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HUMAN_DEVELOPMENT
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DDI-KEN-APHRC-SAVINGBRAINS-2024-V1.0
Exploring the use of mobile phone technology for optimizing, tracking and responding to children's developmental progress in Korogocho, Nairobi, Kenya, Saving Brains
KENYA
,
2019
Human Development (HD)
Patricia Kitsao-Wekulo
Study description
Documentation
Data Description
Get Microdata
Data files
SavingBrains_BaselineData
Data file: SavingBrains_BaselineData
Cases
254
Variables
2121
Variables
id
Anonymized respondent ID
saving_brains_q1p3
1.3 DATE OF INTERVIEW (DD/MM/YYYY)
sb_kap_q3p2
3.2. Do you have any children aged between 6 and 24 months under your care?
sb_kap_q3p2_no
3.2. (ii) How many are they?
caregiver_age
3.4 (ii) Age of caregiver (years)
sb_kap_q3p5
3.5. What is your relationship to the child ?
sb_kap_q3p5_os
3.5. Other relationship ( Specify )
sb_kap_q3p6
3.6. What is your marital status ?
sb_kap_q4p0
4 Please indicate the number of household members who live here ( including you
sb_kap_q4p2_1
1 Resides in household?
sb_kap_q4p3_1
1 Relationship to you?
sb_kap_q4p4_1
1 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_1
1 Age of HH member (years)
sb_kap_q4p7_1
1 Highest level of education
sb_kap_q4p8_1
1 Marital status of HH member
sb_kap_q4p2_2
2 Resides in household?
sb_kap_q4p3_2
2 Relationship to you?
sb_kap_q4p4_2
2 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_2
2 Age of HH member (years)
sb_kap_q4p7_2
2 Highest level of education
sb_kap_q4p8_2
2 Marital status of HH member
sb_kap_q4p2_3
3 Resides in household?
sb_kap_q4p3_3
3 Relationship to you?
sb_kap_q4p4_3
3 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_3
3 Age of HH member (years)
sb_kap_q4p7_3
3 Highest level of education
sb_kap_q4p8_3
3 Marital status of HH member
sb_kap_q4p2_4
4 Resides in household?
sb_kap_q4p3_4
4 Relationship to you?
sb_kap_q4p4_4
4 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_4
4 Age of HH member (years)
sb_kap_q4p7_4
4 Highest level of education
sb_kap_q4p8_4
4 Marital status of HH member
sb_kap_q4p2_5
5 Resides in household?
sb_kap_q4p3_5
5 Relationship to you?
sb_kap_q4p4_5
5 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_5
5 Age of HH member (years)
sb_kap_q4p7_5
5 Highest level of education
sb_kap_q4p8_5
5 Marital status of HH member
sb_kap_q4p2_6
6 Resides in household?
sb_kap_q4p3_6
6 Relationship to you?
sb_kap_q4p4_6
6 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_6
6 Age of HH member (years)
sb_kap_q4p7_6
6 Highest level of education
sb_kap_q4p8_6
6 Marital status of HH member
sb_kap_q4p2_7
7 Resides in household?
sb_kap_q4p3_7
7 Relationship to you?
sb_kap_q4p4_7
7 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_7
7 Age of HH member (years)
sb_kap_q4p7_7
7 Highest level of education
sb_kap_q4p8_7
7 Marital status of HH member
sb_kap_q4p2_8
8 Resides in household?
sb_kap_q4p3_8
8 Relationship to you?
sb_kap_q4p4_8
8 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_8
8 Age of HH member (years)
sb_kap_q4p7_8
8 Highest level of education
sb_kap_q4p8_8
8 Marital status of HH member
sb_kap_q4p2_9
9 Resides in household?
sb_kap_q4p3_9
9 Relationship to you?
sb_kap_q4p4_9
9 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_9
9 Age of HH member (years)
sb_kap_q4p7_9
9 Highest level of education
sb_kap_q4p8_9
9 Marital status of HH member
sb_kap_q4p2_10
10 Resides in household?
sb_kap_q4p3_10
10 Relationship to you?
sb_kap_q4p4_10
10 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_10
10 Age of HH member (years)
sb_kap_q4p7_10
10 Highest level of education
sb_kap_q4p8_10
10 Marital status of HH member
sb_kap_q4p2_11
11 Resides in household?
sb_kap_q4p3_11
11 Relationship to you?
sb_kap_q4p4_11
11 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_11
11 Age of HH member (years)
sb_kap_q4p7_11
11 Highest level of education
sb_kap_q4p8_11
11 Marital status of HH member
sb_kap_q4p2_12
12 Resides in household?
sb_kap_q4p3_12
12 Relationship to you?
sb_kap_q4p4_12
12 Sex of HH member (sb_kap_q4p1)
sb_kap_q4p6_age_12
12 Age of HH member (years)
sb_kap_q4p7_12
12 Highest level of education
sb_kap_q4p8_12
12 Marital status of HH member
sb_kap_q5p1
5.1. What is the main source of drinking water for members of your household?
