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ASQ

Open Posted By: ahmad8858 Date: 25/04/2021 Graduate Homework Writing

*Introduction
There are as many ways for students to demonstrate what they've learned as there are courses, majors, and departments or programs. The type of assessment that makes the most sense in a particular circumstance has partly to do with the type of department or program in question and partly to do with the level at which the assessment is taking place.

The Assignment

Using the observational data you have gathered throughout this semester as evidence, complete ASQ to assess your target child’s learning and development across a variety of domains. Be sure to fill out the version of the ASQ  in its entirety. ASQ forms link is above. 

After you have filled out the ASQ (complete the age of your child), complete a write up that answers the following questions:

         1. What did you learn about your target child by completing the ASQ  ?
         2. What are the goals, benefits, and uses of assessment?
         3. What are his strengths or weaknesses?
         4. What learning goals should I set for this student?
         5. Is additional, more targeted, testing needed?
         6. Is the student a candidate for intervention?
         7. Which skills is he ready to learn?
         8. Is he achieving typical growth?

Grading Criteria

40 points- Completed ASQ in its entirety  
30 points – Two paragraphs are included, each paragraph has a minimum of seven sentences
20 points – Paragraph answers the provided questions
10 points – correct grammar and spelling are used


YOU DO NOT HAVE TO  DO BOTH FORMS! Pick an age and complete the assignment based off gradding criteria.

Category: Mathematics & Physics Subjects: Physics Deadline: 12 Hours Budget: $120 - $180 Pages: 2-3 Pages (Short Assignment)

Attachment 1

Questionnaire

1 month 0 days through 2 months 30 days

BASOSE' ¿I

Questionnaires

Date ASQ:SE-2 completed:

Baby's information

Baby's first name:

Baby's date of birth:

Baby's gender: Male (^) Female

Baby's middle initial:

Baby's last name:

If baby was born 3 or more weeks premature, please enter the number of weeks:

Person filling out questionnaire

First name: Middle initial: Last name:

Street address:

City: State/ province: ZIP/postal code:
Country:

Home Other

telephone telephone

number: number:

E-mail address:

Relationship to baby:

Parent

Grandparent/ other relative

Guardian

Foster parent

Q Teacher Q Other:

Q Child care

provider

People assisting in questionnaire completion:

Program information (For program use only.)
Baby's ID #: Age at administration in months and days:
Program ID #: If premature, adjusted age in months and days:
Program name: ---------------------------

P201020000

Ages & Stages Questionnaires®: Social-Emotional. Second Edition (ASQ:SE-2™), Squires, Bricker, & Twombly.

© 2015 Paul H. Brookes Publishing Co., Inc. All rights reserved.

( 2 Month Questionnaire

Questions about behaviors babies may have are listed on the following pages. Please read each question carefully and check the box [~7f that best describes your baby's behavior. Also, check the circle if the behavior is a concern.

Important Points to Remember:

Answer questions based on what you know about your Q baby's behavior, Q

Answer questions based on your baby's usual behavior,

not behavior when your baby is sick, very tired, or hungry. Q

Caregivers who know the baby well and spend more than

15-20 hours per week with the baby should complete ASQ:SE-2.

Please return this questionnaire by:

If you have any questions or concerns about your baby or about this questionnaire, contact:

Thank you and please look forward to filling out another

ASQ:SE-2 in months.

  1. When upset, can your baby calm down within a half hour?
  2. Does your baby like to be picked up and held?
  3. Does your baby stiffen and arch her back when picked up?
  4. When you talk to your baby, does he look at you and seem to listen?
  5. Does your baby let you know when she is hungry, tired, or uncomfortable? For example, does she fuss or cry?
  6. When awake, does your baby seem to enjoy watching or listening to people? For example, does he turn his head to look at someone talking?
  7. Is your baby able to calm herself down (for example, by sucking her hand or pacifier)?

