words
*If the child is being raised in a multilingual home (e.g., Hindi, English, and a regional language), they may reach word-count milestones slightly later or split their vocabulary across languages. This is a normal part of bilingual development.
12.2.6 Greets with verbal cues
12.2.7 Uses expressions like “uh-oh” or “no no”
12.2.8 Says “no” meaningfully
Gross Motor Development
12.3.1 Stands by lifting one foot
12.3.2 Stands a few seconds
12.3.3 Assumes and maintains kneeling
12.3.4 Walks with one hand held
12.3.5 Stands alone well
12.3.6 Walks alone 2 to 3 steps
12.3.7 Demonstrates balance reactions in kneeling
12.3.8 Falls by sitting
12.3.9 Stands from supine by turning on all fours
12.3.10 Walks backwards
12.3.11 Throws underhand in sitting
12.3.12 Creeps or hitches upstairs
12.3.13 Walks without support
12.3.14 Walks sideways
12.3.15 Runs – hurried walk
12.3.16 Bends over and looks through legs
Fine Motor Development
12.4.1 Marks paper with crayons
12.4.2 Put 3 or more objects into container
12.4.3 Builds tower using 2 cubes
12.4.4 Points with index finger
12.4.5 Inverts container spontaneously to get objects
12.4.6 Puts many objects into container without removing
Social-Emotional Development
12.5.1 Likes to be in constant sight/hearing of adult*
In joint family structures, “stranger anxiety” (Ref 6.5.5) may be less intense as the child is accustomed to multiple primary caregivers from birth.
12.5.2 Gives toy to familiar adult upon request
12.5.3 Independent behaviour (“no” stage)
12.5.4 Acts impulsively, unable to recognize rules
12.5.5 Resists adult control
12.5.6 Displays frequent tantrum behaviors
12.5.7 Needs and expects rituals and routines
12.5.8 Begins to show humor – laughs at incongruities
12.5.9 Enjoys imitating adult behavior
12.5.10 Plays ball cooperatively
12.5.11 Shows toy preferences
12.5.12 Displays distractible behavior
12.5.13 Tends to be quite messy
12.5.14 Enjoys being center of attention
Self-Help Skill Development
12.6.1 Chews food with coordinated movements
12.6.2 May refuse foods – appetite decreases
12.6.3 Brings spoon to mouth – turns spoon over
*In many Indian households, eating with hands is the cultural norm. If a child finger-feeds expertly but does not use a spoon, it is often a matter of lack of exposure rather than a developmental delay.
12.6.4 Holds and drinks from cup with some spilling
12.6.5 Shows bladder/bowel control pattern (by 15m)
12.6.6 Indicates discomfort over soiled pants (by 15m)

15 to 18 Months

Ref # Milestone Description Done
Cognitive Development
15.1.1 Enjoys messy activities
15.1.2 Reacts to taste and temperature extremes
15.1.3 Nests two then three cans
15.1.4 Recognizes several people beyond family
*In joint family structures, “stranger anxiety” (Ref 6.5.5) may be less intense as the child is accustomed to multiple primary caregivers from birth.
15.1.5 Brings requested objects from another room
15.1.6 Turns 2 or 3 pages at a time
15.1.7 Identifies self in mirror
Language Development
15.2.1 Babbles with intricate inflection
15.2.2 Gestures spontaneously to indicate needs
15.2.3 Names one or two familiar objects
15.2.4 Attempts to sing sounds to music
15.2.5 Uses 10-15 words spontaneously
15.2.6 Vocalizes wishes/needs at table; names items
Gross Motor Development
15.3.1 Demonstrates balance reactions in standing
15.3.2 Walks into large ball while trying to kick it
15.3.3 Throws ball forward
15.3.4 Pulls toy behind while walking
15.3.5 Throws overhand within 3 feet of target
15.3.6 Stands on one foot with help
15.3.7 Walks upstairs with one hand held
15.3.8 Carries large toy while walking
15.3.9 Pushes and pulls large toys and boxes
15.3.10 Walks up stairs holding rail – both feet on step
15.3.11 Walks down stairs holding rail – both feet on step
Fine Motor Development
15.4.1 One hand holds, other manipulates in midline
15.4.2 Puts tiny objects into small container
Social-Emotional Development
15.5.1 May show fear/insecurity in known situations
15.5.2 Displays frequent tantrum behaviors
15.5.3 Needs and expects rituals and routines
15.5.4 Laughs at humor/incongruities
15.5.5 Enjoys imitating adult behavior
15.5.6 Shows toy preferences
15.5.7 Tends to be quite messy
15.5.8 Enjoys being center of attention
15.5.9 Imitates housework – symbolic play with realistic props
Self-Help Skill Development
15.6.1 May refuse foods – appetite decreases
15.6.2 Holds and drinks from cup with some spilling
15.6.3 Holds cup handle
15.6.4 Shows bladder and bowel control pattern
15.6.5 Indicates discomfort over soiled pants
15.6.6 Sleeps nights ten-twelve hours
15.6.7 Naps once in afternoon (1-3 hours)
15.6.8 Scoops food; feeds self with spoon
15.6.9 Removes socks