sb_kap_q5p1_os
5.1. Other (Specify)
sb_kap_q5p2
5.2. What kind of toilet facility do your household members usually use?
sb_kap_q5p2_os
5.2. Other (Specify)
sb_kap_q5p3p1_label
Label
sb_kap_q5p3p1p1
a. Car or truck
sb_kap_q5p3p1p2
b. Motorcycle
sb_kap_q5p3p1p3
c. Bicycle
sb_kap_q5p3p1p4
d. Refrigerator
sb_kap_q5p3p1p5
e. Television
sb_kap_q5p3p1p6
f. Radio/Stereo
sb_kap_q5p3p1p7
g. DVD Player
sb_kap_q5p3p2_label
Label
sb_kap_q5p3p2p1
a. Sewing machine
sb_kap_q5p3p2p2
b. Electric iron
sb_kap_q5p3p2p3
c. Fan
sb_kap_q5p3p2p4
d. Mobile phone
sb_kap_q5p3p2p5
e. Gas Cooker
sb_kap_q5p3p2p6
f. Sofa
sb_kap_q5p3p2p7
g. Table
sb_kap_q5p3p3_label
Label
sb_kap_q5p3p3p1
a. Torch
sb_kap_q5p3p3p2
b. Kerosene lamp
sb_kap_q5p3p3p3
c. Kerosene stove
sb_kap_q5p3p3p4
d. Wall clock
sb_kap_q5p3p3p5
e. Mattress
sb_kap_q5p3p3p6
f. Blankets
sb_kap_q5p3p3p7
g. Bed
sb_kap_q5p4
5.4. How many income earners are there in the household? (Insert number. If no
sb_kap_q5p5
5.5. How much did this household receive or earn in the last 30 days ?
sb_kap_q6p0_label
6.0 PRACTICES (Caregiver involvement with child)
sb_kap_q6p1
6.1. In the past three days, did you or any household member over 15 years of age engage in any of the following activities with your child
sb_kap_q6p1_1
Read books or looked at pictures together with the child
sb_kap_q6p1_2
Told stories to child
sb_kap_q6p1_3
Sang songs to child
sb_kap_q6p1_4
Took child outside of the home
sb_kap_q6p1_5
Played with child
sb_kap_q6p1_6
Named or counted, or drew things to or with child
sb_kap_q6p1_99
Nobody has done the above activities
sb_kap_q6p0_grp_a_b_count
Total number of activities child was engaged in the past 3 days
this_selection_1
Activity 1
this_selection_label_1
Description of activity 1 (depends on activity [this_selection_1])
sb_kap_q6p1a_1
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_1_1
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_2_1
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_3_1
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_4_1
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_5_1
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_6_1
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_96_1
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_os_1
6.1. Other (Specify)
sb_kap_q6p1b_1
6.1 (b) How often?
this_selection_2
Activity 2
this_selection_label_2
Description of activity 2 (depends on activity [this_selection_2])
sb_kap_q6p1a_2
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_1_2
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_2_2
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_3_2
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_4_2
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_5_2
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_6_2
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_96_2
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_os_2
6.1. Other (Specify)
sb_kap_q6p1b_2
6.1 (b) How often?
this_selection_3
Activity 3
this_selection_label_3
Description of activity 3 (depends on activity [this_selection_3])
sb_kap_q6p1a_3
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_1_3
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_2_3
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_3_3
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_4_3
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_5_3
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_6_3
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_96_3
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_os_3
6.1. Other (Specify)
sb_kap_q6p1b_3
6.1 (b) How often?
this_selection_4
Activity 4
this_selection_label_4
Description of activity 4 (depends on activity [this_selection_4])
sb_kap_q6p1a_4
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_1_4
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_2_4
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_3_4
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_4_4
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_5_4
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_6_4
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_96_4
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_os_4
6.1. Other (Specify)
sb_kap_q6p1b_4
6.1 (b) How often?
