Ages and Stages Questionnaires

Do both an ASQ and an ASQ-SE to receive: a $10 grocery gift card, fun activities to do together & other info if needed

Click on the links to start

    1. Ages and Stages (ASQ3)
    2. Ages and Stages Social Emotional (ASQ–SE2).

If you do both forms for your child, please ask for your free gift card for groceries!

Fill in your child's birthdate (Put a number in the weeks box!) and then you choose to download and print the form or simply click the next link that to fill the form online.

What is an ASQ?

Ages and Stages logo Ages and Stages Questionnaire (ASQ) & Ages and Stages Social Emotional (ASQ:SE).

The ASQ and ASQ–SE let you find out how your child is doing from Birth to 5 years.

Simple and easy to do and feedback includes a set of activities that are chosen especially to be fun for you and your child to do together. Best of all, they help develop new skills for the next stage of growth.

Ages and Stages Questionnaire

The Ages and Stages Questionnaire (ASQ-3) checks progress for
5 developmental areas:

1. Communication Skills
2. Gross Motor Skills
3. Fine Motor Skills
4. Problem–Solving Skills
5. Personal–Social Skills

Ages and Stages Social Emotional Questionnaire

Ages and Stages Social Emotional Logo Ages and Stages Social Emotional (ASQ-SE2) screens 7 key behavioural areas:

1. self-regulation,
2. compliance (respect and trust),
3. communication,
4. adaptive functioning,
5. autonomy,
6. affect, and
7. interaction with people.

AHS Check–Ups for Children

Alberta Health Services use the ASQ for 6 and 18 months check–ups for children. We encourage you to take your child for these check-ups as well, because they also help you keep track of the physical health of your child.

Want More Info?

For more info or to have a paper form delivered to you:

Yvonne Markotić Drumheller Family Coach call/text 403–820–5157, Drumheller@goldenprairieplc.ca

Shauna McAffee Hanna Family Coach call/text 403–857–9553, Hanna@goldenprairieplc.ca

Mariah Robinson Kneehill and Morrin Family Coach call/text 403–443–3253, kneehill@goldenprairieplc.ca

Margaret Manley Parent Educator call/text  403–854–8800, parented@goldenprairieplc.ca

Why do an ASQ and ASQ-SE?

It's CONFIDENTIAL-only you have control of the results

  • It’s accurate especially when YOU do it!
  • It’s easy & free!
  • Every time you do an ASQ - you can get a set of activities for the next stage in your child's growth.
  • Your Family Coach can easily direct you to agencies and services if needed.

Remember the first 2000 days are so important, help provide the best start for your child.

  • Developmental milestones are abilities achieved by most children by a certain age.
  • Developmental screening provides a quick check of your child’s development. It can be thought of a snapshot of your child’s motor, cognitive, language, and social-emotional skills.
  • Screening will help determine if your child is meeting the appropriate milestones for their age.

You can easily keep track of your child's progress using our online screening access. Once your form has been submitted you will be contacted by Parent Link Staff to discuss the results and any questions you may have.

When to do the ASQ:

There are forms for every stage in the first 2000 days

We recommend that you do 1 or 2 questionnaires per year until your child reaches the age of five.

You may choose to do more if you want to track a particular concern.

How and where to do the ASQ:

You do the activities in the ASQ with your child to help answer the questions.

Do it anywhere you and your child are most COMFORTABLE.
Need help? PHONE your local Family Coach!

Who does the ASQ? YOU Do!

Parents are experts about their children, no one can do the ASQ-3 and ASQ:SE2 with your kids as well as YOU!

A few web pages with FREE info & resources