ASQ Online

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Help Me Grow Lake County
Phone: (352) 435-0566, Extension 211
Email: HMG@elclc.org
1300 Citizens Blvd., Ste. 206
Leesburg, Florida 34748
www.elclc.org

Justine Reina, Help Me Grow Care Coordinator

Business Hours: Monday - Thursday, 8:00am - 6:00pm. Fridays - Appointments ONLY.

The first 5 years of life are very important for your child(ren), because this sets the stage for success in school and later in life. During infancy and early childhood years he/she will gain many experiences and learn many skills. It is important that each child is developing well during each stage of development. The Ages & Stages Questionnaires, Third Edition (ASQ-3) is a developmental screener not and assessment. The ASQ screener allows the Child Care Provider and/or teacher a better understanding of were each child is developing and provide them with appropriate activities to help that child in any area that the he or she fall below in. The ASQ screener screens on five (5) different areas: Communication, Gross Motor, Fine Motor, Problem Solving and Personal Social Skills.

When completing the ASQ for your child, please click yes if the child is able to do the skill by themselves without your assistance; click sometimes if the child is able to do the skill some of the time; and click no if the child is not able to do the skill at all.

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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!

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 (2023-06-04) 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.