This survey comes from the Baby Pediatric Symptom Checklist, a measure of your baby’s social and emotional development.

How calm or Zen is your baby? This score looks at how easily your baby is irritated and how quickly they calm back down.
The score ranges from 0 (your baby tends to be irritable) to 8 (your baby tends to be calm and serene).
According to research on babies in the U.S. from 0 to 18 months old:
50% of babies will score 8 - Isn't that surprising?
70% of babies will score 7 or above
90% of babies will score 5 or above
For more information, see reference [1] below, and please note we have reversed the scale.

Calmness and Serenity

How flexible and adaptable is your baby? This score looks at how your baby responds to changes such as being in new places or encountering new people.
The score ranges from 0 (your child seems to be inflexible) to 8 (your child seems to be very flexible).
According to research on babies in the U.S. who are around 0 to 4 months old:
About 50% of babies will score 8
About 70% of babies will score 7 or above.
About 90% of babies will score 5 or above.
For more information, see reference [1] below, and please note we have reversed the scale.

How flexible and adaptable is your baby? This score looks at how your baby responds to changes such as being in new places or encountering new people.
The score ranges from 0 (your child seems to be inflexible) to 8 (your child seems to be very flexible).
According to research on babies in the U.S. who are around 5 to 8 months old:
About 50% of babies will score 7 or above
About 70% of babies will score 6 or above
About 90% of babies will score 4 or above
For more information, see reference [1] below, and please note we have reversed the scale.

How flexible and adaptable is your baby? This score looks at how your baby responds to changes such as being in new places or encountering new people.
The score ranges from 0 (your child seems to be inflexible) to 8 (your child seems to be very flexible).
According to research on babies in the U.S. who are around 9 to 11 months old:
About 50% of babies will score 7 or above
About 70% of babies will score 5 or above
About 90% of babies will score 4 or above
For more information, see reference [1] below, and please note we have reversed the scale.

How flexible and adaptable is your baby? This score looks at how your baby responds to changes such as being in new places or encountering new people.
The score ranges from 0 (your child seems to be inflexible) to 8 (your child seems to be very flexible).
According to research on babies in the U.S. who are around 12 to 18 months old:
About 50% of babies will score 6 or above
About 70% of babies will score 5 or above
About 90% of babies will score 4 or above
For more information, see reference [1] below, and please note we have reversed the scale.

Flexibility or Adaptability

How well does your baby follow routines and sleep schedules?
The score ranges from 0 (your child tends to be difficult to keep on either sleep or daytime schedules) to 8 (your child tends to be easy to keep on sleep or daytime schedules).
According to research on babies in the U.S. who are around 0 to 4 months old:
About 50% of babies will score 7 or above
About 70% of babies will score 5 or above
About 90% of babies will score 3 or above
If you are interested in a more in-depth look at sleep behavior, you may want to try Sleuth’s two quick sleep assessments.

How well does your baby follow routines and sleep schedules?
The score ranges from 0 (your child tends to be difficult to keep on either daytime or sleep schedules) to 8 (your child tends to be easy to keep on daytime or sleep schedules).
According to research on babies in the U.S. who are around 5 to 8 months old:
About 50% of babies will score 7 or above
About 70% of babies will score 5 or above
About 90% of babies will score 4 or above
If you are interested in a more in-depth look at sleep behavior, you may want to try Sleuth’s two quick sleep assessments.

How well does your baby follow routines and sleep schedules?
The score ranges from 0 (your child tends to be difficult to keep on either sleep or daytime schedules) to 8 (your child tends to be easy to keep on sleep or daytime schedules).
According to research on babies in the U.S. who are around 5 to 8 months old:
About 50% of babies will score 7 or above.
About 70% of babies will score 6 or above.
About 90% of babies will score 4 or above.
If you are interested in a more in-depth look at sleep behavior, you may want to try Sleuth’s two quick sleep assessments.

Comfort with Routines and Sleep

Baby's Emotional Development (under 18 months)

Feeding children is a challenge for most parents, and between 25% and 50% of parents are dealing with “feeding problems” that require extra effort [1].
These 14 questions from the Montreal Children’s Hospital Feeding Scale. A higher score means that feeding times are easy (compared to the typical, not-so-easy child). A lower score means they are likely to be difficult (even compared to the typical, not-so-easy child).
This score ranges from 0 points (your child’s feeding is likely to be very challenging) to 84 points (your child’s feeding is likely to be very easy).
According to the research, for children 6 to 24 months old:
The average score is 67. About 1 in 6 children score above 80 (easier), and about 1 in 6 children also score below 54 (more difficult).*
According to the research on a general population of kids in Montreal, Canada, if your child scores:
53 or higher, you are likely to have typical experiences feeding your child.
Between 46 and 52, you are likely to have some mild difficulties.
Between 40 and 45, you are likely to have some moderate difficulties.
Between 0 and 39, you are likely to have some severe difficulties.
As usual with results on Sleuth, if you have concerns about this topic, please consult a professional. In addition to pediatricians and family physicians, children may see nutritionists, occupational or speech therapists, and pediatric psychologists for issues with eating difficulties - among others.

