Developmental Milestones

4 years

Check the milestones your child has reached by their 4th birthday.

Take this checklist with you and talk with your child's doctor at every visit about the milestones your child has reached and what to expect next.

Download checklist

What most children do by this age:

Social and Emotional

Enjoys doing new things Plays "Mom" and "Dad" Is more and more creative with make-believe play Would rather play with other children than by himself Cooperates with other children Often can't tell what's real and what's make-believe Talks about what she likes and what she is interested in

Language/ Communication

Knows some basic rules of grammar Sings a song or says a poem from memory Tells stories


(learning, thinking, problem-solving)
Names some colors and some numbers Understands the idea of counting Starts to understand time Remembers parts of a story Understands the idea of "same" and "different" Starts to copy some capital letters Tells you what he thinks is going to happen next in a book

Physical Development

Act early by talking to your child's doctor if your child:
If You're Concerned - Act Early

Tell your child's doctor or nurse if you notice any of these signs of possible developmental delay for this age, and talk with someone in your community who is familiar with services for young children in your area, such as Early Intervention/Help Me Grow.

For more information, Call 1-800-755-4769 (GROW) or submit the referral form online.

BOLD Beginning! milestone checklists are provided by the Center for Disease Control's "Learn the signs. Act early." campaign. Materials are not a substitute for standardized, validated developmental screening tools .