Brandywine School District
302-792-8032
[email protected]
500 Darley Road
Claymont, Delaware 19703

 Welcome to the Brandywine School District's ASQ Online screening program!

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) and Ages & Stages Questionnaires: Social-Emotional, Second Edition (ASQ:SE-2), 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 ASQ: SE-2 includes questions about your child's social and emotional skills, including items in each of the seven key behavioral areas: self-regulation, compliance, social-communication, adaptive functioning, autonomy, affect, and interaction with people. The ASQ-3 includes questions about your child's communication, gross motor, fine motor, problem solving, and personal social skills. 

To begin the screening process, please enter your child's birth date and the number of weeks he or she was born premature below. 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 and ASQ:SE-2!

 

Child Date of Birth

Month Day Year

MM 01 02 03 04 05 06 07 08 09 10 11 12 DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024

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: MM-DD-YYYY

Weeks Premature
(put "0" if not premature)

Screening Date Options

For ASQ:SE-2™ English

Screening Date

List others assisting with completion of the questionnaire

For ASQ-3™ English

Screening Date

List others assisting with completion of the questionnaire

By giving my consent, I understand that ASQ screening results will be shared with:

·      The Delaware Department of Education (DDOE) and the Division of Public Health (DPH) within Delaware Health and Social Services (DHSS) to better support my child.

·      My child care program who is required by law to track completed developmental screenings to help better support my child.

·      The Birth to Three Early Intervention Program (B23) or my school district of residence and/or school district where my child care is located because they review the screenings and help with next steps.

 

o   I will be contacted with results via email, US mail, or phone call to assist with follow up.

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.