Sprout
907235-6044
office@sproutalaska.org
3691 Ben Walters Ln 4
Homer, Alaska 99603
www.sproutalaska.org

Welcome to Sprout's online ASQ system! These questionnaires are a series of questions regarding the social and emotional areas of development. They help indicate if your child could benefit from further assessment in this area. Critical to the well-being of children, is their ability to successfully regulate their emotions and manage their social interactions in ways that are acceptable to themselves and others. Please remember that it is important to completely fill out the questionnaire and information as best you can. Feel free to contact us with any questions or concerns you may have.

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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)

By continuing and completing the ASQ online you are agreeing to a consent for the screening of your child and have read and understand the information regarding ASQ online. 

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.