Visit questionnaires

Ages and Stages Questionnaires, Third Edition (ASQ-3), is a set of screening questionnaires for children ages one month to five and a half years old. It is used to make sure your child is developing well and examines how your child is doing in important areas such as speech, physical ability, social skills and problem solving. The ASQ-3 can help identify your child’s strengths, as well as any areas where he or she may need support.

For your convenience, the ASQ-3 is available online for all of our patients. We strongly encourage you to complete the ASQ-3 at home, in advance of your child’s appointment. Doing so will allow your health care provider to review the information before you arrive and spend more of your appointment time focused on you and your child.  All responses are completely confidential and cannot be viewed by anyone except your health care team.

Using the ASQ-3:

  1. Schedule your well-child visit
  2. Access the ASQ-3 online:

    Click here for directions and access in English

    Haga clic aquí para las instrucciones de acceso en Español

  3. Follow the on-screen instructions


1805 Hennepin Ave. N., Glencoe, MN 55336
320-864-3121 or 1-888-526-4242 | Map

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