Early words Tick the words your child says on his or her own (without copying anyone). The words don’t need to be completely correct as long as you know what your child means. People Mummy
Grandma
Baby
Daddy
Grandad
Me
Any other family members’ names ___________________________ Any friends’ names _____________________ Any pets’ names
_____________________
Any TV characters’ names _____________________ Food Drink Dinner
Water Pop
Banana Bread
Yoghurt Toast
Juice
Biscuit
Any other drink or food _______________________ Body Parts Eyes Nose
Mouth Hair
Hands Feet
Toes Tummy
Any other part of the body _______________________ Clothes Coat Top
Trousers Nappy
Pants/Knickers Shoes
Socks Jumper
Any other clothes/ footwear ________________________ Toys Ball
Teddy
Duck
Car
Doll
Any other toy/ plaything _________________________
Book
Animals Cat
Bird
Cow
Horse
Dog
Any other animal ____________________________ Home Telly Phone/Mobile Remote
Bed Bath Chair
Pram/Buggy Dummy Brush
Spoon Bottle Cup
Anything else around the house ___________________________ Actions Kick Throw Eat
Sleep Want Go
Sit Stand Walk
Run Look Cuddle
Any other action words _______________________________ Other Yes No
Ta/Thank you Please
Bye Bye/ Ta Ta Hello/ Hiya
More Gone
Again
Any others __________________________________ Does your child say two words together? E.g.
Often
More juice Grandma gone Go car Sometimes
Want mummy Kick ball Occasionally
Not yet
(Please circle)
Can you give us any examples of your own? ________________________ How do you feel about your child’s speech or language development? Happy
Not sure
A bit worried
(Please circle)