this_selection_5
Activity 5
this_selection_label_5
Description of activity 5 (depends on activity [this_selection_5])
sb_kap_q6p1a_5
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_1_5
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_2_5
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_3_5
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_4_5
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_5_5
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_6_5
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_96_5
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_os_5
6.1. Other (Specify)
sb_kap_q6p1b_5
6.1 (b) How often?
this_selection_6
Activity 6
this_selection_label_6
Description of activity 6 (depends on activity [this_selection_6])
sb_kap_q6p1a_6
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_1_6
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_2_6
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_3_6
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_4_6
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_5_6
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_6_6
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_96_6
6.1 (a) State person(s) involved in this:: ( )
sb_kap_q6p1a_os_6
6.1. Other (Specify)
sb_kap_q6p1b_6
6.1 (b) How often?
kap_q6p2_label
6.2 KNOWLEDGE AND ATTITUDES (on child rearing)
kap_q6p2_1
1. Telling your child the name of an object for e.g. food, names of family memb
kap_q6p2_2
2. It is important to caress or kiss a child at least once in a day
kap_q6p2_3
3. A parent needs to spank or beat young children when they are rude or they wi
kap_q6p2_4i
4 (i). Taking a child to a kiosk/shop at least once a week is important
kap_q6p2_4
4. It is important to take the child to the clinic for health check-up and regu
kap_q6p2_5
5. There is no need to give toys to children who are aged one year and under
kap_q6p2_6
6. It is important for a caregiver or other people to keep a child in visual ra
kap_q6p2_7
7. It is important for a child to eat food with both parents at least once a da
kap_q6p2_8
8. Talking to a child when carrying out household activities is important for t
kap_q6p2_9
9. Young children should not be held when they cry because this will make them
interview_comment
Any comments about the interview
erd_q7p8_label
PARENTAL STRESS SCALE(PARENTAL STRESS INDEX-PSI)
erd_q7p8_1
1. I am happy in my role as a parent
erd_q7p8_2
2. There is little or nothing I wouldn't do for my child(ren) if it was necessa
erd_q7p8_3
3. Caring for my child(ren) sometimes takes more time and energy than I have to
erd_q7p8_4
4. I sometimes worry whether I am doing enough for my child(ren).
erd_q7p8_5
5. I feel close to my child(ren)
erd_q7p8_6
6. I enjoy spending time with my child(ren)
erd_q7p8_7
7. My child(ren) is an important source of affection for me
erd_q7p8_8
8. Having child(ren) gives me a more certain and optimistic view for the future
erd_q7p8_9
9. The major source of stress in my life is my child
erd_q7p8_10
10. Having a child leaves little time and flexibility in my life
erd_q7p8_11
11. Having a child has been a financial burden
erd_q7p8_12
12. It is difficult to balance different responsibilities because of my child(r
erd_q7p8_13
13. The behaviour of my child(ren) is often embarrassing or stressful to me.
erd_q7p8_14
14. If I had it to do over again, I might decide not to have a child(ren)
erd_q7p8_15
15. I feel overwhelmed by the responsibility of being a parent
erd_q7p8_16
16. Having child(ren) has meant having too few choices and too little control o
erd_q7p8_17
17. I am satisfied as a parent
erd_q7p8_18
18. I find my child(ren) enjoyable
asq_q2_3
2.3. CHILD'S DATE OF BIRTH ( )
asq_q2_3_confirmation
2.3 ii Where did you confirm the date of birth from?
child_age
2.3 ii Age of child (months)
