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Ages & Stages Questionnaires® Month Questionnaire 17 months 0 days through 18 months 30 days Please provide the following information. Use black or blue ink only and print legibly when completing this form. 18 Child’s first name: Child’s last name: Child’s date of birth: First name: Last name: Middle initial: City: Home telephone number:
Apr 18, 2022 · For questions or more information, contact Texas Early Hearing Detection and Intervention (TEHDI). Phone: 1-800-252-8023, ext. 7726 toll free (Use relay option of your choice to call if needed.) Email: tehdi@dshs.texas.gov.
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(f.IASQ·3) Ages &.-Stages • _ w Questionnaires® 18 17 months 0 days through 18 months 30 days Month Questionnaire Please provide the following information. Use black or blue ink only and print legibly when completing this form. Date ASQ completed: Child's information Child's first name: Middle initial: Child's last name: If child was born 3
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The Ages & Stages Questionnaires ASQ-3 is a comprehensive set of questionnaires designed to assess children’s development from 2 to 66 months. These questionnaires can be easily administered by parents or caregivers, providing valuable insights into the child’s progress in essential areas such as communication, physical abilities, social ...
The ASQ-3 PDFs are organized as a single comprehensive set and also within six individual folders to help you easily locate and print the specific materials you need. The master set (“Master Set.pdf”) includes in a single PDF file all ASQ-3 questionnaires,
The Ages & Stages Questionnaires®, Third Edition (ASQ®-3) is a developmental screening tool that pinpoints developmental progress in children between the ages of one month to 5 ½ years. Its success lies in its parent-centric approach and inherent ease-of-use—a combination that has made it the most widely used developmental screener across ...
Brief “snapshot” of a child’s current skills using a validated tool. Used to identify. Children who are developing on schedule. Children who would benefit from practice or support. Children at risk for developmental delays who should be referred for further evaluation. Differs from diagnostic or ongoing assessment.
