Alaska Center for Pediatrics
2925 Debarr Road
Ste 230
Anchorage, Alaska 99508
907-777-1800
www.akpeds.com
[email protected]
Welcome!
You've been invited to participate in an Ages & Stages Questionnaires, Third Edition (ASQ-3), online screening to help you keep track of your child's development. These questionnaires are completed for your child's 9 month, 18 month, and 30 month well child appointments. 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 note: If you would like to complete your child's current ASQ online, without having to print out the packet, please enter your child's age below and proceed to Step 3 on the following page.
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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!
