Get 60 Month Questionnaire

The 60 Month Questionnaire is a valuable tool designed to assess developmental milestones for children aged between 57 and 66 months. This guide provides comprehensive, step-by-step instructions for successfully completing the questionnaire online, ensuring that all information is submitted correctly and efficiently.

Follow the steps to fill out the questionnaire online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date the Ages & Stages Questionnaire was completed.
3. Fill in the child's information, including their middle initial, first name, last name, gender, and date of birth.
4. Next, provide the information of the person filling out the questionnaire. Include their middle initial, first and last name, relationship to the child, address, city, state, ZIP code, and country.
5. Indicate contact numbers, including home and other telephone numbers, as well as an email address.
6. If applicable, list the names of any individuals assisting in completing the questionnaire.
7. Enter the Child ID number, Program ID number, and Program name if available.
8. Proceed to the questions section, marking each activity that the child is completing regularly, sometimes, or not yet. Ensure to try each activity with the child before marking a response.
9. Complete all sections thoroughly for communication, gross motor, fine motor, problem solving, and personal-social skills.
10. Finally, use the space provided for any additional comments and to answer the overall assessment questions regarding hearing, talking, understanding, and concerns about the child.
11. Once all information is accurately filled out, save changes to the document, download a copy, print it, or share the completed form as required.

Complete the 60 Month Questionnaire online to support your child's developmental assessment.