Leesburg EHS/HS
352-805-4604
[email protected]
1111 Pamela Street
Leesburg, Florida 34748

You have been invited to complete an ASQ Online screening. Please click on one of the links below to complete your screening.

I am completing both the ASQ-3™ and ASQ:SE-2™ questionnaires.

I am completing the ASQ-3™ questionnaire.

I am completing the ASQ:SE-2™ questionnaire.

I have already completed both the ASQ-3™ English and ASQ:SE-2™ English via paper and am ready to enter my data.