HEARING CHECKLIST FOR PARENTS


My child’s name is: 					Birth Date: 				

AGE 0 to 3 Yrs	Yes	No	
0 to 3 Months	?Yes 	? No	Does your baby get quiet for a moment when 
					you talk to him/her?
	?Yes 	? No	Does your baby act startled or stop moving for 
					a moment when there are sudden loud noises?
4 to 6 Months	?Yes 	? No	Does your baby turn his/her eyes or head to 
					the sound of your voice if he/she cannot see 
					you?
	?Yes 	? No	Does your baby smile or stop crying when you 
					or someone else he/she knows speaks?
7 to 9 Months	?Yes 	? No	Does your baby stop and pay attention when 
					you say “no” or call his/her name?
	?Yes 	? No	Does your baby move his/her head around to 
					try and find out where a new sound is coming 
					from?
	?Yes 	? No	Does your baby make strings of sounds (“ba 
					ba ba, da da da”)?
10 to 15 Months	?Yes 	? No	Does your baby give you toys or other objects 
					(bottle) when you ask, without you having to 
					use a gesture (holding out your hand or 
					pointing)? 
	?Yes 	? No	Does your baby point to familiar objects if you 
					ask (“dog,” “light”)?
16 to 24 Months	?Yes 	? No	Does your child use his/her voice most of the 
					time to get what he/she wants or to 
					communication with you?
	?Yes 	? No	Can your child go get familiar objects that are 
					kept in a regular place if you ask him/her (“Get 
					your shoes”)? 
25 to 36 Months	?Yes 	? No	Does your child answer different kinds of 
					questions (“When…,” “Who…,” “What…,”)?
	?Yes 	? No	Does your child notice different sounds 
					(telephone ringing, shouting, doorbell)?

If you answered “no” to any of the above questions, ask your doctor about a hearing test for your baby. Babies can be tested as soon as the day of birth.