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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
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Recognizes your voice and quiets if crying
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Quiets or smiles when spoken to
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Becomes startled to loud noises
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Smiles when caregiver is seen
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Uses different cries for different needs
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Changes rate of sucking behavior in response to sound
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Makes sounds of pleasure, such as cooing
4 to 6 Months
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Attends to music
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Shifts eyes in the direction of sounds
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Recognizes toys that make sounds
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Responds to changes in tone of voice
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Vocalizes when pleased and displeased
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Laughs
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Makes gurgling sounds when left alone and when in contact with others
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Babbles with sounds such as p, b, m
7 to 12 Months
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Turns and looks in the direction of sound
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Listen when spoken to
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Enjoys games such as peek-a-boo and pat-a-cake
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Recognizes words for common items, such as “cup”, “shoe”, “juice”
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Starts to respond to requests, such as, “Come here”, “Want more?”
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Babbling long and short groups of sounds, like, “tata upup bibibibi”
12 Months
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Responds to their name
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Understands simple directions with gestures
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Uses a variety of sounds
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Plays social games like peek-a-boo
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Says first word around this age
15 Months
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Uses a variety of sounds and gestures to communicate
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Uses some simple words to communicate
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Plays with different toys
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Understands simple directions, such as, “Get the ball”
18 Months
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Understands several body parts
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Attempts to imitate words you say
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Uses at least 10-20 words
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Uses pretend play, such as pretending to feed a baby doll
24 Months
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Uses at least 50 words
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Recognizes pictures in books and listens to simple stories
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Uses many different sounds at the beginning of words
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Begins to make two word combinations, such as “Ball go” and “More milk”
2 to 3 Years:
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Speech is understood by familiar listeners (mom, dad, teacher) most of the time
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Understands differences in meaning (go v. stop, in v. on, big v. little, up v. down)
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Combines 3 or more words into sentences, such as “Doggy go eat”, “I want juice please”,
“Where is daddy?” -
Understands simple questions
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Recognizes at least 2 colors
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Understands descriptive concepts (big v. little, happy v. sad)
3 to 4 Years:
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Uses sentences with 4 or more words
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Talks about activities at school or at friends’ homes
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People who are not a part of the family (unfamiliar listeners)
generally understand the child’s speech -
Identifies colors
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Compares objects
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Answers questions logically
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Explains how objects are used
4 to 5 Years:
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Answers simple questions about a story, such as, “What is the boy doing?”
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Voice sounds clear
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Tells stories that stay on topic
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Communicates with other children and adults
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Says most sounds correctly
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Can define some words
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Uses prepositions (i.e. in, on, under, over, behind)
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Understands more complex directions