Kaleidoscope Pediatric Consultants
[email protected]
258, 1011 Glenmore Trail SW
Calgary, Alberta T2V 4R6

Welcome to our Ages and Stages Questionnaire (ASQ) website.  By completing the ASQ periodically, before scheduled medical appointments, we can carefully monitor your child's progress and intervene early if there are any lags in development, thereby doing our very best to promote your child's very best developmental outcome. 

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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)

You understand that this information will be kept secure and will be used by this office to help monitor your child's development. 

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.