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Ages & Stages Questionnaires18 Month Questionnaire17 months 0 days through 18 months 30 displease provide the following information. Use black or blue ink only and print legibly when completing this
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Start by reading the instructions provided with the ages and stages questionnaires.
02
Fill in the child's name, birthdate, and other personal information at the top of the form.
03
Answer each question in the questionnaire honestly and to the best of your knowledge based on your observations of the child.
04
Mark the appropriate response for each question based on the child's behavior and abilities.
05
Review your answers to ensure they are accurate before submitting the questionnaire.

Who needs ages and stages questionnaires?

01
Parents or caregivers of young children who want to track their developmental progress.
02
Healthcare providers or educators who want to assess a child's development and identify any potential delays or concerns.
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Ages and Stages Questionnaires (ASQ) is a set of questionnaires used to assess the developmental progress of children from ages 1 month to 5 years.
Parents, caregivers, and early childhood educators are typically required to fill out ages and stages questionnaires for children under their care.
Ages and Stages Questionnaires can be filled out by answering a series of questions related to the child's development in the areas of communication, gross motor skills, fine motor skills, problem-solving, and personal-social skills.
The purpose of ages and stages questionnaires is to identify any developmental delays or concerns in young children so that early intervention services can be provided.
Information such as the child's age, developmental milestones, and any concerns or observations regarding the child's development should be reported on ages and stages questionnaires.
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