ASQ Online

Oshkosh Area School District Office of Early Learning
920-424-1004
325 S Eagle St
Oshkosh, Wisconsin 54902

Welcome to our ASQ Online screening program! The first five years of life are so important that we want to help you provide the best start for your child. This questionnaire requests information about your child's communication, gross motor, fine motor, problem solving, and personal-social skills.

Please fill out the questionnaire ONLY for children who are currently 2 1/2 to 3 1/2 years of age. Questionnaires for other ages will not be accepted.

We will review your child's questionnaire. If there are no concerns, you will not hear from us. If the questionnaire indicates any potential areas of concern, we will contact you to discuss the results.

Child Date of Birth
Format: yyyy-mm-dd
Child DOB you entered is in the future, are you sure of that? (Please correct the date before proceeding to the next step). Please enter your child's DOB and not the screening date or today's date (Please correct the date before proceeding to the next step). Child DOB you entered is not valid, please format the date like this: YYYY-MM-DD

Weeks Premature
(put "0" if not premature)

Screening Date I am screening my child today (2022-12-08) I screened my child and am entering in the responses to a previous screening

List others assisting with completion of the questionnaire

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.

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.