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Click ‘Get Form’ to open the Ages and Stages Questionnaire in the editor.
Begin by filling out the child’s information section. Enter the child's first name, last name, middle initial, gender, and date of birth using clear and legible text.
Next, provide your details as the person filling out the questionnaire. Include your relationship to the child, full name, address, contact numbers, and email address.
In the Program Information section, input the Child ID # and Program ID # along with the program name.
Proceed to answer each question regarding your child's activities. For each item listed under Communication, Gross Motor, Fine Motor, Problem Solving, and Personal-Social sections, select 'YES', 'SOMETIMES', or 'NOT YET' based on your observations.
Finally, review your responses in the Overall section for any additional comments or concerns before submitting.
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ASQA is the national regulator for Australias vocational education and training sector.
What are the ages and stages questionnaires used for?
ASQ-3 is a set of simple questionnaires trusted for more than 20 years to check child development. There are 21 ASQ-3 questionnaires for use with children from 1 month to 5 years old (one questionnaire for each age range).
Where can I find the ASQ questionnaire?
Easterseals offers parents and caregivers free access to the confidential online Ages Stages Questionnaires, Third Edition (ASQ-3). The ASQ-3 is a set of questionnaires that helps you track your childs development from one month through age 5.
Is the ASQ questionnaire free?
The #1 Screening Tool Trusted by Pediatricians Easterseals offers parents and caregivers free access to the confidential online Ages Stages Questionnaires, Third Edition (ASQ-3). The ASQ-3 is a set of questionnaires that helps you track your childs development from one month through age 5.
How do I print an ASQ questionnaire?
Under the Documents section, click View/Print Documents. 4. Click Download to the right of the ASQ-3 English Questionnaire document.
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There are 21 ASQ-3 questionnaires for use with children from 1 month to 5 years old (one questionnaire for each age range). Here are the five important areas of development that each questionnaire looks at: Communication: Your childs language skills, both what your child understands and what he or she can say.
Related links
Adapting the Ages and Stages Questionnaire to Identify
by JE Attell 2020 Cited by 5 This article describes novel methods of applying the Ages and Stages Questionnaire3rd edition (ASQ-3) to assess and quantify developmental delay among children
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