DeepRanjani

Advanced Risk Assessment Tool

Early Intervention (0-3 years)

Hi, you can use this tool to identify probable signs of neuro-developmental disorders in your child or ward. Once you identify such signs using this tool, you will be empowered to consider timely interventions to help the child overcome these disorders and lead a happy and fulfilling life.

Personal details

Please enter gender

Please enter your email

Please enter your mobile number

Select any 1 from the Response Options provided

User's guide for the Checklist:

This checklist has items.
Select any 1 from the Response Options provided.
Recording your responses for all the items is Mandatory to obtain a complete profile of the Child.
There is no time limit to fill up the given Checklist.
You may put additional information in the Remarks section.

Do you ever notice any kind of loss in previously acquired skill/s of your child (e.g. loss of speech, loss of skill like toilet training)?

Yes No

Physical

Social/Emotional

Cognitive

Language Development

Question 1/20

Was the birth cry present with the child?

Yes No Sometimes

Is your child able to keep the head steady without support (by 10 months)?

Yes No Sometimes

Does your child have a foot that is turned inward? (R)

Yes No Sometimes

Does your child grasp a finger when extended to him?

Yes No Sometimes

Does your child roll from front to back?

Yes No Sometimes

Is your child able to sit without support?

Yes No Sometimes

Did your child miss crawling? (R)

Yes No Sometimes

Does your child respond to the direction of the sound?

Yes No Sometimes

Does your child prefer using only one hand to reach/using one part of the body? (R)

Yes No Sometimes

Does your child’s tongue stick out of their mouth? (R)

Yes No Sometimes

Does your child fall frequently? (R)

Yes No Sometimes

Does your child have a short neck/short ears? (R)

Yes No Sometimes

Does your child have almond shaped eyes? (R)

Yes No Sometimes

Does your child have an unstable pencil grip (around 2 years)? (R)

Yes No Sometimes

Does your child smile at others?

Yes No Sometimes

Does your child play with others?

Yes No Sometimes

Does your child reach out for objects ?

Yes No Sometimes

Does your child reach out to be picked up ?

Yes No Sometimes

Does your child demonstrate facial expression?

Yes No Sometimes

Does your child respond to a familiar sound?

Yes No Sometimes

Does your child respond to a familiar face?

Yes No Sometimes

Does your child stay aloof? (R)

Yes No Sometimes

Does your child maintain eye contact during communication?

Yes No Sometimes

Can your child sit for at least 10 mins to finish a task?

Yes No Sometimes

Can your child imitate facial expressions/ sounds/ actions?

Yes No Sometimes

Does your child say/ point :”baba” ,“mama”, “dada” indiscriminately?

Yes No Sometimes

Is your child obsessed with playing with a part of a toy (e.g. putting a toy car upside down and spinning the wheels continuously)? (R)

Yes No Sometimes

Can your child identify their own body?

Yes No Sometimes

Can your child identify others (people in family,neighbourhood, visitors)?

Yes No Sometimes

Can your child identify primary colours (e.g. red, blue, yellow)?

Yes No Sometimes

Did you notice your child cooing (ooohh, aah) (by 2-3 months)?.

Yes No Sometimes

Did you notice your child babbling (repeating the same sounding syllable like mamamama, babababa) (around 4 months)?

Yes No Sometimes

Does your child communicate using gestures?

Yes No Sometimes

Does your child respond to gestures?

Yes No Sometimes

Is your child able to indicate/communicate toilet needs?

Yes No Sometimes

Thank you for completing the questionnaire

Please add any other information you feel worth mentioning

Name:

Liton Ghosh

Age of child:

14

Gender of child:

Male

Email:

liton@gmail.com

Mobile number:

9876543210

Overall Domain

35-40

Low risk

Physical

5-6

Moderate risk

Emotional/ social

4-6

Low risk

Cognitive

Below 12

No risk

Language Development

Above 13

Very high risk

Download report Contact us

User's guide for the Checklist:

This checklist has items.
Select any 1 from the Response Options provided.
Recording your responses for all the items is Mandatory to obtain a complete profile of the Child.
There is no time limit to fill up the given Checklist.
You may put additional information in the Remarks section.

