• 9 Month ASQ

    9 Month ASQ

    9 months 0 days through 9 months 30 days
  • 9 Month Questionnaire 9 months 0 days through 9 months 30 days

  • Please provide the following information:

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  • The person filling out the questionnaire

  • On the following 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 Remember

  • COMMUNICATION

  • GROSS MOTOR

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  • FINE MOTOR

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  • PROBLEM SOLVING

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  • PERSONAL-SOCIAL

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  • OVERALL

  • Parents and providers may use the space below for additional comments.

  • Ages & Stages Questionnaires®, Third Edition (ASQ-3T), Squires & Bricker © 2009 Paul H. Brookes Publishing Co. All rights reserved.

  • The END

    Please click the green "Submit" button below to finish and send your answer to the office. Thank you.
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