It is important that toys and materials used when completing ASQ-3 be relevant to the child’s cultural practices and it is ideal that those materials are accessible to the family. Using materials that exist in the home in new ways, such as stacking with plastic cups and putting lids on pots and pans, may increase the frequency of these activities after the home visitor leaves. That said, it is sometimes nice to have a couple of novel items to catch the child’s attention, or a home visitor may present a novel toy as a warm-up. It can also be beneficial to have a novel item to alternate with items in the home if a child becomes fussy or bored.