Ages and Stages Questionnaire

  • Please first complete the Developmental Screening Request form prior to completing the ASQ online. 

    If you have completed the Developmental Screening Request form, please follow the link below to complete an online Ages and Stages Questionnaire (ASQ). This questionnaire helps us understand more about your child's development in the areas of speech, physical ability, social skills, problem-solving skills, and behavior.

    The questionnaire has two parts (ASQ-3 and ASQ: Social Emotional-2). Parents will need to select "I am completing both the ASQ-3 and ASQ:SE-2 questionnaires" when prompted.

    Once the questionnaire is complete, a member of our team will contact the parent to schedule the child's developmental screening.

    English questionnaires

    Spanish questionnaires