asq_q2_4
2.4. CHILD'S SEX
asq_6m_cm_label
COMMUNICATION
asq_6m_cm_q1
1. Does your baby make high-pitched squeals?
asq_6m_cm_q1_1
Yes
asq_6m_cm_q1_2
Sometimes
asq_6m_cm_q1_3
Not yet
asq_6m_cm_q1_4
Observed
asq_6m_cm_q2
2. When playing with sounds, does your baby make grunting, growling, or other d
asq_6m_cm_q2_1
Yes
asq_6m_cm_q2_2
Sometimes
asq_6m_cm_q2_3
Not yet
asq_6m_cm_q2_4
Observed
asq_6m_cm_q3
3. If you call your baby when you are out of sight, does she look in the di- re
asq_6m_cm_q3_1
Yes
asq_6m_cm_q3_2
Sometimes
asq_6m_cm_q3_3
Not yet
asq_6m_cm_q3_4
Observed
asq_6m_cm_q4
4. When a loud noise occurs, does your baby turn to see where the sound came fr
asq_6m_cm_q4_1
Yes
asq_6m_cm_q4_2
Sometimes
asq_6m_cm_q4_3
Not yet
asq_6m_cm_q4_4
Observed
asq_6m_cm_q5
5. Does your baby make sounds like'da,' 'ga,' 'ka,' and 'ba'?
asq_6m_cm_q5_1
Yes
asq_6m_cm_q5_2
Sometimes
asq_6m_cm_q5_3
Not yet
asq_6m_cm_q5_4
Observed
asq_6m_cm_q6
6. If you copy the sounds your baby makes, does your baby repeat the same sound
asq_6m_cm_q6_1
Yes
asq_6m_cm_q6_2
Sometimes
asq_6m_cm_q6_3
Not yet
asq_6m_cm_q6_4
Observed
asq_6m_cm_comment
COMMENTS ON COMMUNICATION
asq_6m_gm_label
GROSS MOTOR
asq_6m_gm_q1
1. While your baby is on his back, does your baby lift his legs high enough to
asq_6m_gm_q1_1
Yes
asq_6m_gm_q1_2
Sometimes
asq_6m_gm_q1_3
Not yet
asq_6m_gm_q1_4
Observed
asq_6m_gm_q2
2. When your baby is on her tummy, does she straighten both arms and push her w
asq_6m_gm_q2_1
Yes
asq_6m_gm_q2_2
Sometimes
asq_6m_gm_q2_3
Not yet
asq_6m_gm_q2_4
Observed
asq_6m_gm_q3
3. Does your baby roll from his back to his tummy, getting both arms out from u
asq_6m_gm_q3_1
Yes
asq_6m_gm_q3_2
Sometimes
asq_6m_gm_q3_3
Not yet
asq_6m_gm_q3_4
Observed
asq_6m_gm_q4
4. When you put your baby on the floor, does she lean on her hands while sittin
asq_6m_gm_q4_1
Yes
asq_6m_gm_q4_2
Sometimes
asq_6m_gm_q4_3
Not yet
asq_6m_gm_q4_4
Observed
asq_6m_gm_q5
5. If you hold both hands just to balance your baby, does he support his own we
asq_6m_gm_q5_1
Yes
asq_6m_gm_q5_2
Sometimes
asq_6m_gm_q5_3
Not yet
asq_6m_gm_q5_4
Observed
asq_6m_gm_q6
6. Does your baby get into a crawling position by getting up on her hands and k
asq_6m_gm_q6_1
Yes
asq_6m_gm_q6_2
Sometimes
asq_6m_gm_q6_3
Not yet
asq_6m_gm_q6_4
Observed
asq_6m_gm_comment
COMMENTS ON GROSS MOTOR
asq_6m_fm_label
FINE MOTOR
asq_6m_fm_q1
1. Does your baby grab a toy you offer and look at it, wave it about, or chew o
asq_6m_fm_q1_1
Yes
asq_6m_fm_q1_2
Sometimes
asq_6m_fm_q1_3
Not yet
asq_6m_fm_q1_4
Observed
asq_6m_fm_q2
2. Does your baby reach for or grasp a toy using both hands at once?
asq_6m_fm_q2_1
Yes
asq_6m_fm_q2_2
Sometimes
asq_6m_fm_q2_3
Not yet
asq_6m_fm_q2_4
Observed
asq_6m_fm_q3
3. Does your baby reach for a crumb or Cheerio and touch it with his finger or hands
asq_6m_fm_q3_1
Yes
asq_6m_fm_q3_2
Sometimes
asq_6m_fm_q3_3
Not yet
asq_6m_fm_q3_4
Observed
asq_6m_fm_q4
4. Does your baby pick up a small toy, holding it in the center of her hand wit
