3 Year Asq Score Sheet Transfer scores and information to the ASQ 3 Information Summary sheet Total the points in each of the ve developmental areas and record the scores on the scoring sheet and compare results to the area cuto s
SCORE AND TRANSFER TOTALS TO CHART BELOW See ASQ 3 User s Guidefor details including how to adjust scores if item responses are missing Score each item YES 10 SOMETIMES 5 NOT YET 0 The ASQ 3 Starter Kit contains everything you need to start screening children with ASQ 3 21 paper masters of the questionnaires and scoring sheets a CD ROM with printable PDF questionnaires the ASQ 3 User s Guide and a FREE ASQ 3 Quick Start Guide
3 Year Asq Score Sheet
3 Year Asq Score Sheet
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The Information Summary sheet is the scoring form for ASQ 3 and ASQ SE 2 It provides a complete summary of the questionnaire information and results The Information Summary sheet provides the following information for a child For ASQ 3 Total scores and cutoffs for each area Adjust for prematurity if child is less than 2 years of age and was born more than 3 weeks preterm Subtract the number of weeks the child was preterm from their actual age and use this adjusted age to select the appropriate ASQ
It takes 5 minutes to score the ASQ 3 STEP ONE Calculate total scores for each area Add up the responses to the six questions in each area to calculate a score for each area SCORE INTERPRETATION 1 Review questionnaires Review the parent s answers to questions Give special conside ration to any individual questions that score 10 or 15 poin ts and any written or ver bal comments that the parent shares Offer guidance support and information to families and refer if necessary as ind icated by score and referral
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Complete following steps to check for accuracy of ASQ results prior to making followup decisions with parents Download Sharing ASQ Screening Results with Families Instructions You may use this form to track a child s ASQ screening results over time Write the date the ASQ was administered and questionnaire month at the top of each column Fill in the bubble that corresponds with the score for each developmental area refer to the completed ASQ 3 Information Summary If a score is above the monitoring
The ASQ 3 Starter Kit contains everything you need to start screening children with ASQ 3 21 paper masters of the questionnaires and scoring sheets a CD ROM with printable PDF questionnaires the ASQ 3 User s Guide and a FREE ASQ 3 Quick Start Guide Guidance for selecting intervals These are the Ages and Stages Questionnaires ASQ 3 and ASQ SE They are for parents or carers to complete because you know your child best It is a chance for you to tell us what your child can do and where they may need more help or practice
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Transfer scores and information to the ASQ 3 Information Summary sheet Total the points in each of the ve developmental areas and record the scores on the scoring sheet and compare results to the area cuto s
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SCORE AND TRANSFER TOTALS TO CHART BELOW See ASQ 3 User s Guidefor details including how to adjust scores if item responses are missing Score each item YES 10 SOMETIMES 5 NOT YET 0
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3 Year Asq Score Sheet - SCORE INTERPRETATION 1 Review questionnaires Review the parent s answers to questions Give special conside ration to any individual questions that score 10 or 15 poin ts and any written or ver bal comments that the parent shares Offer guidance support and information to families and refer if necessary as ind icated by score and referral
