Look at ME!
907-352-1229
gwen.teutsch@mssca.org
1225 W. Spruce Avenue
Wasilla, Alaska 99654
www.mssca.org

Welcome to the “Look at ME!” Program online. We hope you enjoy this opportunity to track your child’s development. At the end of the questionnaire there are areas for additional comments, we hope that you will make note of any questions or concerns. If you need assistance please call Gwen at 352-1229.

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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)

We are committed to your privacy and the privacy of your child.

Any information that you submit can only be seen by users who have authorized access to your account. 

No information will be shared without your written consent.

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.