Feeding children is a challenge for most parents, and between 25% and 50% of parents are dealing with “feeding problems” that require extra effort [1].
These 14 questions come from the Montreal Children’s Hospital Feeding Scale. A higher score means that feeding times are likely to be easy. A lower score means they are likely to be difficult.
This score ranges from 0 (your child’s feeding is likely to be very challenging) to 84 points (your child’s feeding is likely to be very easy).
Research on scoring focuses on children under 7 years old. For children from 2 years old to 7 years old:
The average score is generally around 64. About 1 in 6 children score above 76 (easier), and about 1 in 6 children also score below 52 (more difficult).*
According to the research on a general population of kids in Montreal, Canada:
If you score:
53 or higher, you are likely to have typical challenges with feeding.
From 46 to 52, you are likely to have some mild difficulties.
From 40 to 45, you are likely to have some moderate difficulties.
From 0 and 39, you are likely to have some severe difficulties.
As usual with results on Sleuth, if you have concerns about this topic, please consult a professional. In addition to pediatricians and family physicians, children may consult with nutritionists, occupational or speech therapists, and pediatric psychologists for help with eating difficulties, among others.

How Challenging are Mealtimes Overall?

Question: How long do mealtimes take for your child (in minutes)?

How Long are Mealtimes?

This score captures enthusiasm for eating. This is the first of the four aspects of eating behavior we score separately.
The score ranges from 3 (low enthusiasm) to 21 (high enthusiasm).
This reflects how much appetite your child demonstrates, how early during meals your child starts refusing to eat, and how frequently you feel like you have to convince or force your child to eat or drink.

Enthusiasm

This score considers your child’s physical eating ability. This is the second of the four aspects of eating behavior we score separately.
The score ranges from 2 (low physical ability) to 14 (high physical ability). We include how often your child gags, spits, or vomits and how you rated your child’s chewing (or sucking) abilities. This is a simplified concept. There are often psychological reasons for these “physical” responses.

Physical Ability

This score considers your child’s social behaviors during mealtime. This is the third of the four aspects of eating behavior we score separately.
The score ranges from 2 (easygoing behavior) to 14 (challenging behavior). This score reflects whether your child is fussy during eating, and whether you have to follow them or use distractions to get them to eat.

Social Behavior Score

How does your child’s behavior affect you and the family? This is the last of the four aspects of easy/challenging eating behavior we look at separately.
The score ranges from 3 (negative effects on you or the family) to 21 (positive effects on you or the family). This includes how you feel about feeding times - are they easy or difficult in general - and how you feel like feeding your child affects family relationships.

How Mealtimes Affect You

Some parents are more worried about their children’s eating habits and behavior than others. Here is what other parents feel.
This score ranges from 1 (Not Worried) to 7 (Very Worried).

How Worried About Eating Are You

Eating Habits and Behavior

How well does your child sleep? This survey looks at the different qualities of sleep for children (and their parents).

Your “Overall Sleep Challenge” score reflects how well your child sleeps generally.
These 22 questions come from the Children’s Sleep Habits Questionnaire, which has been used in hundreds of studies of children’s sleep quality (references [1], [2], and [3]).
The minimum score for the version on Sleuth is 0 (your child probably sleeps easily and well!) to 36 (your child may have great difficulty sleeping). Scores tend to be low. Scores 8 to 10 or higher suggest that your child has some sleep difficulties.
You can use the bar chart to (very cautiously) see how you compare to other parents on Sleuth. This is a new survey, so you may want to check back as we get more responses!
Your total score will reflect the topics we discuss below: bedtime resistance, sleep anxiety, daytime sleepiness, waking up at night, etc. Some of these topics (such as waking up at night) are less meaningful for infants, but we include the question to reflect children at all ages.
These questions can miss important problems in children’s sleep! This survey on its own is just a weak indicator that you do or don’t face unusual difficulties. If you would like help, consult experts and the many helpful resources online.
For sleep training children under two, you may want to start here: https://www.nytimes.com/article/how-to-sleep-train-baby.html. Parents often recommend this (expensive) online course: https://takingcarababies.com/. There are also a growing number of apps and tools, such as Huckleberry: <a href="https://huckleberrycare.com/">https://huckleberrycare.com/</a>

Overall Sleep Challenge

How difficult is it to put your child to sleep? This score for “Bedtime Resistance” ranges from 0 (your child probably falls asleep quickly and easily) to 12 (it seems difficult to get your child to sleep).
Questions related to bedtime resistance include:
Does it take more than 20 minutes to get your child to sleep?
Does your child fall asleep alone or in bed with parents or siblings?
Does your child cry or refuse to go to bed?

Bedtime Resistance

These are parents’ answers to this specific question:
How often does your child fall asleep within 20 minutes after going to bed?
Always: 7 nights per week
Usually: 5 to 6 nights per week
Sometimes: 2 to 4 nights per week
Rarely: 1 night per week
Never: 0 nights per week

Delay Getting to Bed

The score for Sleep Anxiety ranges from 0 (your child seems to have low sleep anxiety) to 6 (your child seems to have high sleep anxiety).
Sleep Anxiety considers three factors:
(1) Whether your child needs a parent in the room to fall asleep,
(2) Whether your child moves to someone else’s bed in the middle of the night, and
(3) Whether your child has a fear of the dark
Of course, these are just signs. Anxiety can be high or low even if you child has any (or none) of these behaviors.

