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Month questionnaire please provide the following information This age, many toddlers may not be cooperative when asked to do things Use black or blue ink only and print legibly when completing this form

On the following pages are questions about activities children may do Questionnaire with you to your child’s health and development review Your child may have already done some of the activities described here, and there may be some your child has not begun doing yet.

27 month questionnaire 25 months 16 days to 28 months 15 days (inclusive) described here, and there may be some your child has not begun doing yet

For each item, please fill in the circle that indicates whethe important points to remember Try each activity with your child before marking a response. See implementation guide for details On the following pages are questions about activities babies may do

Your baby may have already done some of the activities described here, and there may be some your baby has not begun doing yet. P101270101 on the following pages are questions about ac Your child may have already done some of the activities described here, and there may be some your child Has not begun doing yet

For each item, please fill in the circle that indicates whether your child is doing the activity regularl.

Completing this questionnaire a game that is fun For you and your child Make sure your child is not tired or hungry

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