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ASQ SCORE INTERPRETATION AND RECOMMENDATION FOR FOLLOW-UP: You must consider total area scores, overall responses, and other considerations, such as opportunities to practice skills, to determine appropriate follow-up.
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Ages & Stages Questionnaires ®, Third Edition (ASQ ®-3) is a developmental screening tool designed for use by early educators and health care professionals. It relies on parents as experts, is easy-to-use, family-friendly and creates the snapshot needed to catch delays and celebrate milestones.
Ages & Stages Questionnaires®. 16. 15 months 0 days through 16 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: M M. D D. Y Y. Child’s information. Child’s first name: Middle initial: Child’s last name: Child’s date of birth:
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Ages & Stages Questionnaires®, Third Edition. Development in five domains: Communication, gross motor, fine motor, problem solving, and personal-social. 1–66 months. Parents/caregivers complete questionnaires; early childhood and health care professionals score them. 10–15 minutes to complete, 1-3 minutes to score.
Jul 16, 2017 · 16 Month Questionnaire 15 months 0 days through 16 months 30 days Important Points to Remember: Try each activity with your child before marking a response. Make completing this questionnaire a game that is fun for you and your child. Make sure your child is rested and fed. Please return this questionnaire by _____. Notes:
ASQ-3 in a Nutshell. Third edition of widely used developmental screening tool. Series of illustrated parent- or caregiver-completed questionnaires. Accurately identifies children who may be at risk for developmental delays. Encourages parent involvement, education, and communication.
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Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ:SE-2TM), Squires, Bricker, & Twombly. 2015 Paul H. Brookes Publishing Co., Inc.