3691 Ben Walters Ln. #4
Homer, AK 99603

Welcome to Sprout's online ASQ system! These questionnaires are a series of questions regarding all different areas of development. They help indicate if your child could benefit from further assessment in any specific area. Your child will probably be able to complete most, but not all of these activities. It is best to try and and make filling these out a fun, learning experience for you and your family. It can be fun, and is most effective, when these activities are done together while filling out the questionnaire and an attempt to make a game from them can turn it into a great experience! 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, 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)

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.