Sleep Anxiety

This score and the next one consider whether your child is sleeping enough. The “Sleeps Too Little” score looks at whether your child wakes up very early or doesn’t get consistent sleep.
The minimum score is 0 (your child seems to sleep late enough and consistently) and the maximum score is 4 (your child seems to wake up too early and sleep inconsistently).

Sleeps Too Little

Daytime Sleepiness reflects whether your child wakes up independently and appears sleepy during the daytime.
The minimum score is 0 (your child does not seem sleepy during the day) and the maximum score is 6 (your child seems to be frequently sleepy in the daytime).

Daytime Sleepiness

These are responses to the question:
How often is your child restless or moving a lot during sleep?
Always: 7 nights per week
Usually: 5 to 6 nights per week
Sometimes: 2 to 4 nights per week
Rarely: 1 night per week
Never: 0 nights per week

Restless Sleep

These are responses to these two questions:
How often does your child wake up alarmed by a frightening dream?
OR
How often does your child wake up during the night screaming and inconsolable?
Always: 7 nights per week
Usually: 5 to 6 nights per week
Sometimes: 2 to 4 nights per week
Rarely: 1 night per week
Never: 0 nights per week
The bar chart reflects responses to either question. For example, “Always” means a child always wakes up frightened from a dream OR always wakes up screaming and inconsolable.
Night terrors (screaming sometimes while still asleep) and waking up frightened from nightmares are referred to as “parasomnias” (see refs [1], [2], and [3]).
Researchers have found that there is sometimes a relationship between night terrors and disrupted breathing, and removing the obstacle to breathing may reduce night terrors (ref [4]). If you have any concerns, please consult a doctor or sleep consultant.

Waking Up Frightened

These are responses to the question:
How often does your child grind his or her teeth during sleep?
Always: 7 nights per week
Usually: 5 to 6 nights per week
Sometimes: 2 to 4 nights per week
Rarely: 1 night per week
Never: 0 nights per week

Grinding Teeth

These are responses to the question: How often does your child snore loudly?
Always: 7 nights per week
Usually: 5 to 6 nights per week
Sometimes: 2 to 4 nights per week
Rarely: 1 night per week
Never: 0 nights per week
For more information on snoring, you may find these articles helpful: <a href="https://www.sleepfoundation.org/snoring/snoring-children">Snoring in Children</a> and <a href="https://health.clevelandclinic.org/does-your-child-snore-5-signs-of-trouble/">Does Your Child Snore: 5 Signs of Trouble</a>.

Snoring

These are responses to the question: How often does your child wake up at least once during the night?
Always: 7 nights per week
Usually: 5 to 6 nights per week
Sometimes: 2 to 4 nights per week
Rarely: 1 night per week
Never: 0 nights per week
For some reading on night wakings, see:
<a href="https://www.uclahealth.org/sleepcenter/sleep-and-children">Sleep and Children</a> from the UCLA Sleep Disorders Center,
<a href="https://www.parentingscience.com/night-wakings.html">Night wakings: A guide for the science-minded parent </a>from parentingscience.com, and
<a href="https://www.stanfordchildrens.org/en/service/sleep-disorders/good-night-sleep">Eight ways to help your child get a good night’s sleep</a> from Stanford Children’s Health.
For toddlers, you may also want to see<a href="https://www.whattoexpect.com/toddler/behavior/night-waking.aspx">:</a>
<a href="https://www.whattoexpect.com/toddler/behavior/night-waking.aspx">Why is my toddler waking up at nigh</a>t? at What To Expect.

Wakes Up At Least Once

These are responses to the question: How often does your child wake up at least twice during the night?
Always: 7 nights per week
Usually: 5 to 6 nights per week
Sometimes: 2 to 4 nights per week
Rarely: 1 night per week
Never: 0 nights per week
See the notes and references above for additional information.

Wakes Up At Least Twice

Sleep Challenges

Let’s see how your baby’s vocabulary is growing! This is the short version of one of the most widely used vocabulary quizzes for babies, toddlers, and young children.

The full title for this quiz is the “English-Language Short Form of the MacArthur Bates Communicative Development Inventories, Level 1.” You can find some more information at this link here: https://mb-cdi.stanford.edu/

This ‘Words Understood” score is a measure of vocabulary comprehension. This score adds 1 point for each word your baby Understands (including words your baby Understands and Says).
According to this research (reference [1]), here are typical scores for Words Understood for families in U.S. cities with an above average level of college education:
For a baby around 8 to 9 months old,
About 90% of babies understand at least 1 to 2 words (from this quiz),
About 75% understand at least 3 to 5 words
About 50% understand at least 7 to 10 words
About 25% understand at least 16 to 18 words
About 10% understand at least 24 to 30 words
Please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.
We will also show you the scores of other parents who have shared their results on Sleuth in the bar chart. Because people come to Sleuth for a variety of reasons, including concerns about their child’s vocabulary, please read any patterns cautiously.
You can come back to Sleuth to take this quiz again anytime! We will save your old and new results.

This ‘Words Understood” score is a measure of vocabulary comprehension. This score adds 1 point for each word your baby Understands (including words your baby Understands and Says).
According to this research (reference [1]), here are typical scores for Words Understood for families in U.S. cities with an above average level of college education:
For a baby around 10 to 11 months old,
About 90% of babies understand at least 3 to 4 words (from this quiz),
About 75% understand at least 5 to 9 words
About 50% understand at least 12 to 18 words
About 25% understand at least 25 to 33 words
About 10% understand at least 35 to 40 words
Please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.
We will also show you the scores of other parents who have shared their results on Sleuth in the bar chart. Because people come to Sleuth for a variety of reasons, including concerns about their child’s vocabulary, please read any patterns cautiously.
You can come back to Sleuth to take this quiz again anytime! We will save your old and new results.

This ‘Words Understood” score is a measure of vocabulary comprehension. This score adds 1 point for each word your baby Understands (including words your baby Understands and Says).
According to this research (reference [1]), here are typical scores for Words Understood for families in U.S. cities with an above average level of college education:
For a baby around 12 to 13 months old:
About 90% of babies understand at least 6 to 9 words (from this quiz),
About 75% understand at least 10 to 16 words
About 50% understand at least 20 to 26 words
About 25% understand at least 36 to 40 words
About 10% understand at least 50 to 55 words
Please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.
We will also show you the scores of other parents who have shared their results on Sleuth in the bar chart. Because people come to Sleuth for a variety of reasons, including concerns about their child’s vocabulary, please read any patterns cautiously.
You can come back to Sleuth to take this quiz again anytime! We will save your old and new results.

This ‘Words Understood” score is a measure of vocabulary comprehension. This score adds 1 point for each word your baby Understands (including words your baby Understands and Says).
According to this research (reference [1]), here are typical scores for Words Understood for families in U.S. cities with an above average level of college education:
For a baby around 14 to 15 months old:
About 90% of babies understand at least 12 to 16 words (from this quiz)
About 75% understand at least 19 to 25 words
About 50% understand at least 30 to 38 words
About 25% understand at least 48 to 53 words
About 10% understand at least 60 to 69 words
Please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.
We will also show you the scores of other parents who have shared their results on Sleuth in the bar chart. Because people come to Sleuth for a variety of reasons, including concerns about their child’s vocabulary, please read any patterns cautiously.
You can come back to Sleuth to take this quiz again anytime! We will save your old and new results.

This ‘Words Understood” score is a measure of vocabulary comprehension. This score adds 1 point for each word your baby Understands (including words your baby Understands and Says).
According to this research (reference [1]), here are typical scores for Words Understood for families in U.S. cities with an above average level of college education:
For a baby around 16 to 17 months old:
About 90% of babies understand at least 22 to 29 words (from this quiz)
About 75% understand at least 33 to 39 words
About 50% understand at least 43 to 52 words
About 25% understand at least 60 to 65 words
About 10% understand at least 69 to 79 words
Please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.
We will also show you the scores of other parents who have shared their results on Sleuth in the bar chart. Because people come to Sleuth for a variety of reasons, including concerns about their child’s vocabulary, please read any patterns cautiously.
You can come back to Sleuth to take this quiz again anytime! We will save your old and new results.

This ‘Words Understood” score is a measure of vocabulary comprehension. This score adds 1 point for each word your baby Understands (including words your baby Understands and Says).
According to this research (reference [1]), here are typical scores for Words Understood for families in U.S. cities with an above average level of college education:
For a baby around 18 months old:
About 90% of babies understand at least 37 to 45 words (from this quiz)
About 75% understand at least 48 to 53 words
About 50% understand at least 55 to 65 words
About 25% understand at least 70 to 74 words
About 10% understand at least 75 to 84 words
Please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.
We will also show you the scores of other parents who have shared their results on Sleuth in the bar chart. Because people come to Sleuth for a variety of reasons, including concerns about their child’s vocabulary, please read any patterns cautiously.
You can come back to Sleuth to take this quiz again anytime! We will save your old and new results.

Number of Words Your Baby Understands

This ‘Words Spoken” score is a measure of “vocabulary production.” This score adds 1 point for each word your baby Understands and Says.
According to this research (reference [1]), here are typical numbers of Words Spoken (from the list on this quiz) for families in U.S. cities with an above average level of college education:
For a baby around 8 months old,
50% say 1 word from the quiz.
10% say 2 to 3 words from the quiz.
As we note above, please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.

This ‘Words Spoken” score is a measure of “vocabulary production.” This score adds 1 point for each word your baby Understands and Says.
According to this research (reference [1]), here are typical numbers of Words Spoken (from the list on this quiz) for families in U.S. cities with an above average level of college education:
For a baby around 10 months old,
50% say about 1 to 3 words (from the quiz)
25% say 3 words (boys) or 6 words (girls)
10% say 4 words (boys) or 9 words (girls)
Girls tend to speak more words than boys at an early age.
As we note above, please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.