asq_6m_fm_q4_1
Yes
asq_6m_fm_q4_2
Sometimes
asq_6m_fm_q4_3
Not yet
asq_6m_fm_q4_4
Observed
asq_6m_fm_q5
5. Does your baby try to pick up a crumb or Cheerio by using his thumb and all
asq_6m_fm_q5_1
Yes
asq_6m_fm_q5_2
Sometimes
asq_6m_fm_q5_3
Not yet
asq_6m_fm_q5_4
Observed
asq_6m_fm_q6
6. Does your baby pick up a small toy with only one hand?
asq_6m_fm_q6_1
Yes
asq_6m_fm_q6_2
Sometimes
asq_6m_fm_q6_3
Not yet
asq_6m_fm_q6_4
Observed
asq_6m_fm_comment
COMMENTS ON FINE MOTOR
asq_6m_ps_label
PROBLEM SOLVING
asq_6m_ps_q1
1. When a toy is in front of your baby, does she reach for it with both hands?
asq_6m_ps_q1_1
Yes
asq_6m_ps_q1_2
Sometimes
asq_6m_ps_q1_3
Not yet
asq_6m_ps_q1_4
Observed
asq_6m_ps_q2
2. When your baby is on his back, does he turn his head to look for a toy when
asq_6m_ps_q2_1
Yes
asq_6m_ps_q2_2
Sometimes
asq_6m_ps_q2_3
Not yet
asq_6m_ps_q2_4
Observed
asq_6m_ps_q3
3. When your baby is on her back, does she try to get a toy she has dropped if
asq_6m_ps_q3_1
Yes
asq_6m_ps_q3_2
Sometimes
asq_6m_ps_q3_3
Not yet
asq_6m_ps_q3_4
Observed
asq_6m_ps_q4
4. Does your baby pick up a toy and put it in his mouth?
asq_6m_ps_q4_1
Yes
asq_6m_ps_q4_2
Sometimes
asq_6m_ps_q4_3
Not yet
asq_6m_ps_q4_4
Observed
asq_6m_ps_q5
5. Does your baby pass a toy back and forth from one hand to the other?
asq_6m_ps_q5_1
Yes
asq_6m_ps_q5_2
Sometimes
asq_6m_ps_q5_3
Not yet
asq_6m_ps_q5_4
Observed
asq_6m_ps_q6
6. Does your baby play by banging a toy up and down on the floor or table?
asq_6m_ps_q6_1
Yes
asq_6m_ps_q6_2
Sometimes
asq_6m_ps_q6_3
Not yet
asq_6m_ps_q6_4
Observed
asq_6m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_6m_sc_label
PERSONAL-SOCIAL
asq_6m_sc_q1
1. When in front of a large mirror, does your baby smile or look at herself?
asq_6m_sc_q1_1
Yes
asq_6m_sc_q1_2
Sometimes
asq_6m_sc_q1_3
Not yet
asq_6m_sc_q1_4
Observed
asq_6m_sc_q2
2. Does your baby act differently toward strangers than he does with you and ot
asq_6m_sc_q2_1
Yes
asq_6m_sc_q2_2
Sometimes
asq_6m_sc_q2_3
Not yet
asq_6m_sc_q2_4
Observed
asq_6m_sc_q3
3. While lying on her back, does your baby play by grab- bing her foot?
asq_6m_sc_q3_1
Yes
asq_6m_sc_q3_2
Sometimes
asq_6m_sc_q3_3
Not yet
asq_6m_sc_q3_4
Observed
asq_6m_sc_q4
4. When in front of a large mirror, does your baby reach out to pat the mirror?
asq_6m_sc_q4_1
Yes
asq_6m_sc_q4_2
Sometimes
asq_6m_sc_q4_3
Not yet
asq_6m_sc_q4_4
Observed
asq_6m_sc_q5
5. While your baby is on his back, does he put his foot in his mouth?
asq_6m_sc_q5_1
Yes
asq_6m_sc_q5_2
Sometimes
asq_6m_sc_q5_3
Not yet
asq_6m_sc_q5_4
Observed
asq_6m_sc_q6
6. Does your baby try to get a toy that is out of reach? (She may roll, pivot o
asq_6m_sc_q6_1
Yes
asq_6m_sc_q6_2
Sometimes
asq_6m_sc_q6_3
Not yet
asq_6m_sc_q6_4
Observed
asq_6m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_6m_oa_comment
COMMENTS ON OVERALL
asq_8m_cm_label
COMMUNICATION
asq_8m_cm_q1
1. If you call to your baby when you are out of sight, does she look in the dir
asq_8m_cm_q1_1
