| Did your child crawl (stomach on floor)? | | |
| Did your child creep (on all fours)? | | |
| At what age did your child start to walk? | | |
| Did your child have difficulty learning to throw or catch a ball? | | |
| Did your child have difficulty learning to cut with scissors? | | |
| Did your child have difficulty learning to tie shoelaces? | | |
| Did your child have difficulty learning to ride a bicycle? | | |