This ‘Words Spoken” score is a measure of “vocabulary production.” This score adds 1 point for each word your baby Understands and Says.
According to this research (reference [1]), here are typical numbers of Words Spoken (from the list on this quiz) for families in U.S. cities with an above average level of college education:
For a baby around 12 months old,
90% say 1 word
75% say 2 words
50% say 3 words (boys) to 4 words (girls)
25% say 6 words (boys) to 7 words (girls)
10% say 9 words (boys) to 11 words (girls)
Girls tend to speak more words than boys at an early age.
As we note above, please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.

This ‘Words Spoken” score is a measure of “vocabulary production.” This score adds 1 point for each word your baby Understands and Says.
According to this research (reference [1]), here are typical numbers of Words Spoken (from the list on this quiz) for families in U.S. cities with an above average level of college education:
For a baby around 14 months old,
90% say 2 words (boys) to 3 words (girls)
75% say 3 words (boys) to 4 words (girls)
50% say 5 words (boys) to 8 words (girls)
25% say 11 words (boys) to 14 words (girls)
10% say 17 words (boys) to 21 words (girls)
Girls tend to speak more words than boys at an early age.
As we note above, please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.

This ‘Words Spoken” score is a measure of “vocabulary production.” This score adds 1 point for each word your baby Understands and Says.
According to this research (reference [1]), here are typical numbers of Words Spoken (from the list on this quiz) for families in U.S. cities with an above average level of college education:
For a baby around 16 months old,
90% say 3 words
75% say 4 words (boys) to 8 words (girls)
50% say 10 words (boys) to 15 words (girls)
25% say 20 words (boys) to 26 words (girls)
10% say 31 words (boys) to 35 words (girls)
Girls tend to speak more words than boys at an early age.
As we note above, please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.

This ‘Words Spoken” score is a measure of “vocabulary production.” This score adds 1 point for each word your baby Understands and Says.
According to this research (reference [1]), here are typical numbers of Words Spoken (from the list on this quiz) for families in U.S. cities with an above average level of college education:
For a baby around 18 months old,
90% say 3 words (boys) to 5 words (girls)
75% say 6 words (boys) to 13 words (girls)
50% say 18 words (boys) to 27 words (girls)
25% say 33 words (boys) to 41 words (girls)
10% say 43 words (boys) to 52 words (girls)
Girls tend to speak more words than boys at an early age.
As we note above, please interpret your score carefully. According to this study (reference [2]), “late talking” is usually not identified before 18 months, and is most often identified in children who are 2 years or older. If you have concerns or questions, please seek professional advice.

Number of Words Your Baby Speaks

This score refers to the number of animal names in the quiz (such as “dog” or “duck”) your baby understands OR says. There are six words for animal names, so the highest possible score is 6.
This score was invented by Sleuth and is not an indicator of your baby’s overall vocabulary. This score may just reflect how often your baby hears these types of words.

Animal Names Vocabulary

This score refers to the number of words for food or drink (such as “cookie” or “juice”) your baby understands OR says. There are six words in this category in the quiz, so the highest possible score is 6.
This score was invented by Sleuth and is not an indicator of your baby’s overall vocabulary. It may just reflect whether your baby often hears these types of words.

Food and Drink Vocabulary

This score refers to the number of words in the quiz for clothing or body parts (such as “pants” or “head”) your baby understands OR says. There are nine words for clothing or body parts in the quiz, so the highest possible score is 9.
This score was invented by Sleuth, and is not an indicator of your baby’s overall vocabulary. It may just reflect whether your baby often hears these types of words.

Clothing and Body Parts Vocabulary

This score refers to the number of words in the quiz for household items (such as “chair” or “cup”) your baby understands OR says. There are twelve words for household items in the quiz, so the highest possible score is 12.
This score was invented by Sleuth, and is not an indicator of your baby’s overall vocabulary. It may just reflect whether your baby often hears these types of words.

Household Items Vocabulary

This score refers to the number of words in the quiz for things that appear outside or places (such as “moon” or “rain” or “home”) your baby understands OR says. There are eight words for these outside items in the quiz, so the highest possible score is 8.
This score was invented by Sleuth, and is not an indicator of your baby’s overall vocabulary. It may just reflect whether your baby often hears these words.

Outside Objects and Places Vocabulary

This score refers to the number of words in the quiz for verbs or actions (such as “wait” or “smile”) your baby understands OR says. There are eleven words for these items in the quiz, so the highest possible score is 11.
This score was invented by Sleuth, and is not an indicator of your baby’s overall vocabulary. It may just reflect whether your baby often hears these words.

Verbs and Actions Vocabulary

This score refers to the number of descriptive words in the quiz (such as “big” or “broken”) your baby understands OR says. There are eight words for these items in the quiz, so the highest possible score is 8.
This score was invented by Sleuth, and is not an indicator of your baby’s overall vocabulary. It may just reflect whether your baby often hears these words.

