Welcome ESEP Therapists and Special Instructors! You are about to access our ASQ:3 Online screening program!
Weeks Premature (put "0" if not premature)
List others assisting with completion of the questionnaire
*I have read/attended the MtFFC screenings training. I am completing the screening(s) on my client for his/her 6th month progress monitoring review.
*I agree to be contacted by an Easterseals specialist, who will share the results with me to review and follow up with my client.
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.
