Here are 11 quick questions parents of children 36-60 months old should answer to make sure their children are developing normal speech and language skills:
    1. Does your child hear you when you call from another room?  Hearing issues can often lead to speech issues.
    2. Does your child answer simple “who?”, “what?”, “where?”, and “why?” questions3-year olds should respond to questions or directions.
    3. Does your child tell basic stories (e.g., school activities or talk about a friend’s home)?  An inability to recount the day may signify expressive language issues or memory problems.
    4. Do people outside your family understand your child’s speech?  Be attentive of unintelligible speech and limited consonants in 3-year olds.
    5. Does your child use a lot of sentences that have 4 or more words? Expect 4-year olds to regularly use 4-5 word sentences.
    6. Does your child ask for or direct attention to objects by naming them?  Vocabulary at this age should exceed 1000 words and children should have no difficulty in naming common objects and asking for them.
    7. Does you child follow 2-3 step commands, such as, “Go get your shoes, put them by the door and then put on your socks.”  Little response to questions or directions may mean the child is having difficulty processing information in order to act, or may have attention or memory issues.
    8. Does your child ask many questions including, “who” and “why”?  Inquisitiveness is expected in 3-4 year olds.
    9. Does your child understand and verbalize spatial concepts (e.g., on, under, next to, etc.)?  Expect to see this skill in 4-year old children, as they should have an understanding of basic concepts at this age.
    10. Does your child use past tense correctly, such as, “I played in the rain yesterday”?  Children at this age, especially 4-year olds, should use past tense in everyday language.
    11. Has your child experienced any regression in speech, language or social skills?

If your child has any of these symptoms, consider talking to a licensed speech pathologist to make sure the toddler is not at risk for serious language or articulations issues. ALL of these symptoms can be improved with intervention, and the earlier the better.