Descriptive Words Vocabulary

Vocabulary Progress - First Words (5 to 18 months)

Question: Was your baby's birth preterm, early, or full term?
<a href="https://www.whattoexpect.com/pregnancy/pregnancy-health/understanding-pregnancy-week.aspx">What to Expect</a> as helpful information about pregnancy terms and timing.

Pregnancy Term

Question: The delivery was by… vaginal birth or C-section?

Delivery Method

Question: During the pregnancy, did any of these (complications) occur?
There are 10 answer options, including bleeding, abnormal ultrasounds, high blood pressure, and gestational diabetes.
Complications during pregnancy are common. A report by the Blue Cross Blue Shield Association suggested that about 20% of pregnancies had some complication (see the report here). For this question, we ask about a variety of concerns including bleeding, abnormal ultrasounds, high blood pressure, and gestational diabetes.
The chart shows how many parents report at least one complication.

Pregnancy Complications

Question: How would you rate your overall happiness level during the pregnancy?

Happiness During the Pregnancy

Question: How would you rate your overall stress level during the pregnancy?

Stress Levels During the Pregnancy

Question: In the first month after birth, did your child experience any of the following?
There are 7 answer options, including difficulties feeding, infections, and hospitalizations.
The chart shows how many parents on Sleuth report at least one challenge.

First Month Challenges

Question: In the first month after birth, did your child experience any of the following?
Answers are labeled “Yes - feeding problems” when parents select “Gagging, choking, or vomiting often”, “Difficulty sucking,” or “Other feeding problems.”

First Month Feeding Challenges

Question: In general, how much pain did breastfeeding cause during the first month, if you tried it?
For about 1 in 4 moms, breastfeeding causes no pain from the beginning, but others find it extremely painful. You can learn more in this interesting article: “Why Aren't Moms Warned About How Painful Early Breastfeeding Can Be?” The current medical views on breastfeeding are here: Patient education: Common breastfeeding problems (Beyond the Basics). We encourage parents to use their own judgment when deciding whether to breastfeed, but there are local and remote lactation consultants available for moms who do want help. Boober is a new website with resources.

Breastfeeding Discomfort

Question: How would you rate your overall happiness level in the first month after the birth?
For more in-depth questions, please see our survey, “Your Emotions with a New Baby.”

Happiness in the First Month

Question: How would you rate your overall stress level in the first month after the birth?
For more in-depth questions, please see our survey, “Your Emotions with a New Baby.”

Stress in the First Month

Pregnancy and Birth Events

How are your moods and stress levels now that you have a new baby? This brief survey takes a look.

This score reflects the level of your positive mood in the past week. This includes feelings of excitement, enthusiasm, and inspiration.The score ranges from 0 (not at all positive) to 20 (very positive) with an average for most people of around 10.
We adapted these questions from the Positive and Negative Affect Schedule (PANAS) which has been used in thousands of psychology research studies.

Positive Mood

New parent “blues” and depression may affect more than 1 in 7 moms and dads ([1]). Too often, doctors and other family members don’t check on how parents are feeling.
These questions are adapted from the Edinburgh Postnatal Depression Scale which has been studied with thousands of parents and translated to 20 languages. (source [2] below).
The score ranges from 0 (which suggests that you are in a positive or stable emotional state) to 30 (which suggests that you are likely to be feeling depressed or overwhelmed). According to scoring guidelines, if you score 12 or above, you may be experiencing blues or depression and may want to seek professional support (see [3] for details). For help with new parent blues, check out https://www.postpartum.net/.
You can also view other parents’ responses to this survey on the bar chart. Please use this chart cautiously. Parents who come to Sleuth may be unusual.
You may want to retake the survey in a few weeks or a month to see if your feelings have changed. We will save your old results so you can see how they've changed.

New Parent Blues

Your Emotions with a New Baby

Your Overall Score reflects your four year old’s general progress at picking up basic skills.
This score is calculated by adding 1 point for each skill your child does “Somewhat” and 2 points for each skill your child does “Very Much.” There are ten questions, so the lowest possible score is 0 and the maximum possible score is 20.
Children around 47 months old typically score between 13 and 17 (reference [1]). If you get a score of 12 or below, you may want to keep an eye on your child’s development and - if you have any concerns - consult a pediatrician or family physician as well as other resources parents mention on Sleuth. If you score above 17, your child appears to be advanced.
These scores are provided by the “Survey of Well-Being of Young Children” (SWYC), developed by researchers at the <a href="https://www.tuftschildrenshospital.org/">Tufts Medical Center</a> and validated on over 40,000 children. More information about SWYC is available at reference [1] and research on SWYC is available at reference [2].

