El Dorado County Community Hubs
www.eldoradocommunityhubs.com

For questions regarding this screening, please contact your Community Hub Family Specialist
or Rene Line, Early Learning and Family Support at EDC Office of Education,
530-295-2419, [email protected]

 

Community Hub staff is committed to ensuring ALL children under the age of 6 in El Dorado County receive routine developmental screenings.

Because your child's first 5 years of life are so important, we want to help you provide the best start for your child. Ages & Stages Questionnaires (ASQs) can help you keep track of your child's development. The ASQ:3 includes questions about your child's communication, gross motor, fine motor, problem solving and personal social skills. The ASQ-SE:2 helps you understand your child's social and emotional development. 

 

Please allow yourself approximately 15 minutes to complete this questionnaire. There is not an option to save your progress and the questionnaire must be completed in one sitting. An alternative way is to print the questionnaires first and then enter the information online. Or you may ask your Community Hub Navigator for hard-copy questionnaires. Please note that the information you enter into this website is secure and confidential.

Please know that Community Hubs support people by connecting them to resources and services. You can read more about Community Hubs here: www.eldoradocommunityhubs.com. On this online form, you will have the chance to mark if you have more interests in Hub services.

We look forward to collaborate with you to support your child!

 



(put "0" if not premature)



It is voluntary to participate in this program and at no cost to you. A Family Specialist will share your child's results with you only. Results will remain confidential and will not be shared without your consent.

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.