Encompass Northwest

(425) 888-3347

[email protected]

 

Welcome to our ASQ Online screening program!

The Ages & Stages Questionnaires, Third Edition (ASQ-3)  is a set of questionnaires about children's development. It has been used for more than 20 years to make sure children ages birth to 5 are developing well. A screening provides a quick look at how children are doing in important areas, such as communication, physical activity, social skills and problem-solving skills. The ASQ-3 can help identify your child's strengths as well as any areas where your child may need support.

You will need 10-15 minutes to complete the questionnaire. 

You will answer each question "yes", "sometimes" or "not yet" based on what your child is able to do now. 

Your answers will help show your child's strengths and areas where she or he may need practice. 

To answer each question, you can try fun and simple activities with your child. These activities encourage your child to play, move around and practice day-to-day skills.

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.

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 have read the provided information about the Ages & Stages questionnaires, and I wish to have my child participate in the online screening program. I will fill out the questionnaire about my child's development and promptly submit the completed questionnaire through this Family Access online questionnaire completion system.

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.