Your Overall Score reflects your four year old’s general progress at picking up basic skills.
This score is calculated by adding 1 point for each skill your child does “Somewhat” and 2 points for each skill your child does “Very Much.” There are ten questions, so the lowest possible score is 0 and the maximum possible score is 20.
Children around 48 to 49 months old typically score between 14 and 17 (reference [1]). If you get a score of 13 or below, you may want to keep an eye on your child’s development and - if you have any concerns - consult a pediatrician or family physician as well as other resources parents mention on Sleuth. If you score above 17, your child appears to be advanced.
These scores are provided by the “Survey of Well-Being of Young Children” (SWYC), developed by researchers at the Tufts Medical Center and validated on over 40,000 children. More information about SWYC is available at reference [1] and research on SWYC is available at reference [2].

Your Overall Score reflects your four year old’s general progress at picking up basic skills.
This score is calculated by adding 1 point for each skill your child does “Somewhat” and 2 points for each skill your child does “Very Much.” There are ten questions, so the lowest possible score is 0 and the maximum possible score is 20.
Children around 50 months old typically score between 14 and 18 (reference [1]). If you get a score of 13 or below, you may want to keep an eye on your child’s development and - if you have any concerns - consult a pediatrician or family physician as well as other resources parents mention on Sleuth. If you score above 18, your child appears to be advanced.
These scores are provided by the “Survey of Well-Being of Young Children” (SWYC), developed by researchers at the Tufts Medical Center and validated on over 40,000 children. More information about SWYC is available at reference [1] and research on SWYC is available at reference [2].

Your Overall Score reflects your four year old’s general progress at picking up basic skills.
This score is calculated by adding 1 point for each skill your child does “Somewhat” and 2 points for each skill your child does “Very Much.” There are ten questions, so the lowest possible score is 0 and the maximum possible score is 20.
Children around 51 to 53 months old typically score between 15 and 18 (reference [1]). If you get a score of 14 or below, you may want to keep an eye on your child’s development and - if you have any concerns - consult a pediatrician or family physician as well as other resources parents mention on Sleuth. If you score above 18, your child appears to be advanced.
These scores are provided by the “Survey of Well-Being of Young Children” (SWYC), developed by researchers at the Tufts Medical Center and validated on over 40,000 children. More information about SWYC is available at reference [1] and research on SWYC is available at reference [2].

Your Overall Score reflects your four year old’s general progress at picking up basic skills.
This score is calculated by adding 1 point for each skill your child does “Somewhat” and 2 points for each skill your child does “Very Much.” There are ten questions, so the lowest possible score is 0 and the maximum possible score is 20.
Children around 54 to 57 months old typically score between 16 and 18 (reference [1]). If you get a score of 15 or below, you may want to keep an eye on your child’s development and - if you have any concerns - consult a pediatrician or family physician as well as other resources parents mention on Sleuth. If you score above 18, your child appears to be advanced.
These scores are provided by the “Survey of Well-Being of Young Children” (SWYC), developed by researchers at the Tufts Medical Center and validated on over 40,000 children. More information about SWYC is available at reference [1] and research on SWYC is available at reference [2].

Your Overall Score reflects your four year old’s general progress at picking up basic skills.
This score is calculated by adding 1 point for each skill your child does “Somewhat” and 2 points for each skill your child does “Very Much.” There are ten questions, so the lowest possible score is 0 and the maximum possible score is 20.
Children around 58 months old typically score between 17 and 19 (reference [1]). If you get a score of 16 or below, you may want to keep an eye on your child’s development and - if you have any concerns - consult a pediatrician or family physician as well as other resources parents mention on Sleuth.
These scores are provided by the “Survey of Well-Being of Young Children” (SWYC), developed by researchers at the Tufts Medical Center and validated on over 40,000 children. More information about SWYC is available at reference [1] and research on SWYC is available at reference [2].

Overall Score

The score looks at how many cognitive or communication skills (among the 6 questions we asked about them) your child is doing “somewhat” OR “very much.”
The maximum possible score is 6 with 1 point for each skill.
This score is provided on Sleuth for your interest, and is not established by research on SWYC. You may see how your child compares on the bar chart, but please see our warning about interpreting this information carefully.

New Cognitive and Communication Skills

The score looks at how many cognitive or communication skills (among the 6 questions we asked about them) your child is doing “very much”.
The maximum possible score is 6 with 1 point for each skill.
This score is provided on Sleuth for your interest, and is not established by research on SWYC. You may see how your child compares on the bar chart, but please see our warning about interpreting this information carefully.
If you would like to do a detailed review of cognitive and communication skills at this age, we recommend that you also consider the Ages &amp; Stages Questionnaire (at ref [1]).

Established Cognitive and Communication Skills

The score looks at how many physical “motor” skills (among the 4 questions we asked about them) your child is doing “somewhat” OR “very much.”
The maximum score is 4 with 1 point for each skill.
Developmental assessments often look at “fine motor skills” that often require close hand-eye coordination (such as drawing) and “gross motor skills” that use large body movements (such as walking). We do not separate them here.
This score is provided on Sleuth for your interest, and is not established by research on SWYC. You may see how your child compares on the bar chart, but please see our warning about interpreting this information carefully.
If you would like to do an additional detailed review of skills at this age, we recommend that you also consider the Ages &amp; Stages Questionnaire (ref [1]).

