Free · About 3 minutes · Not a diagnosis

How is your child doing?

A whole-child check for ages 2 to 16 and up. Answer honestly about what you actually see, including the things going well. We'll show you which areas look fine and which might be worth a closer look.

Please read: this is a parent observation guide, not a medical or psychological screening instrument, and it produces no score or diagnosis. Only a qualified professional can diagnose. If anything worries you, please speak to your doctor, Klinik Kesihatan or your child's school.

First, how old is your child?

What's typical changes enormously with age, so this shapes every question that follows.

Three last questions

These matter more than people expect. How long something has gone on, whether it happens in more than one place, and whether it's actually causing difficulty, are the things professionals weigh most heavily.

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This check is written by our education team in plain language. Prompts for younger children follow the publicly available CDC "Learn the Signs. Act Early." milestone approach; school-age prompts reflect widely published clinical concepts around persistence, setting and impact. It is not a validated screening instrument, reproduces none, and gives no score or diagnosis.

What this check is actually looking at

Most parents arrive here with one worry. Reading, or talking, or sitting still. The check deliberately asks about ten areas instead, because the area you are worried about is often not the area causing the trouble.

A child who will not sit still for homework may have an attention difficulty. Or they may be a strong reader who finds the work far too easy, or a weak reader who has learned that the desk is where they feel stupid. The behaviour looks identical from the kitchen table. What separates them is the pattern across everything else, which is why we ask about all ten.

The ten areas

Why we ask for your child's age first

Because almost nothing on this page means anything without it. A four year old who mixes up b and d is doing exactly what four year olds do. A nine year old doing the same thing is telling you something. Not reading at five is unremarkable in Malaysia, where children start formal reading at different points depending on the school system. Not reading at eight is worth attention.

The check uses five age bands, and the questions change completely between them. For children under six the prompts follow the milestone approach used in the CDC's publicly available "Learn the Signs. Act Early." materials, which ask what most children that age can do rather than what a struggling child cannot. From six upwards the questions shift to how often something happens, because by then the useful signal is frequency rather than presence.

The three questions that matter most

At the end of the check we ask three things that feel almost too simple. They are there because they are close to what a professional weighs before considering any formal assessment.

  1. How long has it been going on? Six months is the rough line. Below that, ordinary life explains most things. A new sibling, a move, a bad term, a difficult teacher.
  2. Does it happen in more than one place? A difficulty that appears only at school, or only at home, usually points to something about that setting. A difficulty that travels with the child is different.
  3. Is it actually causing difficulty? This is the one people skip. A child can tick a great many boxes and still be happy, learning and getting on fine. If nothing is being lost, there may be nothing to fix.

All three need to be true before a pattern is worth taking further. One on its own rarely means much.

Things that look like a learning difficulty and usually are not

Before anyone reaches for a label, these are worth ruling out. Several are cheap or free to check and are missed surprisingly often.

  • Hearing. Glue ear is common, comes and goes, and produces a child who seems inattentive and slow to respond to speech. A hearing test at a Klinik Kesihatan costs very little.
  • Vision. Undiagnosed long-sightedness makes reading physically uncomfortable, so children avoid it. School vision screening does not always catch it.
  • Sleep. A tired child looks like an inattentive child. Snoring, mouth breathing and restless nights are worth mentioning to your doctor.
  • Language load. Many Malaysian children are managing English, Bahasa Melayu and a home language at once, sometimes Mandarin or Tamil as well. Slower vocabulary in any one of them can be perfectly normal. What matters is the total across all their languages.
  • Age within the year. A child born in December is nearly a year younger than a classmate born in January, and in the early years that gap is enormous.
  • Anxiety. Worry looks like distraction, avoidance and forgetting. It is often mistaken for attention difficulty, and occasionally the other way round.

What to do with your result

The result is not a diagnosis and gives no score, deliberately. It sorts the ten areas into what looks fine and what might be worth a closer look, and that is as far as any parent questionnaire can honestly go. Only a qualified professional can diagnose, and they do it with direct assessment of your child, not a form.

If something comes back as worth a closer look, the sensible next step is usually not an expensive private assessment. It is a conversation with your child's teacher about whether they see the same thing, a hearing and vision check, and then a proper look at whether targeted help changes anything over a term. If it does, you may not need anything further. If it does not, that itself is useful evidence to bring to a paediatrician or psychologist.

We are happy to be the first of those conversations, and to say plainly if we think you need someone other than us.

Common questions

Is this a real screening test?

No, and we are careful not to call it one. It is a structured way of organising what you already notice. Validated screening instruments are copyrighted, require training to administer and score, and are not reproduced here or anywhere on this site.

My child ticked boxes in several areas. Is that bad?

Not necessarily. Difficulties overlap a great deal. Roughly a third to a half of children with one learning difference have features of another, and a child who is struggling in one area often looks wobbly in others simply from lost confidence. Several flagged areas is a reason to look properly, not a reason to panic.

Everything came back fine but I am still worried. What now?

Trust the worry. Parents are usually right that something is different, even when they are wrong about what it is. A questionnaire only asks what it thinks to ask. If your instinct says otherwise, talk to someone.

Do I need a diagnosis before you will work with my child?

No. Most of the children we work with come to us without one, and some never pursue one. Support is built around what a child actually finds hard, which does not require a label.