Duchesne County Preschool
435-725-4750
lstansfield@dcsd.org
PO Box 99
Myton, Utah, 84052
www.dcsd.org

Dear Caregiver,

We are excited to serve your child in the Duchesne County Preschool.  In order to identify your child's strengths and needs, we request that you fill out the ASQ and/or the ASQ-SE Questionnaire.  If you do not wish to participate in the "Help Me Grow" program, you may request a paper copy of the questionnaire.  

Sincerely,

Mrs. Stansfield

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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!



(put "0" if not premature)

Dear Caregivers,

The "Help Me Grow" program is put out by the Bureau of Child Development.  This program is funding the ASQ screening program for Duchesne County School District.  With your permission,  they will use data from your ASQ and/or ASQ-SE questionnaire to determine services that are needed in our area.  The information gathered from the questionnaire will not be made public.

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.