Anticipatory Guidance 9 Year Checkup


  • Discuss additional help with teacher if there are concerns/bullying
  • Computer use/safety

Development and Behavior

  • Promote self-responsibility
  • Discuss puberty and physical changes/sexuality
  • Encourage constructive conflict resolution, demonstrate anger management at home
  • Establish consistent limits/rules and consistent consequences
  • Increase difficulty of chores to develop sense of accomplishment and increase self-confidence
  • Limit TV/computer time to 2 hours/day
  • Discuss school activities and school work
  • Provide space/time for homework/personal time


  • Provide nutritious meals and snacks; limit sweets/sodas/high-fat foods
  • Healthy weight
  • Importance of breakfast
  • 5 servings fruit/vegetables daily
  • Limit juice/ensure adequate calcium intake

Routine Care

  • Establish tooth brushing routine twice a day; floss daily
  • Establish personal hygiene routine
  • Encourage outdoor play for 1 hour/day


  • During sports wear protective gear at all times
  • Develop a family plan for exiting house in a fire/establish meeting place after exit
  • Discuss drug/tobacco/alcohol use and peer pressure
  • Get to know child’s friends and their parents
  • Lock up guns
  • Promote use of seat belt and ride in back seat until 12 (13) years old
  • Provide home safety for fire/carbon monoxide poisoning
  • Provide safe/quality after-school care
  • Supervise when near or in water even if child knows how to swim
  • Teach self-safety if feeling unsafe at friend’s home/car, answer the door/telephone when adult not  home,     personal body privacy
  • Use of helmet when riding bicycle, skating etc.


Last updated February 26, 2015