ASQ Online

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Juneau Co-op Preschool
400 West 11th St.
Juneau, AK 99801

(907)586-2656

juneaucooppreschool@gmail.com

This is the page for Juneau Co-op Preschool families to access the Ages & Stages Questionnaire Online. This portal is available only to member families with children currently enrolled in the Juneau Co-op Preschool. This questionnaire is offered to parents as a tool to use when discussing your preschooler’s development with teachers at orientation, during conferences, or at any point during their enrollment at JCP.

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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!

Child Date of Birth
Format: yyyy-mm-dd
Child DOB you entered is in the future, are you sure of that? (Please correct the date before proceeding to the next step). Please enter your child's DOB and not the screening date or today's date (Please correct the date before proceeding to the next step). Child DOB you entered is not valid, please format the date like this: YYYY-MM-DD

Weeks Premature
(put "0" if not premature)

Screening Date I am screening my child today (2023-04-02) I screened my child and am entering in the responses to a previous screening

List others assisting with completion of the questionnaire

We are committed to your privacy and the privacy of your child. Any information you enter in ASQ Online may only be viewed by the teachers at the Juneau Co-op Preschool. All collected information is confidential and will only be shared with others with your written consent.

The State of Alaska Early Intervention/Infant Learning Program (EI/ILP) has provided funding for this project to allow access to developmental screening for all families. The State EI/ILP staff will be tracking the number of children who are screened but will not be able to view any identifying information. All collected information is protected under the Family Education Rights and Privacy Act (FERPA) and Health Insurance Portability and Accountability Act (HIPAA).

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.