Preschool ​red​ flags: 

The  following  includes  samples  of  behaviors  that  suggest  a  4-5  year  old  may  need  assistance  to  reach  milestones.  All  children  develop  at 
their  own  pace  and  may  demonstrate  some  of  these  behaviors  some  of  the  time.  It is important to look for patterns, frequency, intensity, 
and duration of behaviors. ​ If you notice a student is having difficulty in any of these areas, it may be time for a PT and/or OT screen. 
 
Gross motor development ​red ​flags​:  Fine motor development ​red ​flags​:  Play behavior ​red ​flags​: 
● Clumsy, uncoordinated with both  ● Unable to pick up small items  ● Plays repetitively 
sides of the body  ● Frequently drops items  ● Shows little or no interest in 
● Unable to sit upright during circle  ● Avoids crafts, coloring, glueing  exploring environment 
time  ● Unable to copy lines or circles  ● Lack of imitation of others 
● Pulls self up on furniture  ● Can not turn knobs or open  ● Disrupts or destroys other’s play 
● Crawls instead of walks during  containers  ● Does not engage in imaginary play, 
transitions  ● Can not string beads or lace a card  requires props 
● Falls out of chairs, frequent falls  ● Has difficulty with interlocking  ● Tries to control play of others 
● Runs or walks stiffly  puzzles  ● Avoids interactions, does not play 
● Can not jump forward with both  ● Can not snip or cut  cooperatively 
feet  ● Uses a fisted grip on crayons,  ● Impulsive during play 
● Can not balance on one foot  pencils, markers  Social Development ​red ​flags​: 
● Does not alternate feet when  Vision development ​red ​flags​:  ● Unaware of others 
climbing stairs  ● Squints, holds objects close or  ● Cannot calm self 
● Unable to lie on belly and lift  turns head to look at things  ● Excessively aggressive, 
chest/head off of ground to  ● Closes one eye to see things far  unprovoked physical aggression 
play/do work 
away  ● Limited eye contact 
● Difficulty with walking on or 
● Bumps into furniture or others  ● Does not respond to name or 
transitioning onto various uneven 
surfaces  frequently  questions 
● Difficulty Squatting to pick up a  ● Rubs eyes or complains eyes hurt  ● Disregard to rules 
toy and standing back up  ● Can not locate items in a book or  ● Unable to share or take turns 
● Difficulty with running, jumping,  on table  ● Unable to join in play with others 
climbing, or skipping.  ● Has trouble follow objects or  ● Always plays by his/herself 
● Difficulty catching or kicking a  people with their eyes 
ball  Self-help ​red ​flags​: 
● Unable to climb playground  ● Not independent with potty 
equipment  training or self feeding 
  ● Cannot help get dressed or 
  undressed