Early Learning Coalition of Alachua County
4424 NW 13th St.
A-5
Gainesville, Florida 32609

www.elcalachua.org

Sarah White, Child Development & Inclusion Coordinator, 352-375-4110, ext. 130; [email protected]

Welcome to the Ages & Stages Questionnaire; Social -Emotional (ASQ-SE) for Early Learning Coalition of Alachua County. The questionnaire is a tool to gather information about your child's social -emotional growth and development.

 

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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: Social-Emotional, Second Edition (ASQ:SE-2) to help you keep track of your child's social and emotional development. The questionnaire may be provided for use at 2, 6, 12, 18, 24, 30, 36, 48, or 60 months of age. You will be asked to answer questions about some of your child's behaviors. The questionnaire includes questions about your child's ability to calm down, take direction and follow rules, communicate, perform daily activities (e.g., eating, sleeping), act independently, demonstrate feelings, and interact with others.

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:SE-2!



(put "0" if not premature)


I consent to the observation, screening and/or assessment of my child.  Screening may include vision, hearing, speech, language, motor, social, emotional and developmental skills according to Early Learning Coalition of Alachua County, Inc. guidelines. I understand that upon completion of the screening/assessment, the results will be shared with me.

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.