8. Does your baby cry for long periods of time?

OFTEN OR ! SOME- ALWAYS ; TIMES

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CHECK IF THIS ISA CONCERN

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TOFal POIN1 ON PAGE

P201020100

Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ:SE-2™), Squires, Bricker, & Twombly.

© 2015 Paul H. Brookes Publishing Co., inc. All rights reserved.

page I of 3

2 Month Questionnaire

Basq^se^

Check the box |~i/f that best describes your child's behavior.

Also, check the circle if the behavior is a concern.

  • --------------------------------- ;. — -—-----------^e iEGK ir OFTEN OR ; SOME- ; RARELY OR THIS IS A ALWAYS ; TIMES ; NEVER CONCERN
  • Is your baby's body relaxed?
  • Does your baby have trouble sucking from a breast or bottle?
  • Does it take longer than 30 minutes to feed your baby?
  • Do you and your baby enjoy feeding times together?
  • Does your baby have any eating problems, such as gagging, vomiting, or? (Please describe.)
  • During the day, does your baby stay awake for an hour or longer at one time?
  • Does your baby sleep at least 10 hours in a 24-hour period?
  • Has anyone shared concerns about your baby's behaviors?
  • "sometimes" or "often or always," please explain:

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P201020200

Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ:5£-2™), Squires, Bricker, & Twombly.

© 2015 Paul H. Brookes Publishing Co., Inc. All rights reserved.

page 2 of 3

2 Month Questionnaire

BasqseI

OVERALL Use the space below for additional comments.

  1. you have concerns about your baby's eating or steeping behaviors? If yes, please explain:
  1. Does anything about your baby worry you? If yes, please explain:

O yes Q NO

  1. What do you enjoy about your baby?

P201020300

Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ:SE-2™), Squires, Bricker, & Twombly.

© 2015 Paul H. Brookes Publishing Co., Inc. All rights reserved.

page 3 of 3

2 Month Information Summary 1 month 0 days through 2 months 30 days

BASQUE-J

Baby's name:

Baby's ID #:

Person who completed ASQ:SE-2:

Administering program/provider:

Date ASQ:SE-2 completed:

Baby's date of birth:

Baby's age/adjusted age in months and days:

Baby's gender: Q Male Q Female

1. ASQ:SE-2 SCORING CHART:

« Score items (Z = 0, V = 5, X= 10, Concern = 5).

  • Transfer the page totals and add them for the total score.
  • Record the baby's total score next to the cutoff.

TO'AL PO'NTS ON PAGE 1

TC'rA'_ PO’NTS ON '-’AGt 2

_____
Total score
Cutoff Total score

35

„ ___

2. ASQ:SE-2 SCORE INTERPRETATION: Review the approximate location of the baby's total score on the scoring graphic. Then,

check off the area for the score results below.

no or low risk

monitor

The baby's total score is in the □□ area. It is below the cutoff. Social-emotional development appears to be on schedule.

The baby's total score is in the CZZI area. It is close to the cutoff. Review behaviors of concern and monitor.

The baby's total score is in the fæl area. It is above the cutoff. Further assessment with a professional may be needed.

3. OVERALL RESPONSES AND CONCERNS: Record responses and transfer parent/caregiver comments. YES responses require follow-up.

1-16. Any Concerns marked on scored items? YES no Comments:
17. Eating/sleeping concerns? YES no Comments:
18. Other worries? YES no Comments:
  1. FOLLOW-UP REFERRAL CONSIDERATIONS: Mark all as Yes, No, or Unsure (Y, N, U). See pages 98-103 in the ASQ:SE-2 User's Guide.

Setting/time factors (e.g., Is the baby's behavior the same at home as at school?)

Developmental factors (e.g., Is the baby's behavior related to a developmental stage or delay?)

Health factors (e.g., Is the baby's behavior related to health or biological factors?)

Family/cultural factors (e.g., Is the baby's behavior acceptable given the baby's cultural or family context? Have there been any stressful events in the baby's life recently?)

