Izaac went for his 3 years old development assessment on 20th June 2009. His certificate of vaccination was stapled in his health booklet and was told by the nurse not to lose the certificate as he will need it when registering to school maybe even up to university. His weight is 14kg and height 96cm. He is growing well according to the nurse. The nurse used a small torchlight and asked Izaac to follow the light to see whether there was any squint. Everything is fine for Izaac.

She also asked whether Izaac is able to climb up the stairs without assistance and whether he is able to speak in sentences with 4 syllables. Next she asked whether he is taking rice and also advised that to encourage him to drink the milk from cup instead from the milk bottle as it might affect the development of the teeth. The nurse also said that music can improve his memory.

Next, she asked me to read through the development checklist in the health booklet and ticks the checklist for assessment at 2 to 3 years old.

Personal Social
1. At 24 month, your child can completely remove any of his own clothes.
- Yeah, he can take out his own shorts but still not very good at removing his shirt. He is also able to take out his shoes and placed it back at the shoe rack.
2. At 24.5 month, your child plays imaginatively
- He pretends to go shopping to buy things and asked us what we wanted to eat so he can go and buy for us.
3. At 34 month, your child can put on any of his clothing.
- He can put on his own shorts but not the shirt and he is able to put on his own shoes but wasn’t sure which is the right or left side of the shoes.
4. At 45.5 month, your child uses a friend’s name when referring or speaking to the friend.
- He is able to point out his friend’s name when I showed him the pictures taken on his first day of playgroup.

Fine Motor-Adaptive
1. At 35.5 month, your child can put 8 blocks, one on top of the other, without the blocks falling.
- He should be able to do it.
2. At 38.5 month, your child is able to write a vertical line.
- He is able to write “1” when I told him to.
3. At 46.5 month, your child is able to differentiate the long and short line.
- He is able to point to me which 1 is a longer line when showed 2 different length lines.

Language
1. At 28.5 month, your child is able to point out the correct picture (dog, bird, fish, bus and baby) from a few pictures when asked.
- He is able to point out the correct picture.
2. At 27 month, your child uses a combination of at least two words to make a meaningful phrase that indicate an action like “play ball”, “want drink”
- He is able to express what he wants and able to tell us what we want, especially to the maid. (Normally he speak Mandarin with us)
3. At 37 month, your child is able to name the correct picture (dog, bird, fish, bus and baby) when was pointed.
- He had no problem with those pictures.
4. At 40 month, your child gives the correct answer when asked “How old are you?”, “Are you a boy or a girl?”, “What is your name?”
- He answered all the 3 answers correctly when the nurse asked him.

Gross Motor
1. At 21.5 month, your child can walk up several steps of the staircase by himself. He may use the wall or rail for support but not hold on to a person.
- He is able to walk up the stairs by himself but he prefers to hold our hands.
2. At 24.5 month, your child can walk down several steps of the staircase by himself. He may use the wall or rail for support but not hold on to a person.
- He is able to walk down by himself but he prefers to hold on to our hands.
3. At 26 month, your child can kick a small ball like a tennis ball in a forward direction without any support.
- Once a while, he will play ball with daddy.
4. At 32.5 month, your child can jump up with both feet off the floor at the same time without holding any support.
- He is sometimes too active jumping about at home that we had to tell him to stop.
5. At 33 month, you child can throw a small ball overhand straight towards you with reasonable aim within your arm’s reach and between your knees and head.
- He can throw at me but not very good aim though.

Okay, think overall Izaac should be doing fine.