1. 

Does your child treat dolls or teddies as if they are alive?

2. 

Does your child play beside other children?

3. 

Has your child begun to use symbols in play such as a stick becoming a sword?

4. 

Does your child engage in play themes which reflect less frequently experienced life events (e.g. visiting the doctor)?

5. 

Does your child talk about their feelings?

6. 

Does your child take turns with other children?

7. 

Does your child play with 2 or 3 other children in a group?

8. 

Does your child engage in play themes which expand beyond personal experience (e.g. fireman rescuing people?)

9. 

Does your child feel shame when caught doing the wrong thing?

10. 

Do you have established family routines with your child, such as going out to the park and having dinner as a family?

11. 

Does your family set time aside to play together in whatever your child chooses?

12. 

Do you speak with your child throughout the day, describing what you are doing and seeing?

Please select an answer for each question