Do you ever notice any kind of loss in previously acquired skill/s of your child (e.g. loss of speech, loss of skill like toilet training)?

Yes No

Physical

Social/Emotional

Cognitive

Language Development

Question 1/20

Can your child cross over small objects (by jumping or walking past an object) without falling?

Yes No Sometimes

Can your child stand, walk and run, independently?

Yes No Sometimes

Can your child clean themselves after using the toilet?

Yes No Sometimes

Does your child demonstrate facial expression?

Yes No Sometimes

Does your child sometimes feel jealous if their favourite things have to be shared?

Yes No Sometimes

Does your child greet people outside the family (e.g. visitors, neighbours)?
(For age group 3.5- 4 years)

Yes No Sometimes

Does your child play independently in a place where others are playing?

(For age group 3.5-4 years)
Does your child play independently in a place where others are playing?

Or

(For age group 4-6 years)
Do you notice your child cooperating with other children while playing with them?

Yes No Sometimes

Does your child follow a routine?

Yes No Sometimes

Can your child group objects according to size (e.g. long/short)?

Yes No Sometimes

Can your child group objects according to colour (e.g. red/blue)?

Yes No Sometimes

Can your child group objects according to shape (square/triangle)?

Yes No Sometimes

Can your child differentiate between a known person and an unknown person?

Yes No Sometimes

Is your child able to follow a 3 Step Command?

Yes No Sometimes

Does your child understand the difference between self and others?

Yes No Sometimes

Can your child focus on one activity for 20 minutes at a stretch

Yes No Sometimes

Does your child have difficulty in naming objects? (R)

Yes No Sometimes

Is your child able to write his/her name?

Yes No Sometimes

Is your child able to express their needs clearly?

Yes No Sometimes

Is your child able to follow 2-step verbal instruction?

Yes No Sometimes

Does your child know a few rhymes (can repeat or sing)?

Yes No Sometimes

Thank you for completing the questionnaire

Please add any other information you feel worth mentioning

Name:

Liton Ghosh

Age of child:

14

Gender of child:

Male

Email:

liton@gmail.com

Mobile number:

9876543210

Overall Domain

35-40

Low risk

Physical

5-6

Moderate risk

Emotional/ social

4-6

Low risk

Cognitive

Below 12

No risk

Language Development

Above 13

Very high risk

Download report Contact us

User's guide for the Checklist:

This checklist has items.
Select any 1 from the Response Options provided.
Recording your responses for all the items is Mandatory to obtain a complete profile of the Child.
There is no time limit to fill up the given Checklist.
You may put additional information in the Remarks section.

Do you ever notice any kind of loss in previously acquired skill/s of your child (e.g. loss of speech, loss of skill like toilet training)?

Yes No

Physical

Social/Emotional

Cognitive

Language Development

Question 1/20

Can your child take bath independently?

Yes No Sometimes

Is Bed wetting present with your child? (R)

Yes No Sometimes

Can your child eat independently?

Yes No Sometimes

Can your child unbutton dress independently?

Yes No Sometimes

Does your child show tantrums frequently? (R)

Yes No Sometimes

Is your child able to express situation specific emotions by (e.g. sad, happy, angry)?

Yes No Sometimes

Does your child recognise other’s emotions (happy or angry)?

Yes No Sometimes

Does your child ask for a lot of help while doing a task? (R)

Yes No Sometimes

Does your child prefer to stay aloof? (R)

Yes No Sometimes

Can your child identify secondary colours (orange, green, violet, pink)?

Yes No Sometimes

Can your child count up to 20 objects at a time?

Yes No Sometimes

Does the child ask why, when and how questions?

Yes No Sometimes

Does your child understand ‘yesterday’, ‘today’, ‘tomorrow’ concepts?

