Makes errors or does not use p, b, m, h, w in words between 1-2 years old

Makes errors or does not use k, g, f, t, d, and n in words between 2-3 years old

Speech is unclear or difficult to understand, even to familiar people

Does not smile or show interest in others

Does not babble between 4-8 months old

Makes only a few sounds or gestures between 8-12 months

Does not respond to what others say at 1-2 years old

Says less than 3 words at 18 months old

Does not put words together to make sentences at 18 months – 2 years

Words said are not easily understood by parents at 2 years old

Has trouble playing or being social with other kids at 2 years old

Struggles with early reading and writing skills at 3 years old

Repeats the first sound or syllable of a word (e.g. “b-b-b-bat”)

Stretches out sounds (e.g. “mmmmmmom”)

Pauses a lot while talking

Has trouble thinking of the correct word to say

Uses words in the wrong order

Pronounces words incorrectly

Talks in short or broken sentences

Talks about a subject without clearly communicating the idea

Has difficulty understanding others

Too slow or too fast rate of speech

Slurred or mumbled sp