Yes
asq_8m_cm_q1_2
Sometimes
asq_8m_cm_q1_3
Not yet
asq_8m_cm_q1_4
Observed
asq_8m_cm_q2
2. When a loud noise occurs, does your baby turn to see where the sound came fr
asq_8m_cm_q2_1
Yes
asq_8m_cm_q2_2
Sometimes
asq_8m_cm_q2_3
Not yet
asq_8m_cm_q2_4
Observed
asq_8m_cm_q3
3. If you copy the sounds your baby makes, does your baby repeat the same sound
asq_8m_cm_q3_1
Yes
asq_8m_cm_q3_2
Sometimes
asq_8m_cm_q3_3
Not yet
asq_8m_cm_q3_4
Observed
asq_8m_cm_q4
4. Does your baby make sounds like 'da,' 'ga,' 'ka,' and 'ba'?
asq_8m_cm_q4_1
Yes
asq_8m_cm_q4_2
Sometimes
asq_8m_cm_q4_3
Not yet
asq_8m_cm_q4_4
Observed
asq_8m_cm_q5
5. Does your baby respond to the tone of your voice and stop his activity at le
asq_8m_cm_q5_1
Yes
asq_8m_cm_q5_2
Sometimes
asq_8m_cm_q5_3
Not yet
asq_8m_cm_q5_4
Observed
asq_8m_cm_q6
6. Does your baby make two similar sounds like 'ba-ba,' 'da-da,' or 'ga-ga'? (T
asq_8m_cm_q6_1
Yes
asq_8m_cm_q6_2
Sometimes
asq_8m_cm_q6_3
Not yet
asq_8m_cm_q6_4
Observed
asq_8m_cm_comment
COMMENTS ON COMMUNICATION
asq_8m_gm_label
GROSS MOTOR
asq_8m_gm_q1
1. When you put your baby on the floor, does she lean on her hands while sittin
asq_8m_gm_q1_1
Yes
asq_8m_gm_q1_2
Sometimes
asq_8m_gm_q1_3
Not yet
asq_8m_gm_q1_4
Observed
asq_8m_gm_q2
2. Does your baby roll from his back to his tummy, getting both arms out from u
asq_8m_gm_q2_1
Yes
asq_8m_gm_q2_2
Sometimes
asq_8m_gm_q2_3
Not yet
asq_8m_gm_q2_4
Observed
asq_8m_gm_q3
3. Does your baby get into a crawling position by get- ting up on her hands and
asq_8m_gm_q3_1
Yes
asq_8m_gm_q3_2
Sometimes
asq_8m_gm_q3_3
Not yet
asq_8m_gm_q3_4
Observed
asq_8m_gm_q4
4. If you hold both hands just to balance your baby, does he support his own we
asq_8m_gm_q4_1
Yes
asq_8m_gm_q4_2
Sometimes
asq_8m_gm_q4_3
Not yet
asq_8m_gm_q4_4
Observed
asq_8m_gm_q5
5. When sitting on the floor, does your baby sit up straight for several minute
asq_8m_gm_q5_1
Yes
asq_8m_gm_q5_2
Sometimes
asq_8m_gm_q5_3
Not yet
asq_8m_gm_q5_4
Observed
asq_8m_gm_q6
6. When you stand your baby next to furniture or the crib rail, does he hold on
asq_8m_gm_q6_1
Yes
asq_8m_gm_q6_2
Sometimes
asq_8m_gm_q6_3
Not yet
asq_8m_gm_q6_4
Observed
asq_8m_gm_comment
COMMENTS ON GROSS MOTOR
asq_8m_fm_label
FINE MOTOR
asq_8m_fm_q1
1. Does your baby reach for a crumb or Cheerio and touch it with her finger or
asq_8m_fm_q1_1
Yes
asq_8m_fm_q1_2
Sometimes
asq_8m_fm_q1_3
Not yet
asq_8m_fm_q1_4
Observed
asq_8m_fm_q2
2. Does your baby pick up a small toy, holding it in the center of his hand wit
asq_8m_fm_q2_1
Yes
asq_8m_fm_q2_2
Sometimes
asq_8m_fm_q2_3
Not yet
asq_8m_fm_q2_4
Observed
asq_8m_fm_q3
3. Does your baby try to pick up a crumb or Cheerio by using her thumb and all
asq_8m_fm_q3_1
Yes
asq_8m_fm_q3_2
Sometimes
asq_8m_fm_q3_3
Not yet
asq_8m_fm_q3_4
Observed
asq_8m_fm_q4
4. Does your baby pick up a small toy with only one hand?
asq_8m_fm_q4_1
Yes
asq_8m_fm_q4_2
Sometimes
asq_8m_fm_q4_3
Not yet
asq_8m_fm_q4_4
Observed
asq_8m_fm_q5
