NSHC Infant Learning Program
P.O.Box 966
Nome, Alaska 99762

Welcome to the NSHC Infant Learning Program ASQ Online screening program. NSHC and the State of Alaska Early Intervention/Infant Learning Program is providing this free resource to periodically screen children birth through five years of age. As a parent, you know your child better than anyone else. The ASQ-3 is designed to be completed by parents. The On-line ASQ-3 is a great way for parents to check their child's development from time to time. You can return every 2-3 months to insure your child is learning and growing.  

You will be contacted by NSHC Infant Learning staff members each time you complete an online ASQ3 and submit your results. At the end of the questionnaire there are areas for additional comments. We hope that you will make note of any questions or concerns. (Tip: You can print out the screening pages and observe your child at home to see if he or she is able to complete the tasks. You can then return to the website to enter the results.) If you need assistance please call Patty Olmstead or Kristen Barron at 907-443-3298.

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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)

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.