ASQ Online

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ParentLink
1-800-552-8522 or Local (573)882-7323
parentlink@missouri.edu
4800 Santana Circle
Columbia, Missouri 65211
http://parentlink.missouri.edu/
Help Me Grow National Center - Missouri Affiliate

Welcome to our ASQ Online screening program!

Welcome to the Ages and Stages Questionnaire for ParentLink!

This is a fun and interactive way for you to learn about and promote your child's healthy development. You will learn more about how your child plays, learns and grows. The questionnaire will take a look at your child's accomplishments so you may have a better understanding of your child's strengths and areas your child may need encouragement or support.

When you submit a questionnaire, a care coordinator from ParentLink will call you to discuss the results, recommend activities and explore other resources with you.

Some parents choose to share their child's ASQ results with a childcare provider, preschool teacher, physician or home visitor in the child's life. If you would like us to copy someone when we send you the results, you will have the opportunity to provide that email address.

For more information, call ParentLink at 1-800-552-8522

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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 (2022-01-17) I screened my child and am entering in the responses to a previous screening

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.

I understand that ParentLink staff will review my child's ASQ results and discuss them only with me (unless you give us permission to share them). ParentLink never uses client names or any identifying information when reporting to partners or funders. If you provide us your email address, you are giving us permission to send the results to you over email.

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.