5. Does your baby successfully pick up a crumb or Cheerio by using his thumb an
asq_8m_fm_q5_1
Yes
asq_8m_fm_q5_2
Sometimes
asq_8m_fm_q5_3
Not yet
asq_8m_fm_q5_4
Observed
asq_8m_fm_q6
6. Does your baby pick up a small toy with the tips of her thumb and fingers? (
asq_8m_fm_q6_1
Yes
asq_8m_fm_q6_2
Sometimes
asq_8m_fm_q6_3
Not yet
asq_8m_fm_q6_4
Observed
asq_8m_fm_comment
COMMENTS ON FINE MOTOR
asq_8m_ps_label
PROBLEM SOLVING
asq_8m_ps_q1
1. Does your baby pick up a toy and put it in his mouth?
asq_8m_ps_q1_1
Yes
asq_8m_ps_q1_2
Sometimes
asq_8m_ps_q1_3
Not yet
asq_8m_ps_q1_4
Observed
asq_8m_ps_q2
2. When your baby is on her back, does she try to get a toy she has dropped if
asq_8m_ps_q2_1
Yes
asq_8m_ps_q2_2
Sometimes
asq_8m_ps_q2_3
Not yet
asq_8m_ps_q2_4
Observed
asq_8m_ps_q3
3. Does your baby play by banging a toy up and down on the floor or table?
asq_8m_ps_q3_1
Yes
asq_8m_ps_q3_2
Sometimes
asq_8m_ps_q3_3
Not yet
asq_8m_ps_q3_4
Observed
asq_8m_ps_q4
4. Does your baby pass a toy back and forth from one hand to the other?
asq_8m_ps_q4_1
Yes
asq_8m_ps_q4_2
Sometimes
asq_8m_ps_q4_3
Not yet
asq_8m_ps_q4_4
Observed
asq_8m_ps_q5
5. Does your baby pick up two small toys, one in each hand, and hold onto them
asq_8m_ps_q5_1
Yes
asq_8m_ps_q5_2
Sometimes
asq_8m_ps_q5_3
Not yet
asq_8m_ps_q5_4
Observed
asq_8m_ps_q6
6. When holding a toy in his hand, does your baby bang it against another toy o
asq_8m_ps_q6_1
Yes
asq_8m_ps_q6_2
Sometimes
asq_8m_ps_q6_3
Not yet
asq_8m_ps_q6_4
Observed
asq_8m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_8m_sc_label
PERSONAL-SOCIAL
asq_8m_sc_q1
1. When lying on her back, does your baby play by grabbing her foot?
asq_8m_sc_q1_1
Yes
asq_8m_sc_q1_2
Sometimes
asq_8m_sc_q1_3
Not yet
asq_8m_sc_q1_4
Observed
asq_8m_sc_q2
2. When in front of a large mirror, does your baby reach out to pat the mirror?
asq_8m_sc_q2_1
Yes
asq_8m_sc_q2_2
Sometimes
asq_8m_sc_q2_3
Not yet
asq_8m_sc_q2_4
Observed
asq_8m_sc_q3
3. Does your baby try to get a toy that is out of reach? (He may roll, pivot on
asq_8m_sc_q3_1
Yes
asq_8m_sc_q3_2
Sometimes
asq_8m_sc_q3_3
Not yet
asq_8m_sc_q3_4
Observed
asq_8m_sc_q4
4. While your baby is on her back, does she put her foot in her mouth?
asq_8m_sc_q4_1
Yes
asq_8m_sc_q4_2
Sometimes
asq_8m_sc_q4_3
Not yet
asq_8m_sc_q4_4
Observed
asq_8m_sc_q5
5. Does your baby drink water, juice, or formula from a cup while you hold it?
asq_8m_sc_q5_1
Yes
asq_8m_sc_q5_2
Sometimes
asq_8m_sc_q5_3
Not yet
asq_8m_sc_q5_4
Observed
asq_8m_sc_q6
6. Does your baby feed himself a cracker or a cookie?
asq_8m_sc_q6_1
Yes
asq_8m_sc_q6_2
Sometimes
asq_8m_sc_q6_3
Not yet
asq_8m_sc_q6_4
Observed
asq_8m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_8m_oa_comment
COMMENTS ON OVERALL
asq_9m_cm_label
COMMUNICATION
asq_9m_cm_q1
1. Does your baby make sounds like'da,' 'ga,' 'ka,' and 'ba'?
asq_9m_cm_q1_1
Yes
asq_9m_cm_q1_2
Sometimes
asq_9m_cm_q1_3
Not yet
asq_9m_cm_q1_4
Observed
asq_9m_cm_q2
2. If you copy the sounds your baby makes, does your baby repeat the same sound
