KANA Kodiak Infant Learning Program
907-486-1366
arwen.botz@kodiakhealthcare.org
mailing: 3449 Rezanof Dr East
physical: 194 Alimaq Dr
Kodiak, Alaska 99615

Welcome to the Kodiak Area Native Association's Infant Learning ASQ Online page.  KANA and the State of Alaska Early Intervention/Infant Learning Program is providing this free resource to periodically screen and possibly identify delays for all children birth through five years of age.  If you have questions or concerns about a child's development, please contact our office at 907 486-1366.  Thank you for your participation.

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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 the ASQ Online questionnaires, you are consenting to have your responses released to the KANA Kodiak Infant Learning Program.  This information will not be shared with any other parties without additional written consent and is solely used to monitor your child's development and possibly identify developmental concerns.

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.