Rutgers Southern Regional CCR&R-Salem Co. 

856-469-6100

khaleha.burroughs@rutgers.edu

17 Carroll Ave

Pennsville, NJ 08070

https://www.rusouthernccrr.org/family-engagement-specialist.html

 

Dear Parent/Caregiver,

 

Congratulations on taking steps to get a better understanding about your child’s growth and development.

 

We are excited about your interest in this online screening tool to help you keep track of and learn about your child's development. The Ages & Stages Questionnaires, (ASQ-3), can be used by families living in Salem Countywith any child from age 1 month to 5 years. The questions ask about some things your child can or cannot do. There are questions about your child's:

 

Communication:  How your child talks

Gross motor:  How your child plays

Fine motor:  How your child uses their hands

Problem-solving:  How your child learns

Personal/Social Skills:  How your child interacts with their world

 

Within a few days after we receive your completed ASQ-3, we will contact you to share the results and offer follow-up activities and resources.

 

To use this online screening tool, begin by entering your info below and clicking "submit'.

 

We look forward to your participation in ASQ-3!

 

Sincerely,

Khaleha Burroughs

Rutgers Southern Regional CCR&R -Salem Co.

View description Hide description

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)

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.