What impact do the recently updated CDC Developmental Milestones have on the ASQ-3 and ASQ:SE-2 questionnaires?
ASQ-3 and ASQ:SE-2 remain up-to-date, valid, reliable screening tools for identifying young children who may be at risk of developmental delays. In fact, ASQ data helped inform the recent revision of the CDC developmental milestones. The updated CDC milestones are designed to help parents monitor their children’s de…
Should a program use the ASQ-3 Materials Kit for screenings rather than the items in a child's home or child care center?
No, using the items in a child's home or child care environment is preferable in many ways. Children typically respond best to items they are already familiar with, such as items from their home. It is also important that toys and materials be relevant to the child's cultural practices. However, many home visiting…
We are discussing how to best incorporate ASQ with our pediatric practice. Some of the items, particularly in the Fine Motor and Problem Solving areas, require observation with "props" such as Cheerios, strings, blocks, balls, sticks, etc. We have parents fill the questionnaires out in our office waiting room, but in some cases the parents have to guess because we do not have the materials here. Does this make ASQ-3 less reliable?
Your pediatric practice could consider a couple options to help parents confidently answer the questions. Some practices send parents the questionnaires in advance of the appointment, either by mail or electronically through ASQ Family Access . Having parents complete the questionnaire at home 1-2 weeks in advance o…
Where do I indicate that the child is premature on the ASQ-3 Summary report?
To indicate that a child was born prematurely, you would simply bubble in “Yes” for the statement “Was age adjusted for prematurity when selecting questionnaire?” This is located in the top portion of the ASQ-3 Information Summary sheet.
Is ASQ-3 endorsed by the Center for Applied Linguistics or National Center for Family Literacy? Are there any organizations that specifically endorse or recommend ASQ?
No, ASQ-3 has not received an endorsement from the Center for Applied Linguistics or the National Center for Family Literacy. ASQ-3 has been favorable reviewed by many organizations, such as the American Academy of Pediatrics and Child Neurology Society, but these reviews do not imply endorsement.
Why were the 2 month and 9 month questionnaires added in ASQ-3?
The addition of the 2 month questionnaire enables users to reliably screen children as young as 1 month of age. The new 9 month questionnaire helps pediatricians follow the American Academy of Pediatrics’s guideline to screen all children at the 9-month, 18-month, and 30-month well-child visits.
We use ASQ-3 as our initial screener and the OUNCE for ongoing assessment. Is there an alignment between the two tools?
No, at this point in time, there is not an alignment between ASQ-3 and OUNCE.
How have items been refined in ASQ-3 from the last edition?
Based on research and user feedback, ASQ-3 items have been refined to present clearer wording, ensure cultural appropriateness, and include more examples for better clarity. New questions about language expression and behavior have been added to the Overall section.
If a parent is not able to answer certain questions at the time of the screening, is it permissible for the teacher to observe the child in a classroom setting and answer the missed questions at a later date?
It's not ideal to have different people complete different items on the same exact questionnaire. But if skills aren't seen in one specific setting, then input from other adults, such as teachers, might be helpful. Some programs have the parent and teacher complete separate questionnaires and discuss their answers. I…
The ASQ-3 User's Guide says to calculate an adjusted age when a child is born "3 or more weeks" premature. The 2nd edition of ASQ said to adjust age when a child is born "more than 3 weeks" premature. Was this an intentional change?
The developers made the change in how prematurity is defined between editions in an attempt to make determing prematurity and calculating age easier for users to understand and implement. If your program has regularly used the "more than 3 weeks" prematurity guideline from the 2nd edition, you may continue to do so a…

