Head Start
330-572-8353
[email protected]
55 East Mill Street
Akorn, Ohio 44308

The core of ASQ is a series of simple questions that correspond to the age and developmental milestones of children age birth to five years old. These questionnaires contain questions about a child's ability to perform certain activities.
 
The results of these questionnaires are scored and can help determine if a child's development is on schedule  or whether the child should be referred for a follow up appointment with a professional that focuses on early childhood 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, 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!



(put "0" if not premature)


I hereby grant consent for my child's and my information to be stored and shared in the ASQ database and shared amongst all First Things First programs. 

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.