Ages & Stages
727-233-8291
[email protected]
15506 County Line Rd.
Suite 104
Spring Hill, Florida 34610
www.phelc.org

Please complete the requested Ages & Stages Questionnaires.

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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)


Our new online ASQ system allows us to save paper and time.

PLEASE USE YOUR CHILDCARE CENTERS ADDRESS WHEN ENTERING AN ADDRESS FOR CHILD'S INFORMATION.

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.