• Poor eye contact.

• Excessive drooling.

• Feeding problems, colic, or reflux.

• Seldom smiles or laughs. Slow language development.

• Doesn’t appear to recognize familiar faces.

• Low muscle tone.

• Difficulty lifting head, or pushes back with head.

• Slow to roll over, crawl, sit, stand, or walk.

• Doesn’t like being on stomach.

• Keeps hands fisted or lacks movement.

• Startles easily, difficult to console, unusually fussy.

• Stiff extremities, arches back and/or stiffens legs.

• Resists being held; dislikes being cuddled.

• Dislikes baths, sensitivity to loud noises, and food textures.

• Startles easily.

• Unable to settle down, sleep difficulties.

• Loss or regression of skills once acquired.

Any of the previous, or:

• Poor eye contact. Difficulty communicating. Limited language.

• Picky eater.

• Breaks toys or crayons easily.

• Trouble coloring inside the lines, doing puzzles, or cutting with scissors.

• Poor body awareness. Frequently bumps into objects or people.

• Clumsy, trips and falls often. Underdeveloped motor skills for age.

• Low muscle tone, appears weak or “floppy.”

• Limited play preferences.

• Avoids swings and other playground activities. Tires easily.

• Shows fear when feet are off the ground or head is tipped backwards.

• Walks on tiptoes. Appears stiff.

• Jumps in place, flaps hands, and/or rocks in place to soothe self.

• Seeks out excessive movement or avoids movement.

• Avoids age appropriate self care or play activities.

• Overreacts to touch, tastes, sounds, or odors.

• Dislikes bathing, cuddling, self grooming and/or hair cuts.

• Overly active, unable to settle down, has sleep difficulties. Trouble transitioning.

Any of the previous, or:

• Difficulty paying attention. Restless. Trouble sitting still.

• Finds it hard to follow instructions, especially with multiple steps.

• Needs more practice than other children to learn new skills.

• Over-focused and resistant to shifting to the next task.

• Delays in fine motor work. Messy handwriting.

• Breaks pencils frequently, writes with heavy pressure.

• Dislikes handwriting, tires quickly and/or avoids written class work.

• Continues to reverse letters such as b and d; trouble spacing letters on the lines.

• Low muscle tone, clumsy, tends to lean on arms or slumps at desk.

• Does not enjoy jumping, swinging, or having feet off the ground.

• Avoids physical education and/or sports activities.

• Overly active, unable to slow down.

• Over reacts to touch, taste, sounds or odors.

• Dislikes bathing, hugs, and haircuts.

• Sensitive to tags, seams, and fabrics.

• Hard to make friends, prefers playing with adults or younger children.

• Poor self-esteem, lack of self-confidence.