Brookes ASQ | ASQ:SE2 - ASQ-3 English

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Sylvan Lake Family Resource Network Enrichment Center-Early Childhood Development Program

Phone: 403-887-1137

Address: 4725 43 Street, Sylvan Lake, AB

Website: https://www.sylvanlake.ca/en/public-services/family-resource-network.aspx

Please note:

Once you start a questionnaire for your child and submit, it will be sent to the Sylvan Lake Family Resource Network program to be reviewed. Once a trained professional has reviewed your child’s results they will contact you with the summary of the questionnaire. At this time you will have the opportunity to ask questions and connect with resources to support your child's development.

To complete both the ASQ-3 and ASQ:SE-2 please click the FIRST link.

Child Date of Birth

Month Day Year

Weeks Premature
(put "0" if not premature)

For ASQ-3™ English

Screening Date

List others assisting with completion of the questionnaire

For ASQ:SE-2™ English

Screening Date

List others assisting with completion of the questionnaire

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.