48 Month Asq Score Sheet

48 Month Asq Score Sheet SCORE AND TRANSFER TOTALS TO CHART BELOW See ASQ 3 User s Guide for details including how to adjust scores if item responses are missing Score each item YES 10 SOMETIMES 5 NOT YET 0 Add item scores and record each area total In the chart below transfer the total scores and fill in the circles corresponding with the total scores

Title ASQ SE 2 Master Set English pdf Author jroberts Created Date 8 15 2019 2 54 11 PM SCORE AND TRANSFER TOTALS TO CHART BELOW see ASQ 3 User s Guide for details including how to adjust scores if item responses are missing Score each item YES 10 SOMETIMES 5 NOT YET O

48 Month Asq Score Sheet

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Date ASQ 3 completed by parent caregiver Date of review with health professional ball underarm should be scored as not yet 5 Without giving help by pointing or repeating does your child follow three directions that are unrelated to one another Give all three directions hands walk to the door and sit down or Give me the pen open the book and stand up 6 Does See a sample completed ASQ 3 English 48 month questionnaire ASQ 3 questionnaires screen children 1 66 months for developmental delays

SCORE AND TRANSFER TOTALS TO CHART BELOW see ASQ 3 User s Guide for details including how to adjust scores if item responses are missing Score each item YES 10 SOMETIMES 5 NOT YET O Add item scores and record each area total 48 Month Questionnaire 45 months 0 days through 50 months 30 days On the following pages are questions about activities children may do Your child may have already done some of the activities described here and there may be some your child has not begun doing yet For each item please fill in the circle that indicates

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ASQ SCORE INTERPRETATION AND RECOMMENDATION FOR FOLLOW UP You must consider total area scores overall responses and other considerations such as opportunities to practice skills to determine appropriate follow up SCORING THE QUESTIONNAIRE 1 Be sure each item has been answered If an item cannot be answered refer to the ratio scoring procedure in The ASQ User s Guide 2 Score each item on the questionnaire by writing the appropriate number on the line by each item answer YES 10 SOMETIMES 5 NOT YET 0 3 Add up the item scores for each area

SCORE AND TRANSFER TOTALS TO CHART BELOW see ASQ 3 User s Guide for details including how to adjust scores if item responses are missing Score each item YES 10 SOMETIMES 5 NOT YET 0 We provide up to date evidence based integrative natural complementary alternative and preventive medicine Information in this website is provided for informational purposes only This information is not intended as a substitute for the advice provided by your physician or other healthcare professional

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SCORE AND TRANSFER TOTALS TO CHART BELOW See ASQ 3 User s Guide for details including how to adjust scores if item responses are missing Score each item YES 10 SOMETIMES 5 NOT YET 0 Add item scores and record each area total In the chart below transfer the total scores and fill in the circles corresponding with the total scores

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Title ASQ SE 2 Master Set English pdf Author jroberts Created Date 8 15 2019 2 54 11 PM


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48 Month Asq Score Sheet - Date ASQ 3 completed by parent caregiver Date of review with health professional ball underarm should be scored as not yet 5 Without giving help by pointing or repeating does your child follow three directions that are unrelated to one another Give all three directions hands walk to the door and sit down or Give me the pen open the book and stand up 6 Does