SICCF Family Access
1-800-548-5563
[email protected]
607 S. Greenbriar Road
Carterville, Illinois 62918
http://www.southernillinoiscoalition.com/the-coalition-for-children--families.html

You are your child's first and most important teacher. We appreciate the opportunity to be partners with you in his/her development. In collaboration with the Southern Illinois Coalition of Children and Families and CCR&R, we are excited to be able to provide parents with free access to this valuable online screening tool.

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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 clicking submit, you acknowledge that you have read the information provided about Ages and Stages Questionnaires (ASQ-3) and you will complete the questionnaires regarding your child's development and will return the completed questionnaires via the online questionnaires completion program. 

You also agree to receive information from The Southern Illinois Coalition for Children and Families relative to the findings of this screening.

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.