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  • Ages And Stages Questionnaire 16 Months

Get Ages And Stages Questionnaire 16 Months

15 months 0 days to 16 months 30 days (inclusive)16Month Questionnaire Childs name: Childs date of birth:BoyGirlIf child was born 3 or more weeks prematurely, please indicate the number of weeks premature: Date.

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How to fill out the Ages And Stages Questionnaire 16 Months online

The Ages And Stages Questionnaire (ASQ) for 16 months is a valuable tool for parents and caregivers to assess the developmental milestones of their child. This guide provides clear and supportive instructions on how to complete the questionnaire online.

Follow the steps to successfully complete the Ages And Stages Questionnaire 16 Months.

  1. Click ‘Get Form’ button to obtain the form and open it using your preferred digital platform.
  2. Begin by entering your child's name and date of birth in the specified fields. Ensure that you correctly identify the sex of your child by selecting either 'Boy' or 'Girl'.
  3. If applicable, indicate if your child was born prematurely by specifying the number of weeks they were premature.
  4. Provide the date when the ASQ-3 was completed by you as the parent or caregiver and the date of review with a health professional.
  5. Fill out the child’s home address, town, and postcode in the designated sections.
  6. Enter your details as the person completing the questionnaire, including your relationship to the child, home telephone number, mobile number, and email address.
  7. Review each section of the questionnaire that includes communication, gross motor, fine motor, problem-solving, and personal-social skills. For each activity, indicate whether your child performs the activity regularly ('Yes'), occasionally ('Sometimes'), or has not started yet ('Not Yet').
  8. Take a note of important points: ensure to try each activity with your child before marking your response, make it a fun game, and fill out the questionnaire when your child is willing and not distressed.
  9. At the end of the questionnaire, complete any additional comments and concerns regarding your child's development. These insights can be valuable for health professionals.
  10. Finally, save your changes, and you may choose to download, print, or share the completed form as needed.

Complete the Ages And Stages Questionnaire 16 Months online for a better understanding of your child's development.

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Easterseals offers a free, comprehensive and confidential online screening tool to help guide and keep track of your child's growth and development during these first five years. Children develop skills and reach milestones at their own pace. How is your child doing?

Questionnaires take 10–15 minutes for parents or caregivers to complete. Scoring takes about 2–3 minutes and can be conducted by professionals, paraprofessionals, or program staff.

Complete the ASQ:SE questionnaire at 6, 12, 18, 24, 30, 36, 48, and 60 month age intervals.

The ASQ-3 is a series of 21 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.

ASQ-3 English Complete Package Total price: $1269.75, plus annual screening charges.

The ASQ-3 assesses the five major areas of development: communication, gross motor, fine motor, problem solving, and personal-social. This is available for children ages one month through 5 1/2 years.

Confidential Online ASQ Screening Tool Easterseals offers a free, comprehensive and confidential online screening tool to help guide and keep track of your child's growth and development during these first five years.

Ages & Stages Questionnaires®, Third Edition (ASQ®-3) is a developmental screening tool designed for use by early educators and health care professionals. It relies on parents as experts, is easy-to-use, family-friendly and creates the snapshot needed to catch delays and celebrate milestones.

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Fill Ages And Stages Questionnaire 16 Months

Please provide the following information. Use black or blue ink only and print legibly when completing this form. 15 months 0 days through 16 months 30 days. See a sample completed ASQ-3 English 16-month questionnaire. ASQ-3 questionnaires screen children 1–66 months for developmental delays. Ages and Stages Questionnaire (ASQ). 2-month-asq. ASQ-3 — Comprehensive, reliable screening tool measures development in 5 domains: communication, gross motor, fine motor, problem solving, personal-social. Download a sample 16 month questionnaire and a sample 48 month questionnaire. Does your child sleep at least 10 hours in a 24-hour period? 16. When you point at something, does your child look in the direction you are pointing?

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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