Parent concerns (e.g., Did the parent/caregiver express any concerns about the baby's behavior?)

  1. FOLLOW-UP ACTION: Check all that apply.

Provide activities and rescreen inmonths.

Share results with primary health care provider.

Provide parent education materials.

___, Provide information about available parenting classes or support groups.

Have another caregiver complete ASQ:SE-2. List caregiver here (e.g., grandparent, teacher):

Administer developmental screening (e.g., ASQ-3).

___ Refer to early intervention/early childhood special education.

Refer for social-emotional, behavioral, or mental health evaluation.

Other:.......................................................................................................................................................................................................

P201020400

Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ:SE-2™), Squires, Bricker, & Twombly.

© 2015 Paul H. Brookes Publishing Co., !nc. All rights reserved.

Attachment 2

íãÃSQ-31 Ages & Stages

’ Questionnaires®

Æ 13 months 0 days through 14 months 30 days

I ¿r Month Questionnaire

Please provide th’e following information. Use black or blue ink only and print legibly when completing this form.

Date ASQ completed:

Baby's information

Baby's first name:

Baby's date of birth:

Middle initial:

Baby's last name:

If baby was born 3 or more weeks prematurely, # of weeks premature:

Baby's gender:

O Male O

Person filling out questionnaire

First name:

Middle initial:

Street address:

Last name:

Relationship to baby:

(^) Parent Guardian

  1. Grandparent Foster
  2. r other parent

relative

State/ Province:

ZIP/

Postal code:

Country:

Home telephone number:

Other telephone number:

E-mail address:

Names of people assisting in questionnaire completion:

Program Information

Baby ID#:

Program ID #:

Age at administration in months and days:

If premature, adjusted age in months and days:

Program name:

P101140101

Ages & Stages Questionnaires®, Third Edition (ASQ-3rM), Squires & Bricker

© 2009 Pau! H. Brookes Publishing Co. All rights reserved.

  1. ASQ3j1 4 Month Questionnaire thmugh s3°dda£
  2. thefoííowíng pages are questions about activities babies may do. Your baby may have already done some of the activities described here, and there may be some your baby has not begun doing yet. For each item, please fill in the circle that indicates whether your baby is doing the activity regularly, sometimes, or not yet.

Important Points to Remëmber: Notes:

EÍ Try each activity with your baby before marking a response. »

EÍ Make completing this questionnaire a game that is fun for you and your baby.

Make sure your baby is rested and fed. -----------

  1. Please return this questionnaire by
  2. this age, many toddlers may not be cooperative when asked to do things. You may need to try the following activities with your baby more than one time. If possible, try the activities when your baby is cooperative. If your baby can do the activity but refuses, mark "yes" for the item. ‘

COMMUNICATION

  1. Does your baby say three words, such as "Mama," "Dada," and "Baba"? (A "word" is a sound or sounds your baby says consistently to mean someone or something.)
  2. When your baby wants something, does she tell you by pointing to it?
  3. Does your baby shake his head when he means "no" or "yes"?
  4. Does your baby point to, pat, or try to pick up pictures in a book?
  5. Does your baby say four or more words in addition to "Mama" and "Dada"?
  6. When you ask her to, does your baby go into another room to find a familiar toy or object? (You might ask, "Where is your ball?" or say, "Bring me your coat," or "Go get your blanket.")
YES

SOMETIMES

o

NOT YET
o o o
o

o

I

o o (2)
(2) o o
o o o ........—*
COMMUNICATION TOTAL

GROSS MOTOR

1. If you hold both hands just to balance your baby, does he take several steps without tripping or falling? (If your baby already walks alone, mark "yes" for this item.)

2. When you hold one hand just to balance your baby, does she take several steps forward? (If your baby already walks alone, mark "yes" for this item.)

EW114020I

Ages & Stages Questionnaires®, Third Edition (ASQ-3™), Squires & Bricker

© 2009 Paul H. Brookes Publishing Co. Ail rights reserved.

