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The Ages and Stages questionnaire is a series of parent-completed questionnaires designed to screen the developmental performance of children in the areas of communication, gross motor skills, fine motor skills, problem-solving, and personal-social skills. The age-appropriate questionnaire is completed by the parent or caregiver. Early diagnosis and treatment of developmental delays can help give a child the best opportunity to reach his/her full potential.

 

Please complete this form and bring with you to your next appointment.

Download a form below that pertains to your child’s age:

ASQ-2-Months

ASQ-4-Months

ASQ-6-Months

ASQ-8-Months

ASQ-10-Months

ASQ-12-Months

ASQ-14-Months

ASQ-18-Months

ASQ-20-Months

ASQ-22-Months

ASQ-24-Months

ASQ-27-Months

ASQ-30-Months

ASQ-33-Months

ASQ-36-Months

ASQ-40-Months

ASQ-48-Months

ASQ-54-Months

ASQ-60-Months