Cherry Hill School
815-462-7831
205 Kingston Drive
New Lenox, IL 60451
nlsd122.org

Welcome to our ASQ Online screening program!

You've been invited to participate in an Ages & Stages Questionnaires, Third Edition (ASQ-3), online screening to assess your child's development.  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.  This information will be helpful in understanding your child's development and any concerns you have for your child prior to the upcoming preschool screening.  Thank you for your participation!

 

Please complete BOTH of the Ages and Stages Questionaires.  

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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)


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.