Timberline Learning Center

970-453-9656

[email protected]

P.O. Box 3098

Breckenridge, Colorado 80424

The Ages & Stages Questionnaires® Social and Emotional, Third Edition (ASQ-3™)or ASQ/SE, is a screening tool that will provide a quick check of your child’s social and emotional development. The information you supply will help reveal your child’s strengths, uncover any areas of concern, and determine if there are community resources or services that may be useful for your child or your family.

 

ASQ/SE is a set of questionnaires about children’s development. It has been used for more than 20 years to make sure children are developing well. It is called a screener because it looks at how children are doing in social and emotional skills, which are important indicators for future school success. ASQ/SE 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: Social-Emotional, Second Edition (ASQ:SE-2) to help you keep track of your child's social and emotional development. The questionnaire may be provided for use at 2, 6, 12, 18, 24, 30, 36, 48, or 60 months of age. You will be asked to answer questions about some of your child's behaviors. The questionnaire includes questions about your child's ability to calm down, take direction and follow rules, communicate, perform daily activities (e.g., eating, sleeping), act independently, demonstrate feelings, and interact with others.

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:SE-2!



(put "0" if not premature)


I have read the information provided about the Ages and Stages Questionnaires, Third Edition (ASQ-3), and I wish to have my child participate in the screening/monitoring program.

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.