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  • Sample 48-month Questionnaire - Brookes Publishing Co.

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Ages & Stages Questionnaires 48 Month Questionnaire 45 months 0 days through 50 months 30 days Please provide the following information. Use black or blue ink only and print legibly when completing.

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How to use or fill out the Sample 48-month Questionnaire - Brookes Publishing Co. online

Completing the Sample 48-month Questionnaire from Brookes Publishing Co. is an important process for assessing a child's development. This guide is designed to provide clear and concise instructions for users to successfully fill out the questionnaire online.

Follow the steps to effectively complete the questionnaire.

  1. Press the ‘Get Form’ button to access the form and open it in the editor of your choice.
  2. Begin by entering the date the questionnaire is completed at the top of the form. This helps establish a clear timeline for the assessment.
  3. Provide the child's information, including the first name, middle initial, last name, gender, and date of birth. Ensure all entries are accurate and legible.
  4. Fill in the information for the person completing the questionnaire, including first name, middle initial, last name, street address, city, state/province, ZIP/postal code, email address, and home telephone number. Indicate the relationship to the child by selecting from the options provided.
  5. Complete the section for program information, including the child ID number, program ID number, and the name of the program your child is registered with.
  6. Proceed to review each questionnaire section, which covers various developmental areas such as communication, gross motor skills, fine motor skills, problem-solving, and personal-social skills. For each question, mark whether the child exhibits the behaviors regularly, sometimes, or not yet.
  7. In the final sections, provide any additional comments regarding the child’s health and development. Note any specific concerns and whether the child has experienced any medical issues.
  8. Once all fields are completed and reviewed for accuracy, you can save your changes, download a copy of the completed questionnaire, print it out for your records, or share it with the relevant parties as needed.

Complete the Sample 48-month Questionnaire online today to assess your child's development effectively.

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Each ASQ age-specific questionnaire includes six items per developmental area. Every item receives a score of 10 if the child completes it, 5 if she does it sometimes, and 0 if she does not do it, for a maximum of 60 points per scale.

Marcus's ASQ:SE-2 total score of 120 points is well above the cutoff of 85.

ASQ-3 is a set of questionnaires about children's development from 2 to 66 months which can be self-administered by parents/caregivers. Doing this screening provides a quick look at how children are doing in important areas, such as communication, physical ability, social skills, and problem-solving skills.

The ASQ-3 evaluates 5 domains of development: communication, gross motor, fine motor, problem solving, and personal-social.

Each version of the ASQ-SE has different cutoff scores that indicate whether the child's development appears to be on schedule. If the child's total score falls above the cutoff for the age-appropriate interval, it indicates that additional mental health assessment may be needed.

Is ASQ:SE-2 an autism screener? While ASQ:SE-2 is not an autism screener, the questionnaires contain items designed to detect behavioral and communication concerns that may point to autism. Results from ASQ:SE-2 may assist programs in making decisions about referrals for autism spectrum disorder (ASD) testing.

The Ages & Stages Questionnaires®, Third Edition (ASQ®-3) is a developmental screening tool that pinpoints developmental progress in children between the ages of one month to 5 ½ years.

In the ASQ-3, higher scores indicate more positive outcomes. Each version of the ASQ-3 has different cutoff scores that indicate whether the child's development appears to be on schedule. On the summary sheet of the version you administered, use the bubbles in Item 1 to fill in the total score for each area.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232