NOT YET

page 2 of 6

14 Month Questionnaire

page 3 of 6

i^ASQ-3)

GROSS MOTOR (continued)

  1. Does your baby stand up in the middle of the floor by himself and take several steps forward?
  2. Does your baby climb onto furniture or other large objects, such as large climbing blocks?
  3. Does your baby bend over or squat to pick up an obj'ect from the floor and then stand up again without any support?
  4. Does your baby move around by walking, rather than by crawling on his hands and knees?
YES

SOMETIMES

o

NOT YET
(2) . o (2)
o o o.
^2) o o
GROSS MOTOR TOTAL

FINE MOTOR

YES

1. Without resting her arm or hand on the table, does your baby pick up a crumb or Cheerio with the tips of her thumb and a finger?

2.

Does your baby throw a small ball with a forward arm motion? (If he simply drops the ball, mark "not yet" for this item.)

  1. Does your baby help turn the pages of a book? (You may lift a page for her to grasp.)
  1. Does your baby stack a small block or toy on top of another one? (You could also use spools of thread, small boxes, or toys that are about 1 inch in size.)
  1. Does your baby make a mark on the paper with the tip of a crayon (or pencil or pen) when trying to draw?

o

  1. Does your baby stack three small blocks or toys on top of each other by herself?

SOMETIMES

NOT YET

FINE MOTOR TOTAL
E101140301

Ages & Stages Questionnaires®, Third Edition (ASQ-3™), Squires & Bricker

© 2009 Paul H. Brookes Publishing Co. All rights reserved.

aAsoą

PROBLEM SOLVING

1. If you put a small toy into a bowl or box, does your baby copy you by putting in a toy, although he may not let go of it? (If he already lets go of the toy into a bowl or box, mark "yes" for this item.)

Does your baby drop two small toys, one after the other, into a container like a bowl or box? (You may show her how to do it.)

  1. After you scribble back and forth on paper with a crayon (or a pencil or pen), does your baby copy you by scribbling? (If he already scribbles on his own, mark "yes" for this item.)
  2. Can your baby drop a crumb or Cheerio into a small, clèar bottle (such as a plastic soda-pop bottle or baby bottle)?
  3. Does your baby drop'several small toys, one after another, into a container like a bowl or box? (You may show her how to do it.)
  1. After you have shown your baby how, does he try to get a small toy that is slightly out of reach by using a spoon, stick, or similar tool?

14 Month Questionnaire page 4 of 6

YES SOMETIMES NOT YET

PROBLEM SOLVING TOTAL

PERSONAL-SOCIAL TOTAL

*lf Problem Solving Item 2 is marked "yes" or "sometimes," mark Problem Solving Item 1 as "yes. "

PERSONAL-SOCIAL YES SOMETIMES NOT YET
1. When you dress your baby, does she lift her foot for her shoe, sock, or pant leg? Q) O —
2. Does your baby roll or throw a ball back to you so that you can return it to him? o O —
3. Does your baby play with a doll or stuffed animal by hugging it? o o —
4. Does your baby feed herself with a spoon, even though she may spill some food? o o _
5. Does your baby help undress himself by taking off clothes like socks, hat, shoes, or mittens? o O —
6. Does your baby get your attention or try to show you something by pulling on your hand or clothes? o o O —
E101140401

Ages & Stages Questionnaires®, Third Edition (ASQ-3™), Squires & Bricker

© 2009 Paul H. Brookes Publishing Co. Ail rights reserved.

14 Month Questionnaire page 5 of 6

OVERALL
Parents and providers may use the space below for additional comments.
1. Does your baby use both hands and both legs equally well? If no, explain: O YES O NO
V
2. Does your baby play with sounds or seem to make words? If no, explain: O yes O NO
1
3. When your baby is standing, are her feet flat on the surface most of the time? If no, explain: O yes O NO
4. Do you have concerns that your baby is too quiet or does not make sounds like other babies do? If yes, explain: O YES O NO

5. Does either parent have a family history of childhood deafness or hearing impairment? If yes, explain:

E101140501

Ages & Stages Questionnaires®, Third Edition (ASQ-3'™), Squires & Bricker

© 2009 Paul H. Brookes Publishing Co. All rights reserved.

