Struggles to follow two-step instructions (e.g., “Pick up your shoes and put them in the closet”). 

Has difficulty speaking in simple sentences (e.g., “I want juice”). 

Frequently struggles to name familiar objects or people. 

Mispronounces words in a way that makes them hard to understand, even for familiar listeners. 

Rarely asks questions or engages in back-and-forth conversations.

Avoids interacting with other children during play. 

Struggles to take turns or share toys without frequent prompting. 

Displays limited pretend play or imagination during activities. 

Has difficulty recognizing or labeling their own emotions (e.g., happy, sad, angry). 

Frequently has tantrums or emotional outbursts that are intense for their age. 

Finds it challenging to solve simple problems, like fitting puzzle pieces together or sorting objects by color or size. 

Has trouble understanding basic concepts like "big vs. small" or "in vs. out." 

Cannot count to at least 5 or recognize some numbers by sight. 

Struggles to identify common shapes (e.g., circle, square, triangle). 

Has difficulty running, jumping, or climbing stairs without support. 

Struggles with fine motor tasks like holding a crayon, stacking blocks, or turning pages in a book. 

Avoids activities that require coordination, like throwing or catching a ball. 

Shows little interest in drawing, scribbling, or attempting to write. 

Is overly sensitive to sounds, textures, or other sensory inputs (e.g., avoids loud noises, dislikes certain fabrics). 

Frequently engages in repetitive behaviors (e.g., rocking, spinning, hand-flapping). 

Finds it hard to focus on an activity, like listening to a story or completing a puzzle, for more than a few minutes. 

Regularly displays aggressive or oppositional behavior (e.g., hitting, biting, or refusing to comply with requests).