top of page

Child Skills Speech Chart

The following child speech stages are general guidelines provided by the American Speech-Language-Hearing Association and should not be used as a definitive tool for diagnosis.

Birth to 3 Months

  • Recognizes your voice and quiets if crying

  • Quiets or smiles when spoken to

  • Becomes startled to loud noises

  • Smiles when caregiver is seen

  • Uses different cries for different needs

  • Changes rate of sucking behavior in response to sound

  • Makes sounds of pleasure, such as cooing

4 to 6 Months

  • Attends to music

  • Shifts eyes in the direction of sounds

  • Recognizes toys that make sounds

  • Responds to changes in tone of voice

  • Vocalizes when pleased and displeased

  • Laughs

  • Makes gurgling sounds when left alone and when in contact with others

  • Babbles with sounds such as p, b, m

7 to 12 Months

  • Turns and looks in the direction of sound

  • Listen when spoken to

  • Enjoys games such as peek-a-boo and pat-a-cake

  • Recognizes words for common items, such as “cup”, “shoe”, “juice”

  • Starts to respond to requests, such as, “Come here”, “Want more?”

  • Babbling long and short groups of sounds, like, “tata upup bibibibi”

12 Months

  • Responds to their name

  • Understands simple directions with gestures

  • Uses a variety of sounds

  • Plays social games like peek-a-boo

  • Says first word around this age

15 Months

  • Uses a variety of sounds and gestures to communicate

  • Uses some simple words to communicate

  • Plays with different toys

  • Understands simple directions, such as, “Get the ball”

18 Months

  • Understands several body parts

  • Attempts to imitate words you say

  • Uses at least 10-20 words

  • Uses pretend play, such as pretending to feed a baby doll

24 Months

  • Uses at least 50 words

  • Recognizes pictures in books and listens to simple stories

  • Uses many different sounds at the beginning of words

  • Begins to make two word combinations, such as “Ball go” and “More milk”

2 to 3 Years:

  • Speech is understood by familiar listeners (mom, dad, teacher) most of the time

  • Understands differences in meaning (go v. stop, in v. on, big v. little, up v. down)

  • Combines 3 or more words into sentences, such as “Doggy go eat”, “I want juice please”,
    “Where is daddy?”

  • Understands simple questions

  • Recognizes at least 2 colors

  • Understands descriptive concepts (big v. little, happy v. sad)

3 to 4 Years:

  • Uses sentences with 4 or more words

  • Talks about activities at school or at friends’ homes

  • People who are not a part of the family (unfamiliar listeners)
    generally understand the child’s speech

  • Identifies colors

  • Compares objects

  • Answers questions logically

  • Explains how objects are used

4 to 5 Years:

  • Answers simple questions about a story, such as, “What is the boy doing?”

  • Voice sounds clear

  • Tells stories that stay on topic

  • Communicates with other children and adults

  • Says most sounds correctly

  • Can define some words

  • Uses prepositions (i.e. in, on, under, over, behind)

  • Understands more complex directions

Please reload

bottom of page