Child Survey: Ages 18 - 36 Months - OhioGuidestone Research Portal

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Questionnaire for Babies 18-36 Months Old

Please read each statement carefully and answer for your child that is participating in the Joyful Play study. If you have more than one child participating, please complete one for each child. There are no right or wrong answers!

Select the answer that best fits: Never, Rarely, Occasionally, Frequently, Very Frequently

During the past 4 weeks, how often did your child:

Enjoy interacting with others? *

Show affection for a familiar adult? *

Adjust to changes in routine? *

Seek comfort from familiar adults? *

Make needs known to a familiar adult? *

Act happy with familiar adults? *

Show interest in her/his surroundings? *

Respond when spoken to? *

Show concern for other children? *

Try to comfort others? *

Act happy when praised? *

Participate in group activities? *

Make eye contact with others? *

Enjoy being cuddled? *

Smile back at a familiar adult? *

Ask to do new things? *

Reach for a familiar adult? *

Respond to her/his name? *

React to another child's cry? *

Smile at familiar adults? *

Easily go from one activity to another? *

Show pleasure when interacting with adults? *

Handle frustration well? *

Makes others aware of her/his needs? *

Accept comfort from a familiar adult? *

Play make-believe? *

Follow simple direction? *

Show preference for a particular playmate? *

Try to clean up after herself/himself? *

Easily follow a daily routine? *

Play with other children? *

Try to do things for herself/himself? *

Calm himself/herself? *

Accept another choice when the first choice was not available? *

Have regular sleeping patterns? *

Express a variety of emotions (e.g.: happy, sad, mad)? *

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Child Survey: Ages 18 – 36 Months

Questionnaire for Babies 18-36 Months Old

During the past 4 weeks, how often did your child: