Early Learning Institute
707-591-0170

If you are not a resident of Sonoma County, please reach out to your local medical provider to find a screening location.

The ASQ-3 includes questions about your child's communication, gross motor, fine motor, problem solving, and personal social skills and can help you identify your child’s strengths. The screening questionnaire will also highlight any areas of concern, should there be any.

The ASQ-SE questionnaire targets social-emotional and behavioral development. It is also observation based, highlighting strengths or potential areas of concern.

If you would like to complete both please click on:  I am completing both the ASQ-3™ and ASQ:SE-2™ questionnaires.  

Once completed, ELI’s Developmental Specialists will score the results and contact you within two business days for review. If indicated, possible next steps will be discussed, along with free activity suggestions.

In order for receive contact/follow-up/services from us, please enter an updated phone number and email address in the fields requested

 

Welcome to our ASQ Online screening program!

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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.