Peninsula Pediatrics
727-228-7000
13131 66th St N,
Largo, Florida 33773

Welcome, Peninsula Pediatrics Patients

This ASQ-3 screening is provided by Help Me Grow Pinellas at 2-1-1 Tampa Bay Cares, a free program, and part of a national initiative to promote the healthy development of children ages 0-8 years old through early intervention and access to community resources. When completed, the results will be shared with Help Me Grow Pinellas and your child's pediatrician.

ASQ-3

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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)

By completing this screening, you are authorizing the information you provide to be released to/from Help Me Grow partners. 

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.