0–3 Months Milestones

Makes cooing sounds
Quiets when spoken to
Turns head toward sounds
Begins social smiling
Recognizes caregiver’s voice
Latches and feeds without difficulty
Shows hunger cues (rooting, hands to mouth)
Gains weight steadily
Swallows safely without coughing
Shows satisfaction after feeds

4–6 Months Milestones

Laughs and squeals
Responds to name
Makes vowel sounds (“ah”, “oh”)
Shows interest in people
Babbling begins
Starts sitting with support
Moves tongue side to side
Accepts purees
Opens mouth during feeding
Shows fullness cues

7–9 Months Milestones

Babbling with consonants (“ma”, “ba”)
Responds to “no”
Uses sounds to get attention
Shows stranger anxiety
Imitates sounds
Eats thicker purées
Begins finger feeding
Drinks from open cup with support
Moves food with tongue efficiently
Accepts soft solids

10–12 Months Milestones

Says “mama” or “dada” with meaning
Understands simple commands
Tries to imitate words
Waves goodbye
Points to objects
Chews soft table foods
Picks up small foods (pincer grasp)
Drinks from straw
Eats soft fruits and veggies
Self-feeds small pieces

13–18 Months Milestones

Says 5–10 words
Points to show wants
Understands simple directions
Imitates gestures
Follows 1-step directions
Eats most textures
Bites and chews safely
Uses a cup with little spilling
Attempts spoon feeding
Shows preferences for foods

19–24 Months Milestones

Has 50+ words
Uses 2-word phrases (“more milk”)
Points to body parts
Follows 2-step directions
Imitates new words
Chews a variety of textures
Drinks from open cup independently
Self-feeds with spoon
Tries new foods regularly
Demonstrates chewing patterns

2–3 Years Milestones

Uses 2–3 word phrases
Names familiar things
Speech 50% understandable
Follows 2-step directions
Answers simple questions
Eats independently
Chews all textures
Shows mealtime routines
Drinks from regular cup
Tries new foods without distress

3–4 Years Milestones

Uses 3–4 word sentences
Answers “wh” questions
Speech 75% understandable
Plays with peers
Understands basic concepts
Eats family meals
Uses fork well
Shows consistent chewing
Tolerates new foods
Follows mealtime expectations

4–5 Years Milestones

Uses full sentences
Tells simple stories
Speech 90% understandable
Understands time concepts
Plays cooperatively
Eats full meals independently
Cuts food with assistance
Tries new foods calmly
Drinks independently
Identifies hunger/fullness

5–18 Years Milestones

Uses age-appropriate grammar
Retells stories with detail
Understands school vocabulary
Maintains conversations
Understands figurative language
Eats full diet without restrictions
Packs/eats meals independently
Demonstrates mature chewing
Tries new foods
Shows age-appropriate mealtime behavior

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Speech, Language & Feeding Development Questionnaire

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