18 to 21 Months

Ref # Milestone Description Done
Cognitive Development
18.1.1 Nests two then three cans
18.1.2 Matches objects
18.1.3 Identifies one body part
18.1.4 Recognizes and points to four animal pictures
18.1.5 Understands most noun objects
18.1.6 Points to distant object outdoors
18.1.7 Points to several clothing items on request
Language Development
18.2.1 Gestures spontaneously to indicate needs
18.2.2 Uses voice with pointing or gesturing
18.2.3 Echoes last word spoken
18.2.4 Uses expressive vocabulary of 15-20 words
*If the child is being raised in a multilingual home (e.g., Hindi, English, and a regional language), they may reach word-count milestones slightly later or split their vocabulary across languages. This is a normal part of bilingual development.
18.2.5 Imitates two-word phrases
18.2.6 Names two pictures
Gross Motor Development
18.3.1 Throws overhand within 3 feet of target
18.3.2 Backs into small chair or slides sideways
18.3.3 Kicks ball forward
18.3.4 Throws ball into box
18.3.5 Moves on ride-on toys without pedals
18.3.6 Runs fairly well
18.3.7 Climbs forward on adult chair, turns and sits
18.3.8 Walks downstairs with one hand held
18.3.9 Squats in play
18.3.10 Stands from supine by rolling to side
18.3.11 Walks on 2″ wide balance beam (few steps)
Fine Motor Development
18.4.1 Imitates vertical stroke
18.4.2 Builds tower using 4 blocks
18.4.3 Imitates circular scribble
18.4.4 Strings one, one-inch bead
Social-Emotional Development
18.5.1 Hugs and kisses parents
18.5.2 Imitates housework – play with similar props
18.5.3 Expresses affection
18.5.4 Jealousy at attention to others/family
18.5.5 Wide variety of emotions (fear, joy, anger)
18.5.6 Desires control of others – orders, resists
18.5.7 Feels easily frustrated
18.5.8 Interacts with peers using gestures
18.5.9 Engages in parallel play
18.5.10 Enjoys solitary play for a few minutes
18.5.11 Enjoys rough-and-tumble play
18.5.12 Strong sense of self-importance
Self-Help Skill Development
18.6.1 Gives empty dish to adult
18.6.2 Distinguishes edible from inedible (by 21m)
18.6.3 Chews with rotary jaw movements (by 21m)
18.6.4 Gives up bottle (by 21m)
18.6.5 Removes shoes when laces undone (by 21m)
18.6.6 Unzips, zips larger zipper
18.6.7 Sits on potty/seat with assistance (by 21m)
18.6.8 May be toilet-regulated by adult (by 21m)