SŁASO-ą

OVERALL

(continued)

6. Do you have concerns about your baby's vision? If yes, explain:

14 Month Questionnaire page 6 of 6

O YES

NO

  1. Has your baby had any medical problems in the last several months? If yes, explain:
  1. you have any concerns about your baby's behavior? If yes, explain:

9. Does anything about your baby worry you? If yes, explain:

NO

E101140601

Ages & Stages Questionnaires®, Third Edition (ASQ-3™), Squires & Bricker

© 2009 Paul H. Brookes Publishing Co. All rights reserved.

[CASOSI

M Month ASQ-3 Information Summary 13 mon^s

J 74 months 3U days

Baby's name:. Date ASQ completed:

Baby's ID ft:

Administering program/provider:---------------------------------------------------------—

Date of birth: ________________________________________________

Was age adjusted for prematurity

when selecting questionnaire? (2) Yes Q Nq

1. SCORE AND TRANSFER TOTALS TO CHART BELOW; See ASQ-3 User's Guide for details, including how to adjust scores if item responses are missing. Score each item (YES =10, SOMETIMES = 5, NOT YET = 0). Add item scores, and record each area total. In the chart below, transfer the total scores, and fill in the circles corresponding with the total scores.

Area Cutoff 30 35 40 45 50 55 60
Communication 17.40 ¡SÍ ^0 5 10 15 -20 25 O q q o o o o
Gross Motor 25.80 „ Q •ö o o o o
Fine Motor 23.06 ■ » mi —--—"Win y ■ o M0 (2) o o o o
Problem Solving 22.5Ó o. MO o Q Q o o
Personal-Social 23.18 CD- o M^_ (2) o o o o

2. TRANSFER OVERALL RESPONSES: Bolded uppercase responses require follow-up. See ASQ-3 User's Guide, Chapter 6.

1. Uses both hands and both legs equally well? Comments: Yes NO 6. Concerns about vision? Comments: YES No
2. Plays with sounds or seems to make words? Comments: Yes NO 7.

Any medical problems?

Comments:

YES No
3. Feet are flat on the surface most of the time? Comments: Yes NO 8.

Concerns about behavior?

Comments:

YES No
4.

Concerns about not making sounds?

Comments:

YES No 9.

Other concerns?

Comments:

YES No
5. Family history of hearing impairment? Comments: YES No
  1. ASQ SCORE INTERPRETATION AND RECOMMENDATION FOR FOLLOW-UP: You must consider total area scores, overall responses, and other considerations, such as opportunities to practice skills, to determine appropriate follow-up.
  2. the baby's total score is in the £□ area, it is above the cutoff, and the baby's development appears to be on schedule.
  3. the baby's total score is in theUZZI area, it is close to the cutoff. Provide learning activities and monitor.
  4. the baby's total score is in the ■■ area, it is below the cutoff. Further assessment with a professional may be needed.
  5. FOLLOW-UP ACTION TAKEN: Check all that apply.

Provide activities and rescreen inmonths.

Share results with primary health care provider.

Refer for (circle all that apply) hearing, vision, and/or behavioral screening.

Refer to primary health care provider or other community agency (specify

reason):.

Referto early intervention/early childhood special education.

No further action taken at this time

Other (specifỳ):

5. OPTIONAL: Transfer item responses (Y = YES, S = SOMETIMES, N = NOT YET, X = response missing).

1 2 3 4 5 6
Communication
Grofes Motor
Fine Motor
Problem Solving
Personal-Social
P101140701

Ages & Stages Questionnaires®, Third Edition (ASQ-3™), Squires & Bricker

© 2009 Paul H. Brookes Publishing Co. All rights reserved.