Brookes ASQ

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Lowry Center for Early Childhood Education -Oakland University
248-370-4107
ricksdon@oakland.edu
102 Pawley Hall
Rochester, Michigan 48309
www.oakland.edu/lowry

Lowry Center for Early Childhood Education, in partnership with Great Start Collaborative-Oakland and Early On Oakland, is committed to ensuring that all children under the age of 5 years receive routine developmental screenings.

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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 (2019-08-23) I screened my child and am entering in the responses to a previous screening

Participation in this project is voluntary and at no cost to you. Your child's results are confidential and will not be shared outside of the Great Start Developmental Screening project.

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.

ASQ :: Ages & Stages Questionnaires