21 to 24 Months

Ref # Milestone Description Done
Cognitive Development
21.1.1 Succeeds in activating a mechanical toy
21.1.2 Uses playdough and paints
21.1.3 Pastes on one side
21.1.4 Paints within limits of paper
21.1.5 Matches sounds to animals
21.1.6 Sorts objects
21.1.7 Recognizes self in photograph
21.1.8 Identifies three body parts
21.1.9 Understands pronouns, action verbs/adjectives
21.1.10 Turns pages one at a time
21.1.11 Beginning to point to pictures of people
Language Development
21.2.1 Uses own name to refer to self
21.2.2 Uses nouns, verbs, and modifiers
21.2.4 Tells experience using jargon and words
21.2.5 Uses intelligible words ~65% of the time
21.2.6 Names three pictures
21.2.7 Imitates four-word phrases
Gross Motor Development
21.3.1 Jumps in place both feet
21.3.2 Goes up and down slide
21.3.3 Stands on tiptoes
21.3.4 Walks with legs closer together
Fine Motor Development
21.4.1 Folds paper imitatively – not precisely
21.4.2 Builds tower using 6 blocks
21.4.3 Holds crayon with thumb and fingers
21.4.4 Imitates 3-block train using cubes
21.4.5 Strings 3 one-inch beads
Social-Emotional Development
21.5.1 Imitates housework – symbolic play
21.5.2 Expresses affection
21.5.3 Jealousy at attention to other family member
21.5.4 Shows wide variety of emotions (fear, guilt, joy)
21.5.5 Desire control of others – orders, fights
21.5.6 Feels easily frustrated
21.5.7 Interacts with peers using gestures
21.5.8 Engages in parallel play
21.5.9 Enjoys solitary play for a few minutes
21.5.10 Enjoys rough-and-tumble play
21.5.11 Experiences a strong sense of self-importance
21.5.12 Attempts to comfort others in distress
21.5.13 Defends possessions
Self-Help Skill Development
21.6.1 Distinguishes between edible and inedible
21.6.2 Chews completely with rotary jaw movements
21.6.3 Gives up bottle
21.6.4 Removes shoes when laces undone
21.6.5 Sits on potty or adaptive seat with assistance
21.6.6 May be toilet-regulated by adult
21.6.7 Plays with food
21.6.8 Washes and dries hands partially
21.6.9 Uses same word for both elimination functions
21.6.10 Delays sleep by demanding things
21.6.11 Holds small cup in one hand
21.6.12 Opens doors by turning knob
21.6.13 Helps with simple household tasks
21.6.14 Puts shoes on with assistance

24 to 27 Months

Some skills in domains marked with * may develop over longer periods; refer to screeners from 24-36m for reference.

Ref # Milestone Description Done
Cognitive Development
24.1.1 Enjoys nursery rhymes, nonsense rhymes, fingerplays, poetry
24.1.2 Points to 5-7 pictures of familiar objects/people
24.1.3 Plays with water and sand
24.1.4 Demonstrates awareness of class routines
24.1.5 Understands concept of one
24.1.6 Demonstrates use of objects
24.1.7 Finds detail in favorite picture book
24.1.8 Recognizes familiar adult in photo
24.1.9 Engages in simple make-believe activities
24.1.10 Selects pictures involving action words
24.1.11 Obeys 2-part commands
24.1.12 Matches circle, triangle, square (beginning 26m)
24.1.13 Matches black and white (beginning 26m)
24.1.14 Knows own sex or sex of others (beginning 26m)
Language Development*
24.2.1 Sings phrases of songs
    – Produces these sounds clearly (circle those present): p b m k g w h n t d
24.2.3 Uses “self-centered” pronouns
24.2.4 Uses three-word sentences
24.2.5 Uses past tense
24.2.6 Uses expressive vocabulary of 50+ words
24.2.7 Names five pictures
24.2.8 Frustrated when not understood
24.2.9 Relates experiences using short sentences
24.2.10 Answers questions
24.2.11 Formulates negative reasoning
24.2.12 Uses size words
Gross Motor Development
24.3.1 Catches large ball
24.3.2 Rides tricycle
24.3.3 Imitates simple bilateral movement of limbs
24.3.4 Walks upstairs alone – both feet on step
24.3.5 Jumps a distance of 8-14 inches
24.3.6 Jumps from bottom step
24.3.7 Runs – stops without holding; avoids obstacles
24.3.8 Walks on line in general direction
24.3.9 Imitates one-foot standing
24.3.10 Walks downstairs alone – both feet on step
Fine Motor Development
24.4.1 Snips with scissors
24.4.2 Imitates a cross
24.4.3 Makes first designs or spontaneous forms
24.4.4 Folds paper in half
24.4.5 Copies a circle
Social-Emotional Development
24.5.1 Distinguishes self as separate person
24.5.2 Shyness with strangers and in outside situations
24.5.3 Holds parent’s hands outdoors
24.5.4 Feels strongly possessive about loved ones
24.5.5 Displays dependent behaviour; clings/whines
24.5.6 Enjoys wide range of relationships
24.5.7 Says “no”, but submits anyway
24.5.8 Tends to be physically aggressive
24.5.9 Enjoys experimenting with adult activities
24.5.10 Frustration tantrums peak
24.5.11 Relates best to one familiar adult at a time
24.5.12 Interaction with one older child (not sibling)
24.5.13 Dramatizes using a doll
24.5.14 Initiates play but requires supervision
24.5.15 Fatigues easily
24.5.16 Dawdles and procrastinates
24.5.17 Values own property; uses word “mine”
24.5.18 Takes pride in clothing
24.5.19 More aware of sex differences
24.5.20 Sudden fear of large animals
Self Help Skill Development*
24.6.1 Stays away from common dangers (stairs, glass)
24.6.2 Handles fragile items carefully
24.6.3 Helps put things away
24.6.4 Holds spoon in fingers – palm up
24.6.5 Pulls pants down with assistance
24.6.6 Unbuttons large buttons
24.6.7 Washes hands
24.6.8 Brushes teeth with assistance
24.6.9 Anticipates need to eliminate in time
24.6.10 Uses toilet with assistance – day time control
24.6.11 Undresses with assistance
24.6.12 Pulls pants up with assistance

