Wasatch County School District Preschools - USBE Pre-K
6092847843
[email protected]
101 East 200 North
Heber City , Utah 84032

ASQ-3

Welcome to the Utah Department of Health and Human Services, Ages and Stages Questionnaire® program, in partnership with Wasatch County Preschool. We are excited to learn more about your child!

You’ve been directed to this website because you have concerns about your child’s: communication skills, social skills, academic skills, behaviors, and/or physical development.  The Ages and Stages Questionnaire (ASQ) is used to guide professionals on how best to evaluate your child for potentially receiving special education services through the Wasatch County School District Preschool Program.  You may complete the questionnaire right away or take some time to make observations to best complete the ASQ.  Please complete the ASQ within one week of starting preschool.

If you have concerns about your child’s speech and articulation, please click here to complete a questionnaire in addition to the ASQ. 

Once your ASQ screening is complete, the preschool team will be notified and will review your child's ASQ data. Based on the ASQ data, if the preschool team concludes your child may need to receive special education services, we will contact you to set up further evaluation.

This developmental screening opportunity is provided by the Department of Health and Human Services. DHHS partners with early care and education providers, to ensure all families with young children have access to developmental screening opportunities.

Use of Data

Early childhood programs rely on data to inform decisions about effective early childhood policy and services. Data helps DHHS to understand which practices work best and provide evidence to advocate for additional funding to best support Utah families and young children.

Participation in ASQ online is optional. Wasatch County Preschool partners with DHHS to collect basic information about your family and the services provided. DHHS is committed to protecting the personal data it maintains on behalf of its citizens. We look forward to your participation in ASQ and working with you to provide the best start to your child’s life! 

To get started with the ASQ Online Questionnaire, please enter your child's birth date and the number of weeks he or she was born premature below to start the screening. 



(put "0" if not premature)


I am the parent or legal guardian of this child with authority to make healthcare decisions for my child. By clicking submit, I agree to allow data entered through this electronic form to be stored in a secure database for my provider to review.

If I choose not to submit this and share my child’s screening data as stated above, I may request a paper screening option from my child’s provider.

I understand that signing this authorization is voluntary. I understand this authorization will expire upon my child's 18th birthday.

I understand that I may revoke this authorization at any time and the revocation does not apply to any action that has taken place prior to the date I revoke this authorization.

To revoke this authorization, I must make a request in writing and send it to: [email protected].

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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