15 Month Asq Score Sheet – Adjust for prematurity if child. 2 squir wombly p201020100 eserved. Transfer scores on to the summary sheet. Answer questions based on your child’s.

2 months, 6 months, 12 months, 18 months, 24 months, 36 months and 48 months. Add up the responses to the six questions in each area to calculate a score for each. It provides a complete summary of the questionnaire information and results. Page 1 of 3 2 eturn this questionnaire by:

15 Month Asq Score Sheet

15 Month Asq Score Sheet

Ages & stages questionnaires (asq) if your child was premature please call the office to find out the right asq to fill out since the age will need to be adjusted for premature. Answer questions based on what you know about your child’s behavior. Calculate total scores for each area.

Score and transfer totals to chart below: Score and transfer totals to chart below: Adjusted scores do not penalize children for unanswered items.

Check for unanswered items if responses are missing, contact parents to try to. Can give the parent the asq activity sheet to encourage specific developmental tasks. This function calculates an adjusted score for an asq questionnaire when items are missing.

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