Children's Therapy Center
(253) 350-9764
asq-outreach@ctckids.org
10811 SE Kent Kangley Rd
Kent, Washington 98030

 

Welcome to Children's Therapy Center's ASQ Online screening platform!

 

The most significant period of brain development occurs between the ages of birth to three. Children's Therapy Center's (CTC) Early Intervention Program is committed to offering support for all children to reach their fullest potential. We are reaching out to parents with children between the ages of 0-3 to participate in an Ages & Stages Questionnaires, Third Edition (ASQ-3), online screening to help assess your child's development.  You will be asked to answer questions about some things your child can and cannot do, which will take about 10 minutes to complete. This questionnaire will determine your child’s unique strengths and needs in each developmental area (i.e., communication, gross motor, fine motor, problem solving, and personal social skills) and determine whether a full developmental evaluation is recommended. 

After you have completed the questionnaire, you will receive a follow-up phone call from a provider at CTC within 7 business days to discuss the results and possible next steps.

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.

 

I give consent for Children's Therapy Center to contact me to interpret and discuss the results of this screener.

 

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.