27 to 30 Months

Some skills in domains marked with * may develop over longer periods; refer to screeners from 24-36m for reference.

Ref # Milestone Description Done
Cognitive Development
27.1.1 Enjoys rhymes, fingerplays, poetry
27.1.2 Points to 5-7 pictures of familiar objects/people
27.1.3 Plays with water and sand
27.1.4 Understands concept of one
27.1.5 Demonstrates use of objects
27.1.6 Recognizes familiar adult in photo
27.1.7 Engages in simple make-believe activities
27.1.8 Selects pictures involving action words
27.1.9 Obeys 2-part commands
27.1.10 Matches circle, triangle, square
27.1.11 Matches colors – black, white
27.1.12 Knows own sex or sex of others
27.1.13 Listens to stories
27.1.14 Understands many action words
27.1.15 Identifies objects with their use
27.1.16 Identifies body parts with their function
27.1.17 Matches primary colors
Language Development*
27.1.1 Produces these sounds clearly (circle those present): p b m k g w h n t d
27.2.2 Uses “self-centered” pronouns
27.2.3 Uses three-word sentences
27.2.4 Uses past tense
27.2.5 Uses expressive vocabulary of 50+ words
27.2.6 Names five pictures
27.2.7 Frustrated when not understood
27.2.8 Relates experiences using short sentences
27.2.9 Answers questions
27.2.10 Formulates negative reasoning
27.2.11 Uses size words
27.2.12 Uses plurals
27.2.13 Refers to self using pronoun
27.2.14 Produces sounds correctly at beginning of words
27.2.15 Verbalizes one preposition
27.2.16 Replaces jargon with sentences
27.2.17 Names eight or more pictures
27.2.18 Repeats words and sounds
27.2.19 Talks intelligently to self
Gross Motor Development
27.3.1 Jumps backwards
27.3.2 Walks backwards – 3 meters
27.3.3 Jumps sideways
27.3.4 Jumps on trampoline with adult holding hands
Fine Motor Development
27.4.1 Builds tower using 8 cubes
27.4.2 Snips on a line using scissors
27.4.3 Places 6 square pegs in pegboard
Social-Emotional Development
27.5.1 Distinguishes self as separate person
27.5.2 Shyness with strangers and in outside situations
27.5.3 Holds parent’s hands outdoors
27.5.4 Feels strongly possessive about loved ones
27.5.5 Displays dependent behaviour; clings/whines
27.5.6 Enjoys wide range of relationships
27.5.7 Says “no”, but submits anyway
27.5.8 Tends to be physically aggressive
27.5.9 Enjoys experimenting with adult activities
27.5.10 Frustration tantrums peak
27.5.11 Relates best to one familiar adult at a time
27.5.12 Interaction with one older child (not sibling)
27.5.13 Dramatizes using a doll
27.5.14 Initiates own play but requires supervision
27.5.15 Fatigues easily
27.5.16 Dawdles and procrastinates
27.5.17 Values own property; uses word “mine”
27.5.18 Takes pride in clothing
27.5.19 Becoming more aware of sex differences
27.5.20 May develop sudden fears, especially of large animals
Self Help Skill Development*
27.6.1 Undestand and stays away from common dangers (stairs, glass, strange animals, etc)
27.6.2 Handles fragile items carefully
27.6.3 Help put things away
27.6.4 Holds spoon in fingers – palm up
27.6.5 Pulls pants down with assistance
27.6.6 Unbuttons large buttons
27.6.7 Washes hands
27.6.8 Brushes teeth with assistance
27.6.9 Anticipates need to eliminate in time
27.6.10 Uses toilet with assistance – day time control
27.6.11 Undresses with assistance
27.6.12 Pulls pants up with assistance
27.6.13 Dresses self with assistance
27.6.14 Wipes nose with assistance
27.6.15 May reject many foods

30 to 33 Months

Some skills in domains marked with * may develop over longer periods; refer to screeners from 24-36m for reference.

