The Survey of Well-being of Young Children

There is a SWYC form for every age on the pediatric periodicity schedule. You can download the forms by clicking the links below.

For a quick and easy way to know which SWYC form to use, check out out our Form Selector and Milestones Calculator.

• Complete Set of SWYC Forms
• 2 Month Form   (1 month, 0 days to 3 months, 31 days)
• 4 Month Form   (4 months, 0 days to 5 months, 31 days)
• 6 Month Form   (6 months, 0 days to 8 months, 31 days)
• 9 Month Form   (9 months, 0 days to 11 months, 31 days)
• 12 Month Form (12 months, 0 days to 14 months, 31 days)
• 15 Month Form (15 months, 0 days to 17 months, 31 days)
• 18 Month Form (18 months, 0 days to 22 months, 31 days)
• 24 Month Form (23 months, 0 days to 28 months, 31 days)
• 30 Month Form (29 months, 0 days to 34 months, 31 days)
• 36 Month Form (35 months, 0 days to 46 months, 31 days)
• 48 Month Form (47 months, 0 days to 58 months, 31 days)
• 60 Month Form (59 months, 0 days to 65 months, 31 days)

The SWYC and the information on this site are not designed to and do not provide medical advice, professional diagnosis, or treatment. The information and any reference materials posted here by Tufts Medical Center, Inc. are intended solely for the information of the reader. Such information is NOT intended to replace consultation with a qualified medical professional. The SWYC is copyright © 2010 Tufts Medical Center.