Early Learning Coalition of Pinellas County, Inc.
2536 Countryside Blvd, Suite 500
Clearwater, FL 33763

Kelley Miller
Program Supervisor of Screening and Intervention

The Ages and Stages Questionnaires, Third Edition (ASQ-3) is a developmental screener not an assessment.  The ASQ screener allows the child care provider and/or teacher a better understanding of where each child is developing and provide them with appropriate activities to help that child in any area necessary.  The ASQ questionnaire screens on five (5) different areas:  Communication, Gross Motor, Fine Motor, Problem Solving and Personal Social Skills.  During infancy and early childhood years, he/she will gain many experiences and learn many skills.  It is important that each child is progressing well during each stage of development.

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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)

If you are a parent:

By clicking "Submit", you are attesting the following; "I have read and understand the information about the Ages & Stages Questionnaires (ASQ-3) Screener, and I give the Coalition staff, child care provider and/or teacher, permission to screen my child(ren).

If you are a provider:

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.