Child Development Screening Quiz

Professional Child Development Screening Made Simple

Early identification of developmental delays can make all the difference in a child's life. This Child Development Screening Quiz is designed specifically for pediatricians, family physicians, and healthcare providers who need a reliable, efficient way to track childhood milestones and identify when early intervention may be beneficial.

Comprehensive milestone assessment across key domains

This screening tool evaluates children across the critical developmental domains: gross motor skills, fine motor skills, communication and language, social-emotional development, and cognitive abilities. The quiz is structured to accommodate different age ranges, making it versatile for well-child visits from infancy through early childhood.

Rather than juggling multiple assessment forms or relying on memory, this template provides a systematic framework that helps you document observations consistently and thoroughly. Parents appreciate the structured approach, and your clinical notes become more detailed and defensible.

Smart referral criteria built in

The template includes evidence-based red flags and referral triggers that align with AAP guidelines and established developmental screening protocols. When certain combinations of responses are selected, the form can guide you toward appropriate next steps—whether that's scheduling a follow-up, ordering additional assessments, or connecting families with early intervention services.

This isn't about replacing clinical judgment; it's about supporting it with a reliable, repeatable process that ensures nothing falls through the cracks during busy clinic days.

Streamline with Paperform's automation capabilities

Because this template is built on Paperform, you can take it further than a static PDF. Connect it to your EHR system, automatically generate summary reports for parents, or trigger follow-up appointment reminders based on screening results. With Stepper, you can even automate referral workflows—routing high-risk screenings directly to early intervention coordinators or scheduling specialist consultations without manual handoffs.

For practices using Paperform's payment features, you can also bundle developmental screenings with telehealth visits or extended consultation fees, keeping the billing process seamless.

HIPAA considerations and data security

While Paperform is SOC 2 Type II compliant and offers robust security features, it is not a HIPAA-compliant solution. If you're collecting protected health information, you'll need to ensure your practice has appropriate safeguards in place or use this template in conjunction with HIPAA-compliant systems for storing patient data.

Designed for real clinical workflows

This template is built to fit naturally into your well-child visit routine. It's clear enough for parents to complete in the waiting room on a tablet, detailed enough to support clinical decision-making, and flexible enough to adapt to your practice's specific protocols. Whether you're a solo practitioner or part of a larger pediatric group, this screening quiz helps you deliver consistent, high-quality developmental surveillance that supports better outcomes for the children you serve.