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How to fill out the PEDS Questionnaire online
The PEDS Questionnaire is an essential tool for evaluating a child's developmental milestones. This guide will help you understand how to accurately fill out the questionnaire online, ensuring you provide the necessary information for your child's evaluation.
Follow the steps to complete the PEDS Questionnaire online.
- Click the ‘Get Form’ button to obtain the PEDS Questionnaire and open it in your selected online format.
- Begin by entering your child's name and birthday in the designated fields at the top of the form.
- Indicate who completed the questionnaire by checking the appropriate box: 'mother,' 'father,' or 'other.' If selecting 'other,' please specify the relationship.
- In the section labeled concerns, describe any specific worries you have regarding your child’s learning, development, or behavior.
- For each developmental area listed, provide input on the following aspects: how your child talks, understands language, uses hands and fingers, uses arms and legs, behaves, interacts with others, learns self-care, and acquires preschool or school skills. For each area, choose one option: 'No,' 'Yes,' or 'A little' and add comments if necessary.
- Lastly, in the additional concerns section, feel free to list any other worries or comments you may have concerning your child’s development.
- After completing all sections of the questionnaire, you can save your changes, download the completed form, print a hard copy, or share it as needed.
Take the next step in supporting your child's development by filling out the PEDS Questionnaire online today.
Parents' Evaluation of Developmental Status, or PEDS, is an evidence based screening tool that elicits and addresses parental concerns about children's development, health and wellbeing. PEDS is a simple, 10-item questionnaire that is completed by the parent.
Fill Peds Questionnaire
Use PEDS at future time-point. Screen or refer for screening. Do you have any concerns about how your child uses his or her hands and fingers to do things? â–«No. â–«Yes. â–«A little. Do you have any concerns about how your child is learning preschool or school skills? Circle one: No Yes A little COMMENTS: Please list any other concerns. You will complete a short, 12-item questionnaire that asks about your child's development and wellbeing. 9 months (8-10 months) Today's date: ______. Circle one answer for each question.
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