Get 18 Month Asq

The 18 Month Ages & Stages Questionnaire (ASQ) is an essential tool designed to assess your child's developmental milestones. This guide provides clear, step-by-step instructions to help users complete the questionnaire online effectively.

Follow the steps to fill out the 18 Month Questionnaire successfully.

1. Click ‘Get Form’ button to obtain the questionnaire and open it for completion.
2. Fill in the date the ASQ was completed by writing the month, day, and year. Ensure the date is accurate to keep track of your submission.
3. Provide your child’s information. Complete the child's first name, middle initial, last name, date of birth, gender, and if applicable, the number of weeks premature at birth.
4. Indicate the person filling out the questionnaire by entering their first name, middle initial, last name, relationship to the child, street address, city, state/province, country, home telephone number, other telephone number, and email address. You may also include the names of individuals assisting with the questionnaire.
5. In the program information section, input the child ID number, program ID number, age at administration in months and days, and adjusted age if the child was born prematurely.
6. Proceed to the main questionnaire, which contains various areas of development: communication, gross motor, fine motor, problem solving, and personal-social. For each item listed, indicate whether your child performs the activity 'yes', 'sometimes', or 'not yet' by marking the corresponding circle.
7. Complete the overall questions regarding your child's hearing, speech, behavior, and any concerns you might have. Ensure to provide comments where necessary.
8. Calculate the total scores for each development area as instructed. Record these scores in the provided scoring chart.
9. Transfer overall responses to the summary section, marking any concerns that may require follow-up.
10. Review all entries for accuracy and completeness before saving. You can then download, print, or share the completed questionnaire as needed.

Complete your 18 Month ASQ online today to support your child's development.