Track your child's development with ASQ-3!
The first five years are full of incredible milestones, and First 5 is here to support  in giving your child the best start. The Ages & Stages Questionnaires (ASQ-3) help you keep an eye on important developmental areas like communication, motor skills, problem-solving, and social interactions.
It’s simple: answer a few questions about what your child can do, and check in every few months to see their progress. Your information is secure and only accessible to program staff who will follow up with you with the results.
Start your child’s screening today and support their journey!
Receive one $10 giftcard upon completion of the the first screening you complete. 
 
 
First 5 Siskiyou Children and Families Commission
Phone: 530.918.7222

 

https://first5siskiyou.org/help-me-grow-siskiyou/

 

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.



(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.

 

 I understand that by completing the Ages and Stages Questionnaire I am giving consent for my child's results to be shared with their preschool teacher or child care provider upon their request.

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.