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ASQ-3 Introduction

What is ASQ-3?

The Ages & Stages Questionnaires, Third Edition (ASQ-3) is a parent-completed screening tool that gives a snapshot of a child's development across five domains. It indicates whether further evaluation is needed.

ASQ-3 Toolkit
Print ASQ-3 Form Download one or more of the 21 age-specific ASQ-3 forms to print for families. Choose forms
Share Your Feedback A few questions on how the screening went. Share feedback
Request ASQ-3 Form

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Screening Feedback

How did the screening go?

A few quick questions after a screening. Your answers help improve the program.

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Forms access

Print ASQ-3 forms

Enter the access password and select your center to continue.

Select your own center

The ASQ-3 license is purchased per center, and every center prints from its own license.

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Select the forms to print

Choose one or more age intervals. Each form prints with its age window on the first page.

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182
Doctors trained
94
Poly clinics reached in Kuwait
Developmental screening recommended by
Canadian Paediatric Society American Academy of Pediatrics Centers for Disease Control and Prevention
01 Age Intervals From 2 months up to 60 months. Select the questionnaire matching the child's age.
02 Covers Five Domains Communication, gross motor, fine motor, problem solving, and personal-social.
03 When to Use ASQ-3 At 9, 18 and 30 months, and at any point when a parent or clinician has a concern.

Five Developmental Domains

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Age Intervals

Each questionnaire covers a specific age window. Select an age group to see the exact age range for each interval.

A red star (*) marks the universal screening ages: 9, 18 and 30 months and whenever parents and doctors have a concern.

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Why Screening Matters

The ASQ-3 takes parents 10 to 15 minutes to complete, and it turns their everyday observations of their child into a clear starting point for a more informed conversation with you.

The early years are the most active period for building the brain's neural connections, more than a million new connections form every second in the first years of life.1 Yet in Kuwait, a child's average age at referral to a developmental pediatrician is 3.5 years (Sabah Hospital data), well after that critical early window.

Routine screening supports earlier identification, which leads to earlier intervention and better outcomes for the child.

1. Harvard University, Center on the Developing Child, "Brain Architecture."

Administering & Scoring

Running a screening, step by step

Practical tips and reminders for running a screening, scoring it, and reading the result.

Selecting the Form

Each ASQ-3 questionnaire covers a set age window, printed at the top of its first page (for example, "15 months 0 days through 16 months 30 days"). Choose the questionnaire whose window includes the child's age.

Adjusting for Prematurity

If a child was born 3 or more weeks early, adjust their age until they turn 2. Subtract the number of weeks premature from the chronological age, then use the adjusted age to choose the form.

18 mo 0 d6 weeks=16 mo 12 duse the 16 month form

Introduce the ASQ-3 to Parents

01

It's a quick check of strengths and areas that may need support. It is not a test, and not a diagnosis.

02

Have parents try each activity first, make it a game, and screen when the child is rested and fed.

03

Their answers guide the conversation and whether further assessment is needed.

Scoring

Parents answer every item with one of three responses. Add the points within each of the five domains to get a domain score, then compare each domain score to that questionnaire's cutoff on the ASQ-3 Information Summary sheet.

Yes 10
Sometimes 5
Not Yet 0

Six items per domain × 10 points = a maximum domain score of 60. Compare that total to the cutoff for the interval you used. Cutoffs differ from questionnaire to questionnaire.

Blank Items

When a parent leaves a blank item, first try to get an answer.

Check for opportunity

A blank often means "no opportunity yet," not "can't do it."

Try the activity in the room

Many items can be drawn out on the spot with the child.

Reframe the question

Keep the item's intent the same and get at the underlying skill, in everyday terms the parent recognises.

Scoring of Omitted Items

Leave an item blank only if it truly can't be answered or isn't appropriate. Then, if needed, adjust the score:

≤ 2 blanks

Still score the domain: average the answered items and add that average back in for each blank item.

> 2 blanks

Don't score that domain. Follow up with the parent to fill in the missing answers first.

Worked Example

A parent leaves 1 item blank in Fine Motor. The 5 answered items score 10, 10, 5, 10, 0, giving a total of 35. The average of the answered items is 35 ÷ 5 = 7. Add 7 back in for the blank item, and the adjusted domain score is 42.

35 ÷ 5 = 735 + 7=42 adjusted score
Open the ASQ-3 adjusted score calculator

Opens agesandstages.com in a new tab.

Reading Results

Each domain total lands in one of three zones on the score sheet. The chart shows where an example child's scores fall. Cutoffs shown are illustrative, for one questionnaire interval.

Referral zone Monitoring zone On schedule This child's total
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Above the cutoff · On schedule

"Results in this domain show your child's [domain] development is on schedule."

Monitoring zone · Near the cutoff

"This is the monitoring zone. You can do activities together to give your child more chances to practice [skill], and we'll check back in ___ weeks to see how they're doing."

Below the cutoff · Referral zone

"This is the referral zone. It may help to check in with a specialist about how best to support your child's [domain] development. I can make a referral to ______."

Overall Section

Beyond the five domains, parents answer a set of general yes/no questions, each with room to explain. These questions are not scored, but any concern a parent raises should always be followed up with a conversation and, where appropriate, a referral.

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Referral Best Practice
Previous Next step
Referral Best Practice

Referral Best Practice

Always refer to assessment and intervention together, regardless of the child's age.

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Training

Build your confidence using ASQ-3

Live online sessions are announced periodically. Sign up below if you're interested in ASQ-3 live training, and we'll contact you when the next session is scheduled.

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Train doctors to administer and score the ASQ-3. Register your interest and we'll be in touch.

01 Register your interest Fill in the form below.
02 Receive a confirmation from us We'll be in touch by email or phone.
03 Register for the official training Book your place on the ASQ-3 website, where the dates are published.
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Let's Get You Set Up

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Your Details

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Module outline About 15 to 20 minutes in total
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Recorded Training
01 ASQ-3 Developmental Screening Tool — Part 1
02 ASQ-3 Developmental Screening Tool — Part 2
03 ASQ-3 Developmental Screening Tool — Part 3

Watch the full recording, then continue to the knowledge check. You will receive completion record at the end.

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What's covered
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Knowledge Check

Choose the best answer for each. Aim for 80% (4 of 5) to confirm your understanding of ASQ-3.

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Contact Us

Get in touch

Questions about the ASQ-3, the training, or working together. Send us a message and we'll be in touch.

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ASQ-3 Training

Training resources for doctors. ASQ-3® is a registered tool of Brookes Publishing. This site is an independent training aid.

Kuwait National Developmental Screening Initiative

Ministry of Health, State of Kuwait, in partnership with National Bank of Kuwait.

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QuestionnaireAge window
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