Ages and Stages Questionnaires (ASQ)
The ASQ is a screening tool to identify developmental delays in infants and young
children during the crucial first 5 years of life. Parents complete a 30 item questionnaire
which asks about a child's progress in five key developmental areas – communication,
gross motor, fine motor, problem solving, and personal-social skills. The questionnaire
takes about 10 to 20 minutes to complete. Please bring your completed survey with
you to your visit with your child's pediatrician.
- 04 Month Questionnaire(PDF, 99K)
- 06 Month Questionnaire(PDF, 570K)
- 08 Month Questionnaire(PDF, 125K)
- 10 Month Questionnaire(PDF, 117K)
- 12 Month Questionnaire(PDF, 595K)
- 14 Month Questionnaire(PDF, 90K)
- 16 Month Questionnaire(PDF, 86K)
- 18 Month Questionnaire(PDF, 596K)
- 20 Month Questionnaire(PDF, 90K)
- 22 Month Questionnaire(PDF, 92K)
- 24 Month Questionnaire(PDF, 592K)
- 27 Month Questionnaire(PDF, 97K)
- 30 Month Questionnaire(PDF, 611K)
- 33 Month Questionnaire(PDF, 101K)
- 36 Month Questionnaire(PDF, 638K)
- 42 Month Questionnaire(PDF, 105K)
- 48 Month Questionnaire(PDF, 632K)
- 54 Month Questionnaire(PDF, 92K)
- 60 Month Questionnaire(PDF, 617K)
- Activities 04-08 months(PDF, 26K)
- Activities 08-12 months(PDF, 26K)
- Activities 12-16 months(PDF, 27K)
- Activities 16-20 months(PDF, 26K)
- Activities 20-24 months(PDF, 26K)
- Activities 24-30 months(PDF, 27K)
- Activities 30-36 months(PDF, 27K)
- Activities 36-48 months(PDF, 28K)
- Activities 48-60 months(PDF, 28K)
- Activities 60-66 months(PDF, 29K)