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Early Learning Coalition of Lake County
1300 Citizens Blvd. Suite 206
Leesburg, Florida 34748
www.elclc.org

Nicole Adkins, Child Development Coordinator

(352) 315-6687
[email protected]

For more information about the Early Learning Coalition or about the ASQ Screener, please contact us at (352) 435-0566, Monday - Thursday, 8:00am - 5:00pm.

The first 5 years of life are very important for your child(ren), because this sets the stage for success in school and later in life. During infancy and early childhood years he/she will gain many experiences and learn many skills. It is important that each child is developing well during each stage of development.

The Ages & Stages Questionnaires, Third Edition (ASQ-3) is a developmental screener not and assessment. The ASQ screener allows the Child Care Provider and/or teacher a better understanding of were each child is developing and provide them with appropriate activities to help that child in any area that the he or she fall below in. The ASQ screener screens on five (5) different areas: Communication, Gross Motor, Fine Motor, Problem Solving and Personal Social Skills. When completing the ASQ for your child, please click yes if the child is able to do the skill by themselves without your assistance; click sometimes if the child is able to do the skill some of the time; and click no if the child is not able to do the skill at all.

To get started, please enter the child’s date of birth and the number of weeks if he/she was born premature. For example, if the child was born five (5) weeks before he/she was due, you will enter a 5 where it says weeks premature (if you do not know this information please asked the child’s parent before proceeding).

We look forward to your participation in ASQ-3!

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

Weeks Premature
(put "0" if not premature)

Screening Date

I am screening my child today (2024-04-19) I screened my child and am entering in the responses to a previous screening

List others assisting with completion of the questionnaire

Our new online ASQ system allows us to save paper and time.

PARENTS & CAREGIVERS, PLEASE USE THE CHILDCARE CENTERS ADDRESS WHEN ENTERING AN ADDRESS FOR CHILD’S INFORMATION.

Important Note: The American Academy of Pediatric states that developmental screening should be given at 9, 18, and 30 months of age and/or every 6 months. Therefore, if your child is within these developmental stages they will be screened accordingly.

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.

By clicking “Submit” you are attesting to the following; “I have read and understand the information about the Ages & Stages Questionnaires (ASQ-3) Screener, and I give the Coalition Staff, Child Care Provider and/or teacher permission to screen my child(ren).”

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.