Weeks Premature
(put "0" if not premature)

List others assisting with completion of the questionnaire

For ASQ:SE-2™ English

List others assisting with completion of the questionnaire

Dear Parent/Guardian:

The Massachusetts Department of Early Education and Care (EEC) and Pathways for Parents

invite you to complete the Ages & Stages Questionnaires® (ASQ®) with your child. The ASQ® is a

developmental screening tool that provides you with a quick check of your child’s development. It is

easy to use and typically takes about ten minutes to complete.

The ASQ® provides a snapshot of your child’s development and it focuses on what your child can do. It

celebrates your child’s strengths, highlights developmental milestones, and identifies any areas that

may need more support. Regular screenings allow you to learn about your child’s development and to

address any questions or concerns you may have about what typical development looks like. It allows

you to participate in the decision-making opportunities related to your child’s early education and care

programming, and it provides your program with invaluable knowledge about your child. Additionally,

you may receive an activities sheet filled with ideas on how to extend the learning at home.

TWO TYPES OF ASQ® DEVELOPMENTAL SCREENING TOOLS AVAILABLE:

You have an opportunity to complete one or both of the following ASQ® developmental screening tools:

1. Ages & Stages Questionnaires® - Third Edition (ASQ® DEV-3) addresses communication, gross

motor, fine motor, problem solving, and personal-social skills.

2. Ages & Stages Questionnaires®: Social-Emotional - Second Edition (ASQ®:SE-2): addresses self-

regulation, compliance, communication, adaptive behaviors, autonomy, affect, and interaction

with people.

WHY WE COLLECT ASQ® DATA:

Pathways for Parents and EEC collect ASQ® screening data to identify trends and patterns in

the early education and care settings in order to better support the programs with resources and

professional development opportunities. EEC is only analyzing the combined scores of all the screening

results. The specific names of children are not included in the analysis.

ASQ® results are confidential. Both Pathways for Parents and EEC follow the Massachusetts

confidentiality laws to ensure that your and your child’s personally identifiable information is protected.

EEC signed a data-sharing agreement with United Way to jointly develop a data platform to analyze the

combined data. The data-sharing agreement ensures that all individuals accessing the data will

maintain confidentiality and ensure your and your child’s privacy.

If you do not wish to have your child’s information entered into the online database, you may decline

this option. Your child may be screened using the ASQ® paper version of the questionnaire, and no

information will be shared.

Please read the text below and click on the “submit button” if you choose to proceed with the Ages &

Stages Questionnaires® (ASQ®) screening online via the Family Access Link provided to you by

Pathways for Parents.

I acknowledge that I have read the information provided by the Department of Early Education and Care (EEC) about the ASQ® screening process.

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.