Donna Klein & Associates
Pediatric Occupational and Physical Therapy
Developmental Milestones
0-2 months Holds head up well off mat when on stomach
Holds legs up when lying on back
Becomes active when toy is seen
Responds to a smile with a smile
3 months Grasps a rattle or small toy placed in hand
Brings hand (or both hands) to mouth
Looks at feet and hands
Sees objects at a distance of about 12 inches
Watches your mouth when you talk face to face
4 months Brings hands together over chest and touches fingers while on back
Rolls from stomach to back
Reaches for a toy when held in a sitting position
5 months Brings feet to mouth when lying on back
Feels feet with hands
Holds bottle with both hands (may also pat it)
Looks for object when it is slowly moved out of sight
Smiles at self in front of big mirror
6 months Rolls from back to stomach
Sits briefly without help
Holds a bottle to mouth by self
Has full color vision
Gets bottle to mouth by self
Grabs own foot while lying on back
7 months Crawls forward on stomach
Gets into sitting position without help
Uses hand and mouth to explore objects
Passes a small object from one hand to the other
Eyes track 180 degrees from side to side while sitting
8 months Plays peek-a-boo
Bangs toys and other things together
Feeds self finger foods
9 months Crawls or otherwise gets around well
Pulls self up to stand (but not to get down) using furniture
Waves bye-bye
Releases objects intentionally
After seeing object covered by cloth, picks up cloth
Pulls on a string to get a toy
10 months Looks closely at tiny object
11 months Pokes into holes with index finger
Pushes or rolls a ball
Throws things just to see what happens
1 years Walks sideways while holding onto furniture
Grasps thick crayon or pencil in fist as if to mark, but may not mark
Turns thick pages (such as cardboard)
Watches own thrown objects
Helps to pull off simple clothing and extends arms and legs to help with dressing
Puts objects into others
1 yr 1 month Walks alone (up to 8 feet)
Enjoys looking at pictures in books
1 yr 2 months Bends or squats to pick up an object and stands up again without falling
Climbs onto furniture
Pushes toy while walking
Hands things to others
Makes a stack of 2 blocks
1 yr 3 months Marks independently on paper with crayon or pencil
Puts something in and then gets it out of a container
1 yr 4 months Seems to recognize self in mirror
Scribbles spontaneously and freely with crayon, marker, or pencil
1 yr 5 months Begins to run
Drinks from a cup or glass and sets it down without much spilling
Builds tower of 3 blocks
1 yr 6 months Gets spoon in mouth right-side up with little spilling
Throws a small ball (over- or underhand) a few feet while standing
1 yr 8 months Turns regular book pages by self (may turn more than one at a time)
Stacks a 4-block tower
1 yr 9 months Walks both up and down stairs alone at least 2 steps with both feet on each step
Uses play dough, paint, and paper
Turns pictures right-side up if given upside down
Scribbles without going off paper
1 yr 11 months Matches pictures to real things
Completes a 1- to 3-piece puzzle or form board
Strings 3 one-inch beads with long-tipped lace
2 yrs 0 months Jumps with both feet leaving the floor at the same time
Imitates drawing a vertical line
Kicks ball forward with either foot without support
2 yrs1 months Runs in a coordinated way
Unbuttons large, easy buttons
2 yrs 2 months Identifies 4 body parts on self from among hair, mouth, feet, ear, nose, hands, eyes
Throws a large ball
2 yrs 3 months Turns regular book pages one at a time
2 yrs 5 months Matches circle, triangle, or square when shown how
2 yrs 6 months Runs easily
Grasps pencil with thumb and fingers instead of fist
2 yrs 7 months Makes small cuts (snips) on line with child-safe scissors and some help
Eats with a fork
Builds a tower using 8 cubes
2 yrs 9 months Uses small beads and pegs
Points to 6 body parts in a picture when asked
2 yrs 11 months Strings half-inch beads
3 yrs 0 months Pedals a riding toy
Does finger plays while singing little songs
Copies a circle with pencil and paper
3 yrs 2 months Kicks a ball 10 feet
3 yrs 5 months Walks up and down stairs, alternating feet, hand on rail
3 yrs 6 months Grasps pencil with thumb, index, and middle fingers
Counts 5 objects aloud
Points to or names 4 basic colors
Builds a tower of more than 9 blocks without help
Strings (hard tipped) at least 8 half-inch beads into a simple pattern
Standing, throws a small ball overhand toward a person who is at least 6 feet away
3 yrs 9 months Completes a 4- or 5-piece puzzle
3 yrs 10 months Places at least 6 small pegs in board holes
3 yrs 11 months Goes up stairs without support, alternating feet
Buttons and unbuttons quarter-inch buttons
Names 5 of 5 different colors like red, blue, yellow, orange, black, white, or pink
4 yrs 0 months Draws a person with 3 different body parts
4 yrs 1 months Copies a vertical-horizontal cross
Pedals a tricycle around obstacles and makes U-turns
4 yrs 3 months Runs around obstacles and turns corners
Colors almost entirely within lines of 4-inch wide circle
4 yrs 5 months Climbs rungs of playground slide ladder and slides down unassisted
4 yrs 6 months Sorts objects by color, size, and shape
Copies a square
Bounces a ball 2-3 times
Catches a beanbag with hands and chest
4 yrs 7 months Pumps and maintains momentum on a swing
Cuts out a big circle with scissors
4 yrs 9 months Begins to jump rope
Feels objects without looking and identifies circle, squares, and triangles
Counts objects aloud to at least 6
4 yrs 10 months Draws some simple, recognizable objects
4 yrs 11 months Places 1-1/4” paper clip on paper
5 yrs 0 months Hops on one foot, 8-10 hops
Jumps over knee-high obstacles with both feet together
Draws a face with mouth, nose, and eyes
Dresses and undresses adequately without help
Prints own name, but not clearly
5 yrs 4 months Reads and writes numerals to 5
Draws a person with 6 or more different parts
5 yrs 6 months Balances on one foot for 12 seconds
Skips using alternate feet at least 4 times
Prefers to use either right or left hand
Names most uppercase but not most lowercase letters
Recognizes own name when printed with lowercase and capital letters
5 yrs 7 months Prints own first name in either uppercase or lowercase letters without a model
5 yrs 9 months Cuts well with scissors
Reads simple 3-letter words that are paired with familiar pictures
5 yrs 11 months Does 8 or more push-ups
Does 5 or more sit-ups
Follows simple words with eyes and finger while adult reads
Catches a small ball with two hands
Rides a bike
6 yrs 1 months Prints all numerals 0-9 and all letters without copying