Beginning Motor Skills

The score looks at how many physical “motor” skills (among the 4 questions we asked about them) your child is doing “very much.”
The maximum score is 4 with 1 point for each skill.
Developmental assessments often look at “fine motor skills” that often require close hand-eye coordination (such as drawing) and “gross motor skills” that use large body movements (such as walking). We do not separate them here.
This score is provided on Sleuth for your interest, and is not established by research on SWYC. You may see how your child compares on the bar chart, but please see our warning about interpreting this information carefully.
If you would like to do an additional detailed review of skills at this age, we recommend that you also consider the Ages &amp; Stages Questionnaire (ref [1]).

Established Motor Skills

Skill: Compare things using words like "bigger" or "shorter"
Most children develop this skill between 2 to 3 years old:
About 75% of children will do this “somewhat” by 25 months.
About 90% of children will do this “somewhat” by 27 months.
About 75% of children will do this “very much” by 31 months.
About 90% of children will do this “very much” by 34 months.

Making Verbal Comparisons

Skill: Answer questions like "What do you do when you are cold?” or "What do you do when you are sleepy?"
Most children develop this skill between 2 to 3 years old:
About 75% of children will do this “somewhat” by 26 months.
About 90% of children will do this “somewhat” by 29 months.
About 75% of children will do this “very much” by 33 months.
About 90% of children will do this “very much” by 36 months.

Self-Referential Questions

Skill: Tell you a story from a book or TV.
Most children develop this skill around 3 years old:
About 75% of children will do this “somewhat” by 27 months.
About 90% of children will do this “somewhat” by 31 months.
About 75% of children will do this “very much” by 35 months.
About 90% of children will do this “very much” by 39 months.

Sharing Stories

Skill: Draw simple shapes like a circle or a square.
Most children develop this skill between 3 to 5 years old:
About 75% of children will do this “somewhat” by 28 months.
About 90% of children will do this “somewhat” by 33 months.
About 25% of children will do this “very much” by 31 months.
About 50% of children will do this “very much” by 36 months.
About 75% of children will do this “very much” by 43 months.
About 90% of children will do this “very much” by 51 months.

Drawing Shapes

Skill: Say words like "feet" for more than one foot and "men" for more than one man?
Most children develop this skill between 3 to 5 years old:
About 75% of children will do this “somewhat” by 29 months.
About 90% of children will do this “somewhat” by 35 months.
About 25% of children will do this “very much” by 32 months.
About 50% of children will do this “very much” by 39 months.
About 75% of children will do this “very much” by 46 months.
About 90% of children will do this “very much” by 55 months.

Plural Words

Skill: Use words like "yesterday" and "tomorrow" correctly
Most children develop this skill between 3 to 5 years old:
About 75% of children will do this “somewhat” by 22 months.
About 90% of children will do this “somewhat” by 36 months.
About 25% of children will do this “very much” by 33 months.
About 50% of children will do this “very much” by 39 months.
About 75% of children will do this “very much” by 47 months.
About 90% of children will do this “very much” by 55 months.

Awareness of Time

Skill: Stay dry all night
Most children develop this skill between 3 to 5 years old:
About 75% of children will do this “somewhat” by 33 months.
About 90% of children will do this “somewhat” by 44 months.
About 25% of children will do this “very much” by 26 months.
About 50% of children will do this “very much” by 34 months.
About 75% of children will do this “very much” by 46 months.
About 90% of children will do this “very much” by 61 months.

Nighttime Dryness

Skill: Follow simple rules when playing a board game or card game
Most children develop this skill between 3 to 5 years old:
About 75% of children will do this “somewhat” by 31 months.
About 90% of children will do this “somewhat” by 36 months.
About 25% of children will do this “very much” by 36 months.
About 50% of children will do this “very much” by 42 months.
About 75% of children will do this “very much” by 49 months.
About 90% of children will do this “very much” by 56 months.

Following Rules

Skill: Write his or her first name?
Most children develop this skill between 3 to 5 years old:
About 75% of children will do this “somewhat” by 45 months.
About 90% of children will do this “somewhat” by 52 months.
About 25% of children will do this “very much” by 42 months.
About 50% of children will do this “very much” by 49 months.
About 75% of children will do this “very much” by 57 months.
About 90% of children will do this “very much” by 66 months.

Writing Name

Skill: Draw pictures you recognize?
Most children develop this skill between 3 to 5 years old:
About 75% of children will do this “somewhat” by 37 months.
About 90% of children will do this “somewhat” by 42 months.
About 25% of children will do this “very much” by 42 months.
About 50% of children will do this “very much” by 48 months.
About 75% of children will do this “very much” by 54 months.
About 90% of children will do this “very much” by 61 months.

RosieSue’s Journey

Share the first part of RosieSue's story for readers on Sleuth! When and why did you start to feel concerned?

What was your experience, if any, seeking a diagnosis or treatment?

Do you have any other thoughts or advice you would like to share from this experience?

Timeline

RosieSue’s Notes

Signs & Symptoms

2020

Global developmental delay

Delayed speech or vocabulary

Difficulty swallowing

Seizures

Doctors

2020

Dr Laurence Walsh

Taylor Wang