Somerville Family Learning Collaborative
(617) 625-6600 x6990
8 Bonair Street
Somerville, MA 02145
www.somerville.k12.ma.us/families

Welcome to the Somerville Family Learning Collaborative's free developmental screening!

We are only able to provide responses to families who reside in Somerville at this time. If you live in Cambridge, please contact the Center for Families at 617-349-6200 to inquire about their developmental screening options.  

If your child is already receiving services through an Early Intervention program, you should be receiving this same screening through your provider and you may not want to complete this duplicative screening. 

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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)


CONSENT INFORMATION

Dear Parent/Guardian:

The Massachusetts Department of Early Education and Care (EEC) and the Somerville Family Learning Collaborative (SFLC) invite you to complete the Ages & Stages Questionnaires® (ASQ®) with your child.  The ASQ® is a developmental screening tool that provides you with a quick check of your child’s development.  It is easy to use and typically takes about ten minutes to complete.

The ASQ® provides a snapshot of your child’s development and it focuses on what your child can do.  It celebrates your child’s strengths, highlights developmental milestones, and identifies any areas that may need more support.  Regular screenings allow you to learn about your child’s development and to address any questions or concerns you may have about what typical development looks like.  It allows you to participate in the decision-making opportunities related to your child’s early education and care programming, and it provides your program with invaluable knowledge about your child.  Additionally, you may receive an activities sheet filled with ideas on how to extend the learning at home.

Two Types of ASQ® Developmental Screening Tools Available:

You have an opportunity to complete one or both of the following ASQ® developmental screening tools:

1.      Ages & Stages Questionnaires® - Third Edition (ASQ® DEV-3) addresses communication, gross motor, fine motor, problem solving, and personal-social skills.

2.      Ages & Stages Questionnaires®: Social-Emotional - Second Edition (ASQ®:SE-2): addresses self-regulation, compliance, communication, adaptive behaviors, autonomy, affect, and interaction with people.  

Why We Collect ASQ® Data:

SFLC and EEC collect ASQ® screening data to identify trends and patterns in the early education and care settings in order to better support the programs with resources and professional development opportunities.  EEC is only analyzing the combined scores of all the screening results.  The specific names of children are not included in the analysis. 

 

ASQ® results are confidential.  BothSFLC and EEC follow the Massachusetts confidentiality laws to ensure that your and your child’s personally identifiable information is protected. 

EEC signed a data-sharing agreement with United Way to jointly develop a data platform to analyze the combined data.  The data-sharing agreement ensures that all individuals accessing the data will maintain confidentiality and ensure your and your child’s privacy. 

If you do not wish to have your child’s information entered into the online database, you may decline this option.  Your child may be screened using the ASQ® paper version of the questionnaire, and no information will be shared.

 

ONLINE CONSENT FORM

Please read the text below and click on the “submit button” if you choose to proceed with the Ages & Stages Questionnaires® (ASQ®) screening online via the Family Access Link provided to you by the Somerville Family Learning Collaborative (SFLC).

I acknowledge that I have read the information provided by the Department of Early Education and Care (EEC) about the ASQ® screening process and choose the following option:

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.

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