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Ages and Stages Questionnaire

ASQ-3

ASQ-3 is a screening tool for infants and young children which can identify developmental delays during the first 5 years of a child's life.  The questionnaires take about 10–15 minutes to Complete and scoring takes about 2–3 minutes.

The CA QRIS program uses the ASQ-3 as a part of the quality improvement process.  

Free ASQ Screening 

Parents can fill out a free ASQ questionnaire to see if their child’s developmental progress is on track, and results will be mailed to them within two weeks. 

You can also find the questionnaires online by doing a search for "ESQ-3 questionnaire ____" with the months where the blank space is.  There are 21 questionnaires: 2, 4, 6, 8, 9, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 42, 48, 54, and 60 months of age.  I can't post them here myself but you can find them online.

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