Asq 48 Month 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
Asq 48 Month Score Sheet
Asq 48 Month Score Sheet
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Find your child s age level Check Yes or No for every item If your child does not pass any two items within an age level call your doctor to make an appointment Gives a startle response to loud sudden noises within 3 feet Calms to a familiar friendly voice Wakes up when you speak or make noise nearby Coos and gurgles 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 Download the sample questionnaire 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
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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 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
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 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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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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Asq 48 Month Score Sheet - Find your child s age level Check Yes or No for every item If your child does not pass any two items within an age level call your doctor to make an appointment Gives a startle response to loud sudden noises within 3 feet Calms to a familiar friendly voice Wakes up when you speak or make noise nearby Coos and gurgles
