The Ages & Stages Questionnaires 18 Month (ASQ-3) form screens children aged 17 months 0 days to 18 months 30 days. Fill it out using black or blue ink. Start by recording the child's name, gender, date of birth, and whether the child was born prematurely.
The questionnaire assesses five developmental areas: communication, gross motor, fine motor, problem-solving, and personal-social skills. Each section contains targeted questions to observe and record age-specific abilities. Try each activity with the child before recording an answer for the most accurate results.
The final section asks about hearing, speech, physical abilities, and family medical history. Bring the completed form to your child's next pediatric visit. For related tools, see the ASQ 14-month questionnaire, the ASQ-3 questionnaire, and the ASQ 54-month questionnaire.
| Question | Answer |
|---|---|
| Form Name | Ages Stages 18 Month Form |
| Form Length | 6 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min 30 sec |
| Other names | 18month asq, ages stages 18 questionnaires, ages stages 18 month pdf, printable asq forms |