Portland Public Schools Head Start
503 916 5724
4800 NE 74th avenue
Portland, Oregon 97218
www.pps.net/head-start

This program has requested that you complete the ASQ-3 and ASQ:SE-2 questionnaires. Please select one of the options below:

I am completing the ASQ-3™ questionnaire.

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

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

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