Ages and Stages Questionnaires

Ages & Stages Questionnaires are developmental screening tools that health care professionals use to capture a parent's in-depth knowledge of their child. They rely on parents as experts, are easy-to-use, are family-friendly, and create the snapshot needed to catch delays and to celebrate milestones.

Ages & Stages Questionnaires (ASQ) – New Patients


Child's Age (The First Year) 

 English

 Spanish

 1 month 0 days through 2 month 30 days

  2 Month

  2 Mes

 3 months 0 days through 4 months 30 days

  4 Month

  4 Mes

 5 months 0 days through 6 months 30 days

  6 Month

  6 Mes

 7 months 0 days through 8 months 30 days

  8 Month

  8 Mes

 9 months 0 days through 9 months 30 days

  9 Month

  9 Mes

 10 months 0 days through 10 months 30 days            

  10 Month                

 10 Mes



 Child's Age (One-Year-Olds) 

 English

 Spanish

 11 months 0 days through 12 months 30 days

  12 Month

  12 Mes

 13 months 0 days through 14 months 30 days

  14 Month

  14 Mes

 15 months 0 days through 16 months 30 days

  16 Month

  16 Mes

 17 months 0 days through 18 months 30 days

  18 Month

 + M-CHAT

  18 Mes

 + M-CHAT

 19 months 0 days through 20 months 30 days

  20 Month

  20 Mes

 21 months 0 days through 22 months 30 days             

  22 Month              

  22 Meses



 Child's Age (Two-Year-Olds)

 English

 Spanish

 23 months 0 days through 25 months 15 days

  24 Month

 + M-CHAT

  24 Mes

+ M-CHAT

 25 months 16 days through 28 months 15 days

  27 Month

  27 Mes

 28 months 16 days through 31 months 15 days

  30 Month

  30 Mes

 31 months 16 days through 34 months 15 days         

  33 Month               

  33 Mes



 Child's Age (Three-Year-Olds)

 English

 Spanish

 34 months 16 days through 38 months 30 days

  36 Month

  36 Mes

 39 months 0 days through 44 months 30 days           

  42 Month              

  42 Mes



 Child's Age (Four-Year-Olds) 

 English

 Spanish

 45 months 0 days through 50 months 30 days 

  48 Month

  48 Mes

 51 months 0 days through 56 months 30 days         

  54 Month                

  54 Mes



 Child's Age (Five-Year-Olds)

 English

 Spanish

 57 months 0 days through 66 months 0 days           

  60 Month                

  60 Mes