Include when the problem was first noticed, who noticed it, and where the problem occurs.
Answer yes or no. If yes, please indicate name & type.
If not applicable, type N/A.
If not applicable, type N/A.
If not applicable, type N/A.
(If not applicable, type N/A.)
If not applicable, type N/A.
If not applicable, type N/A.
If not applicable, type N/A.
If not applicable, type N/A.
If not applicable, type N/A.
If not applicable, type N/A.
If child never used a pacifier, type N/A.
If child never sucked thumb/fingers, type N/A.