Nashoba Community Partnership for Children
978-779-0594 x3008
egarreffi@nrsd.net
50 Mechanic Street
Bolton, Massachusetts 01740

Welcome to our ASQ Online screening program! The Ages and Stages Developmental Questionnaire are a set of questionnaires about children’s development. It has been used for more than 20 years to make sure children are developing well. A screening provides a quick look at how children are doing in important areas, such as communication, physical ability, social skills, and problem-solving skills. ASQ-3 can help identify your child’s strengths as well as any areas where your child may need support.

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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)

Department of Early Education and Care staff uses aggregate, or totaled, information to determine screening trends, future trainings for CFCE providers, and policies.  Aggregate scores tell EEC how many children have been screened, within a certain time-period, the average age when Massachusetts children are screened, or if the ASQ English or Spanish was used.  Your child’s information and screening scores will never be analyzed or share at the individual level.  If you do not wish to have this information entered online, you may request a paper questionnaire.

By clicking “Submit”, I acknowledge that I have read the information provided by the Nashoba Community Partnership for Children and I hereby authorize the Department of Early Education and Care to collect and maintain the ASQ screening data for my child.  I furthermore agree to the following:

I agree to have my child screened with this tool to learn more about their developmental progress;

I agree to have my child’s screening information entered into the ASQ online database;

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.