Kaukauna Area School District
920-766-6100

 

Welcome to our ASQ-SE2 Online screening questionnaire!

The Ages & Stages Questionnaires®: Social Emotional, Second Edition (ASQ:SE-2™) online screening questionnaire provides a quick check of your child’s social and emotional development. You will be asked to answer questions about some of your child's behaviors. That questionnaire includes questions about your child's ability to calm down, take direction and follow rules, communicate, perform daily activities (e.g., eating, sleeping), act independently, demonstrate feelings, and interact with others.

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.

Please complete both questionnaires before July 1. 

We look forward to your participation in both the ASQ-3 and the ASQ-SE2!



(put "0" if not premature)


Please select the Screening Date option with today's date (top option).

 

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.