Ref # Milestone Description Done
Cognitive Development
30.1.1 Plays with water and sand
30.1.2 Knows own sex or sex of others
30.1.3 Identifies objects with their use
30.1.4 Identifies body parts with their function
30.1.5 Matches primary colors
30.1.6 Completes 3-4 piece puzzle
30.1.7 Stacks rings in correct order
30.1.8 Understands concept of two
30.1.9 Identifies familiar objects by touch
30.1.10 Enjoys read to and looks at books independently
30.1.11 Plays house
30.1.12 Points to six body parts on picture of doll
Language Development
30.2.1 Relates experiences using short sentences
30.2.2 Answer questions
30.2.3 Formulates negative reasoning
30.2.4 Uses plurals
30.2.5 Refers to self using pronouns
30.2.6 Produces sounds correctly at beginning of words
30.2.7 Verbalizes one preposition
30.2.8 Replaces jargon with sentences
30.2.9 Names eight or more pictures
30.2.10 Repeats words and sounds
30.2.11 Talks intelligently to self
30.2.12 Uses most basic grammatical structures
30.2.13 Over regulates plurals and verbs (foos, doed)
30.2.14 Vocalizes for all needs
30.2.15 Gives full name on request
30.2.16 Participates in storytelling
30.2.17 Recites a few nursery rhymes
30.2.18 Uses expressive vocabulary of 200+ words
Gross Motor Development*
30.3.1 Alternates steps on 2″ wide balance beam (part way)
30.3.2 Walks up stairs alternative feet
30.3.3 Jumps over string 5 – 20 cm high
30.3.4 Hops on one foot
30.3.5 Jumps a distance of 35 – 60 cm
30.3.6 Stands on one foot – 5 seconds
30.3.7 Uses pedals on tricycle alternatively
Fine Motor Development
30.4.1 Imitates 3 block bridge using cubes
30.4.2 Builds tower using 9 cubes
Social-Emotional Development
30.5.1 Distinguishes self as separate person
30.5.2 Feels strongly possessive about loved ones (Fixed Ref 30.5.2)
30.5.3 Enjoys wide range of relationships
30.5.4 Relates best to one familiar adult at a time
30.5.5 Interaction with one older child (not sibling)
30.5.6 Initiates play but requires supervision
30.5.7 Separates easily in familiar situations
30.5.8 Shows independence
30.5.9 Extreme emotional shifts and paradoxical responses
30.5.10 Begins to obey and respect simple rules
30.5.11 Tends to be dictatorial and demanding
30.5.12 Talks with a loud, urgent voice
30.5.13 Resists change; extremely ritualistic
30.5.14 Experiences difficulty with transitions
30.5.15 Participates in circle and interactive games
30.5.16 Takes pride in achievements; resists help
Self Help Skill Development*
30.6.1 Brushes teeth with assistance
30.6.2 Anticipates time to eliminate in time
30.6.3 Uses toilet with assistance – day time control
30.6.4 Insists on doing things independently
30.6.5 Knows proper place for own things
30.6.6 Pours liquid from small container
30.6.7 Buttons large buttons
30.6.8 Dries hands
30.6.9 Helps with bathing self
30.6.10 Distinguishes between urination and bowel
30.6.11 Serves self at table with little spilling
30.6.12 Shows interest in setting table
30.6.13 Verbalizes need for toilet (has accidents)
30.6.14 Responsibility for toileting; needs wipe help
30.6.15 Sleeps 10-15 hours daily
30.6.16 May awaken, crying from dreams
30.6.17 May eliminate naps
30.6.18 Dresses with supervision (needs fasten help)
30.6.19 Blows nose with assistance

33 to 36 Months

Some skills in domains marked with * may develop over longer periods; refer to screeners from 24-36m for reference.

