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  1. This document aligns the content from the Kansas Early Learning Standards with items of the Ages & Stages Questionnaires ®, Third Edition (ASQ ®-3) (48, 54, 60, and 72 month intervals) and the Ages & Stages Questionnaires ®: Social-Emotional, Second Edition (ASQ ®:SE-2) (48 and 60 month intervals).

  2. 1. Without giving your child help by pointing or using gestures, ask him to “put the book on the table” and “put the shoe under the chair.”. Does your child carry out both of these directions correctly? 2. When looking at a picture book, does your child tell you what is hap-pening or what action is taking place in the picture (for ...

  3. 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: Child’s date of birth: Person filling out questionnaire. First name: Middle initial:

  4. 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.

  5. are the Ages and Stages Questionnaires, Third Edition (ASQ-3™), the Ages and Stages Questionnaires: Social-Emotional, Second Edition (ASQ:SE-2™) and the ASQ-TRAK for use with Aboriginal* clients. The ASQ-3™ can be used from 1 month until 66 months, ASQ:SE-2™ used from 1 month until 72 months and the ASQ-TRAK used as per Table 1. Key Points

  6. 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 or more weeks prematurely, # of. Child’s gender: Male. Female.

  7. Count as “yes”. 1. After your child watches you draw a line from the top of the paper to the bottom with a pencil, crayon, or pen, ask her to make a line like yours. Do not let your child trace your line. Does your child copy you by drawing a single line in a vertical direction? Count as “not yet”.

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