Yes No Sometimes

Can your child sit and complete a task for 30 minutes at a stretch?

Yes No Sometimes

Can your child comprehend sentences with 3-step verbal instruction?

Yes No Sometimes

Is your child able to narrate simple life events in their own words?

Yes No Sometimes

Can your child comprehend complex sentences, in an entire paragraph?

Yes No Sometimes

Can your child take down dictations accurately?

Yes No Sometimes

Thank you for completing the questionnaire

Please add any other information you feel worth mentioning

Name:

Liton Ghosh

Age of child:

14

Gender of child:

Male

Email:

liton@gmail.com

Mobile number:

9876543210

Overall Domain

35-40

Low risk

Physical

5-6

Moderate risk

Emotional/ social

4-6

Low risk

Cognitive

Below 12

No risk

Language Development

Above 13

Very high risk

Download report Contact us

User's guide for the Checklist:

This checklist has items.
Select any 1 from the Response Options provided.
Recording your responses for all the items is Mandatory to obtain a complete profile of the Child.
There is no time limit to fill up the given Checklist.
You may put additional information in the Remarks section.

Do you ever notice any kind of loss in previously acquired skill/s of your child (e.g. loss of speech, loss of skill like toilet training)?

Yes No

Physical

Social/Emotional

Cognitive

Language Development

Question 1/20

Is your child able to maintain a steady posture while standing, walking, running?

Yes No Sometimes

Is your child able to get up by themselves after falling?

Yes No Sometimes

Does your child look at the direction of the object she/he seeks?

Yes No Sometimes

Is your child able to sit/stand independently?

Yes No Sometimes

Can your child climb stairs without any help?

Yes No Sometimes

Is your child able to pick up beads and arrange inside a thread?

Yes No Sometimes

Is your child aware of their physical changes due to puberty (e.g. development of breasts for girls and appearance of pubic hair, moustache, beard for boys)?

Yes No Sometimes

Does your child wait for his turn during an activity?

Yes No Sometimes

Does your child engage in interactive play with their peers?

Yes No Sometimes

Does your child find it difficult to be alone for 30 minutes- 1 hour?(R)

Yes No Sometimes

Does your child show temper tantrums when 'no' commands are given?(R)

Yes No Sometimes

Does the child dislike tasks that require sustained mental effort?(R)

Yes No Sometimes

Does the child make careless mistakes frequently?(R)

Yes No Sometimes

Does your child have difficulty in following directions?(R)

Yes No Sometimes

Does your child get confused identifying letters?(R)

Yes No Sometimes

Does your child have difficulty learning alphabets?(R)

Yes No Sometimes

Does your child get confused with arithmetic signs (e.g. plus, minus etc)?(R)

Yes No Sometimes

Is your child able to take care of personal belongings?

Yes No Sometimes

Is your child able to understand examples given to explain various topics?

Yes No Sometimes

Is your child able to narrate simple stories?

Yes No Sometimes

Thank you for completing the questionnaire

Please add any other information you feel worth mentioning

Name:

Liton Ghosh

Age of child:

14

Gender of child:

Male

Email:

liton@gmail.com

Mobile number:

9876543210

Overall Domain

35-40

Low risk

Physical

5-6

Moderate risk

Emotional/ social

4-6

Low risk

Cognitive

Below 12

No risk

Language Development

Above 13

Very high risk

Download report Contact us

DeepRanjini Foundation | Risk Assessment

DeepRanjani

Personal details

Select any 1 from the Response Options provided

User's guide for the Checklist:

Liton Ghosh

14

Male

liton@gmail.com

9876543210

User's guide for the Checklist:

Liton Ghosh

14

Male

liton@gmail.com

9876543210

User's guide for the Checklist:

Liton Ghosh

14

Male

liton@gmail.com

9876543210

User's guide for the Checklist:

Liton Ghosh

14

Male

liton@gmail.com

9876543210

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