WithinReach

Welcome to WithinReach’s child development monitoring program! We offer the Ages and Stages Questionnaire (ASQ), allowing families to discover the skills their child is learning and ways to support their growth. This program is free to any family living in Washington State.

When you submit a questionnaire, a child development specialist from WithinReach will call you to discuss the results, recommend activities and explore other resources, such as a play group or breastfeeding support.

Some parents choose to share their child's ASQ results with a childcare provider, preschool teacher, or other person in the child's life. If you would like us to copy someone when we send you the results, you will have the opportunity to provide that email address.

For more information or to request an ASQ in the mail, call WithinReach’s Family Health Hotline at 1-800-322-2588. 

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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, Third Edition (ASQ-3), to help you keep track of your child's development. The questionnaire may be provided every 2-, 4- or 6-month period. You will be asked to answer questions about some things your child can and cannot do. The questionnaire includes questions about your child's communication, gross motor, fine motor, problem solving, and personal social skills.

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-3!



(put "0" if not premature)

Consent Form -- Please Read Carefully:

-You must live in Washington State to participate.

-WithinReach staff will review your ASQ results and discuss them only with you (unless you give us permission to share them).

-WithinReach never uses client names or any identifying information when reporting to partners or funders.

-If you provide us your email address, you are giving us permission to send you the results to you over email.

On the next page, we will ask you if we should copy anyone when we send you the results. If you would like us to do that, please be prepared to enter that email address.

Copyright note: Please do not save or distribute blank copies of the ASQ, or use it for commercial purposes. These actions violate the copyright. Thank you for your cooperation!

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.