Community Options
780-455-1818
[email protected]
12122 68th St NW
Edmonton , Alberta T5B 1R1
www.communityoptions.ab.ca

Welcome to our ASQ Online screening program! Community Options is pleased to offer this screening tool to help guide you identify if your chld's development is on track. We may use the information from this screening to determine your child's eligibility for further assessment if it is discovered that your child's developmental progress needs further investigation.

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Because your child's first 5 years of life are so important, we want to help you provide the best start for your child. You've been invited to participate in the Ages & Stages Questionnaires: Social-Emotional, Second Edition (ASQ:SE-2) to help you keep track of your child's social and emotional development. The questionnaire may be provided for use at 2, 6, 12, 18, 24, 30, 36, 48, or 60 months of age. You will be asked to answer questions about some of your child's behaviors. The questionnaire includes questions about your child's ability to calm down, take direction and follow rules, communicate, perform daily activities (e.g., eating, sleeping), act independently, demonstrate feelings, and interact with others.

Please enter your child's birth date and the number of weeks he or she was born premature below to start the screening. Please note that the information you enter into this website is secure and cannot be seen or accessed by anyone other than the program employees who have invited you to participate in this screening.

We look forward to your participation in ASQ:SE-2!



(put "0" if not premature)


I have read the provided information about the Ages & Stages questionnaires, and I wish to have my child participate in the online screening program. I will fill out the questionnaire about my child's development and promptly submit the completed questionnaire through this Family Access online questionnaire completion system. 

Results of the Ages & Stages Questionnaires (ASQ-3) will be sent within two weeks to the email address you provide through this registration process. 

The Ages & Stages Questionnaires (ASQ-3) are designed for children birth through age five. If your child is age six or more, please discuss his or her development with your child's health care provider, your local school district, or your child's teacher. 

By clicking submit, you acknowledge that you have read the provided information about the Ages & Stages Questionnaires (ASQ-3), will complete the questionnaires regarding your child’s development and will return the completed questionnaires via the online questionnaire completion system.

You also agree to receive information from Community Options relative to the results of the screening as well as periodic information about our work.

If you are completing this questionnaire on behalf of a child's parent or legal guardian, you must have their permission to do so. 

 

By clicking submit you acknowledge and agree to these terms. 

 

 

 

 

Note: By clicking "Submit", you are agreeing to both our Family Access End User License Agreement and any other consent or authorization information outlined on this page.

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