ASQ Online

Community Developmental Screening / 306 N Knights Ave / Brandon, Florida 33511 / www.ecctampabay.org

VERY IMPORTANT: If you receive support through School Readiness towards the cost of childcare, please GO TO THIS LINK to start the screening process through the Early Learning Coalition of Hillsborough County. If not currently and actively enrolled in School Readiness then please continue on this page.

Welcome! Early developmental screening and access to support and intervention services can play a vital role in the development of your child. The Early Childhood Council (ECC) provides developmental screening services at no cost to families living in Hillsborough County. These services can help identify a potential developmental concern before children enter kindergarten. Please continue if you have a concern or simply want to check in on where your child is developmentally. We are happy to help.

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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 (2022-12-08) I screened my child and am entering in the responses to a previous screening

List others assisting with completion of the questionnaire

The Ages & Stages Questionnaires (ASQ-3) are designed for children birth through age five. If your child is age six or more, please discuss his or her development with your child's health care provider, your local school district, or your child's teacher.

By clicking submit, you acknowledge that you have read the provided information about the Ages & Stages Questionnaires (ASQ-3), will complete the questionnaires regarding your child’s development and will return the completed questionnaires via the online questionnaire completion system.

You also agree to receive information from The Early Chilldhood Council of Hillsborough County, Inc. relative to the results of the screening as well as periodic information about our work.

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.