Brookes ASQ

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Together We Grow
Questions? 530-295-2454
twg@edcoe.org
6767 Green Valley Road
Placerville, California 95667
https://edcares.edcoe.org/together-we-grow

Together We Grow is committed to ensuring ALL children under the age of 6 in El Dorado County receive routine developmental screenings.

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 are invited to participate in the Ages & Stages Questionnaire, Third Edition (ASQ-3), to help you keep track of your child's development. 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 begin 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 invitied you to participate in this screening.

We loook forward to you participating and completing the ASQ-3!

Child Date of Birth
Format: YYYY-MM-DD
Child DOB you entered is in the future, are you sure of that? (Please correct the date before proceeding to the next step). Please enter your child's DOB and not the screening date or today's date (Please correct the date before proceeding to the next step). Child DOB you entered is not valid, please format the date like this: YYYY-MM-DD

Weeks Premature
(put "0" if not premature)

Screening Date I am screening my child today (2019-02-20) I screened my child and am entering in the responses to a previous screening

If you would like to participate this program, it is voluntary and at no cost to you. A Family Engagement Specialist will share your child's results with you only. Results will remain confidential and will not be shared without a caregiver's consent.

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.

ASQ :: Ages & Stages Questionnaires