Ref # Milestone Description Done
Cognitive Development
33.1.1 Completes 3-4 piece puzzle
33.1.2 Stacks rings in correct order
33.1.3 Understands concept of two
33.1.4 Identifies familiar objects by touch
33.1.5 Enjoys read to and looks at books independently
33.1.6 Plays house
33.1.7 Points to six body parts on picture of doll
33.1.8 Identifies longer stick
33.1.9 Understands common verbs, adjectives, prepositions
Language Development
33.2.1 Relates experiences using short sentences
33.2.2 Answers questions
33.2.3 Formulates negative reasoning
33.2.4 Uses plurals
33.2.5 Refers to self using pronoun
33.2.6 Names eight or more pictures
33.2.7 Repeats words and sounds
33.2.8 Talks intelligently to self
33.2.9 Uses most basic grammatical structures
33.2.10 Over regulates plurals and verbs (foos, doed)
33.2.11 Participates in story telling
33.2.12 Recites a few nursery rhymes
33.2.13 Uses expressive vocabulary of 200+ words
33.2.14 Verbalizes two prepositions
33.2.15 Begins to respond to opposite analogies
33.2.16 Relates experiences frequently with short sentences
33.2.17 Asks “what” “where” “when”
33.2.18 Intelligible words ~80% of the time
33.2.19 Expressive vocabulary of 300 – 1,000 words
33.2.20 Verbalizes 3 prepositions
Gross Motor Development
33.3.1 Walks down stairs alternating feet
33.3.2 Climbs jungle gyms and ladders
33.3.3 Catches 8″ ball
33.3.4 Avoids obstacles in path
33.3.5 Runs on toes
Fine Motor Development
33.4.1 Adult like pencil grasp
33.4.2 Strings 1/2 inch beads
Social-Emotional Development*
33.5.1 Distinguishes self as separate person
33.5.2 Shyness with strangers and in outside situations
33.5.4 Holds parent’s hands outdoors; possessive of loved ones
33.5.5 Displays dependent behaviour; clings/whines
33.5.6 Enjoys wide range of relationships
33.5.8 Tends to be physically aggressive
33.5.9 Says “no”, but submits; experimental adult activity
33.5.10 Frustration tantrums peak
33.5.11 Relates best to one familiar adult at a time
33.5.12 Interaction with one older child (not sibling)
33.5.13 Dramatizes using a doll
33.5.14 Initiates own play; requires supervision
33.5.15 Fatigues easily
33.5.16 Dawdles and procrastinates
33.5.17 Values own property; uses word “mine”
33.5.18 Takes pride in clothing
33.5.19 More aware of sex differences
33.5.20 Sudden fear of large animals
33.5.21 Separates easily in familiar surrounding
33.5.22 Shows independence
33.5.23 Extreme emotional shifts and paradoxical responses
33.5.24 Begins to obey and respect simple rules
33.5.25 Tends to be dictatorial and demanding
33.5.26 Talks with a loud urgent voice
33.5.27 Resists change; extremely ritualistic
33.5.28 Experiences difficulty with transitions
33.5.29 Participates in circle and interactive games
33.5.30 Takes pride in achievements; resists help
Self Help Skill Development*
33.6.1 Brushes teeth with assistance
33.6.2 Anticipates need to eliminate in time
33.6.3 Uses toilet with assistance – day time control
33.6.4 Insists on doing things independently
33.6.5 Knows proper place for own things
33.6.6 Pours liquid from small container
33.6.7 Buttons large buttons
33.6.8 Dries hands
33.6.9 Helps with bathing self
33.6.10 Distinguishes between urination and bowel
33.6.11 Serves self at table with little spilling
33.6.12 Shows interest in setting table
33.6.13 Verbalizes need for toilet (has accidents)
33.6.14 Responsibility for toileting; needs wipe help
33.6.15 Sleeps 10-15 hours daily
33.6.16 May awaken, crying from dreams
33.6.17 May eliminate naps
33.6.18 Dresses with supervision (needs fasten help)
33.6.19 Blows nose with assistance

Indian Context Guide:

  • Self-Help (Feeding): Ref 9.6.6 & 12.6.3 (Using Spoons): In many Indian households, eating with hands is the cultural norm. If a child finger-feeds expertly but does not use a spoon, it is often a matter of lack of exposure rather than a developmental delay.

  • Gross Motor (Sitting):

    • Ref 3.3.12 & 6.3.13: Indian children often spend more time on floor mats or “dari.” This can lead to earlier development of floor-sitting and cross-legged stability compared to children primarily using high chairs or strollers.

  • Language (Multilingualism):

    • Ref 12.2.5 & 18.2.4: If the child is being raised in a multilingual home (e.g., Hindi, English, and a regional language), they may reach word-count milestones slightly later or split their vocabulary across languages. This is a normal part of bilingual development.

  • Social-Emotional (Joint Families):

    • Ref 12.5.1 & 15.1.4: In joint family structures, “stranger anxiety” (Ref 6.5.5) may be less intense as the child is accustomed to multiple primary caregivers from birth.

This checklist is a screening tool, not a diagnostic one. If a child consistently misses milestones in even one domain for their specific age bracket, it is advisable to consult us.