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HOW DO I KNOW? 
Milestones by Age

The American Speech-Language-Hearing Association provides milestones by age, which are provided below to aid families and professionals in identifying signs of a communication disorder. For more specific information regarding speech and language development, please contact us. 

SCHEDULE SPEECH/LANGUAGE/HEARING SCREENING

One to Two Years:

•  Points to a few body parts when asked.
•  Follows simple commands and understands simple questions ("Roll the ball", ​"Kiss the baby," "Where's your shoe?").
•  Listens to simple stories, songs, and rhymes.
•  Points to pictures in a book when named.
•  Says more words every month.
•  Uses some one- or two- word questions ("Where kitty?" "Go bye-bye?" "What's that?").
•  Puts two words together ("more cookie," "no juice," "mommy book").
•  Uses many different consonant sounds at the beginning of words. 


Two to Three Years:

•  Understands differences in meaning ("go-stop," "in-on," "big-little," "up- down").
•  Follows two requests ("Get the book and put it on the table").
•
 Listens to and enjoys hearing stories for longer periods of time
•
 Has a word for almost everything.
•  
Uses two- or three- words to talk about and ask for things.
•  
Uses k, g, f, t, d, and n sounds.
•  
Speech is understood by familiar listeners most of the time.
•  
Often asks for or directs attention to objects by naming them.
•  
Asks why?
​•  
May stutter on words or sounds 


Three to Four Years:

•  Understands words for some colors, like red, blue, and green
•  Understands words for some shapes, like circle and square
•  
Understands words for family, like brother, grandmother, and aunt
•  
Talks about activities at school or at friends' homes.
•  
Talks about what happened during the day. Uses about 4 sentences at a time.
•  People outside of the family usually understand child's speech. 
•  
Answers simple "who?", "what?", and "where?" questions.
•  
Asks when and how questions.
•  
Says rhyming words, like hat-cat
•  
Uses pronouns, like I, you, me, we, and they
•  
Uses some plural words, like toys, birds, and buses
•  
Uses a lot of sentences that have 4 or more words. 




Four to Five Years:

•  Understands words for order, like first, next, and last.
•  
Understands words for time, like yesterday, today, and tomorrow.
•  
Follows longer directions, like "Put your pajamas on, brush your teeth, and then pick out a book."
•  
Follows classroom directions, like "Draw a circle on your paper around something you eat."
•  
Hears and understands most of what is said at home and in school.
•  
Says all speech sounds in words. May make mistakes on sounds that are harder to say, like l, s, r, v, z, ch, sh, th.
•  
Responds to "What did you say?” 
•  
Talks without repeating sounds or words most of the time.
•  
Names letters and numbers.
•  
Uses sentences that have more than 1 action word, like jump, play, and get.
•  
Tells a short story.
•  
Keeps a conversation going.
•  
Talks in different ways depending on the listener and place.




Contact a Clinician
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Location

580 S. Denton Tap Rd.
Suite 270
Coppell, TX 75019

9330 Lyndon B Johnson Fwy
Suite 355
Dallas, TX 75243

Contact Us

‪(469) 763-9459
  • Home
  • Services
    • Individual Speech Therapy
    • Parent & Educational Consultation
    • Milestones by Age
  • About
    • Our Team
    • School Partnerships
  • Contact
    • Group & Camp Enrollment
  • Blog
  • Speech Happens Podcast
  • the HOLLAND Foundation