asq_9m_cm_q2_1
Yes
asq_9m_cm_q2_2
Sometimes
asq_9m_cm_q2_3
Not yet
asq_9m_cm_q2_4
Observed
asq_9m_cm_q3
3. Does your baby make two similar sounds like 'ba-ba,' 'da-da,' or 'ga-ga'? (T
asq_9m_cm_q3_1
Yes
asq_9m_cm_q3_2
Sometimes
asq_9m_cm_q3_3
Not yet
asq_9m_cm_q3_4
Observed
asq_9m_cm_q4
4. If you ask your baby to, does he play at least one nursery game even if you
asq_9m_cm_q4_1
Yes
asq_9m_cm_q4_2
Sometimes
asq_9m_cm_q4_3
Not yet
asq_9m_cm_q4_4
Observed
asq_9m_cm_q5
5. Does your baby follow one simple command, such as 'Come here,' 'Give it to m
asq_9m_cm_q5_1
Yes
asq_9m_cm_q5_2
Sometimes
asq_9m_cm_q5_3
Not yet
asq_9m_cm_q5_4
Observed
asq_9m_cm_q6
6. Does your baby say three words, such as 'Mama,' 'Dada,' and 'Baba'? (A 'word
asq_9m_cm_q6_1
Yes
asq_9m_cm_q6_2
Sometimes
asq_9m_cm_q6_3
Not yet
asq_9m_cm_q6_4
Observed
asq_9m_cm_comment
COMMENTS ON COMMUNICATION
asq_9m_gm_label
GROSS MOTOR
asq_9m_gm_q1
1. If you hold both hands just to balance your baby, does she support her own w
asq_9m_gm_q1_1
Yes
asq_9m_gm_q1_2
Sometimes
asq_9m_gm_q1_3
Not yet
asq_9m_gm_q1_4
Observed
asq_9m_gm_q2
2. When sitting on the floor, does your baby sit up straight for several minute
asq_9m_gm_q2_1
Yes
asq_9m_gm_q2_2
Sometimes
asq_9m_gm_q2_3
Not yet
asq_9m_gm_q2_4
Observed
asq_9m_gm_q3
3. When you stand your baby next to furniture or the crib rail, does she hold o
asq_9m_gm_q3_1
Yes
asq_9m_gm_q3_2
Sometimes
asq_9m_gm_q3_3
Not yet
asq_9m_gm_q3_4
Observed
asq_9m_gm_q4
4. While holding onto furniture, does your baby bend down and pick up a toy fro
asq_9m_gm_q4_1
Yes
asq_9m_gm_q4_2
Sometimes
asq_9m_gm_q4_3
Not yet
asq_9m_gm_q4_4
Observed
asq_9m_gm_q5
5. While holding onto furniture, does your baby lower himself with control (wit
asq_9m_gm_q5_1
Yes
asq_9m_gm_q5_2
Sometimes
asq_9m_gm_q5_3
Not yet
asq_9m_gm_q5_4
Observed
asq_9m_gm_q6
6. Does your baby walk beside furniture while holding on with only one hand?
asq_9m_gm_q6_1
Yes
asq_9m_gm_q6_2
Sometimes
asq_9m_gm_q6_3
Not yet
asq_9m_gm_q6_4
Observed
asq_9m_gm_comment
COMMENTS ON GROSS MOTOR
asq_9m_fm_label
FINE MOTOR
asq_9m_fm_q1
1. Does your baby pick up a small toy with only one hand?
asq_9m_fm_q1_1
Yes
asq_9m_fm_q1_2
Sometimes
asq_9m_fm_q1_3
Not yet
asq_9m_fm_q1_4
Observed
asq_9m_fm_q2
2. Does your baby successfully pick up a crumb or Cheerio by using her thumb an
asq_9m_fm_q2_1
Yes
asq_9m_fm_q2_2
Sometimes
asq_9m_fm_q2_3
Not yet
asq_9m_fm_q2_4
Observed
asq_9m_fm_q3
3. Does your baby pick up a small toy with the tips of his thumb and fingers? (
asq_9m_fm_q3_1
Yes
asq_9m_fm_q3_2
Sometimes
asq_9m_fm_q3_3
Not yet
asq_9m_fm_q3_4
Observed
asq_9m_fm_q4
4. After one or two tries, does your baby pick up a piece of string with her fi
asq_9m_fm_q4_1
Yes
asq_9m_fm_q4_2
Sometimes
asq_9m_fm_q4_3
Not yet
asq_9m_fm_q4_4
Observed
asq_9m_fm_q5
5. Does your baby pick up a crumb or Cheerio with the tips of his thumb and a f
asq_9m_fm_q5_1
Yes
asq_9m_fm_q5_2
Sometimes
asq_9m_fm_q5_3
Not yet
asq_9m_fm_q5_4
Observed
asq_9m_fm_q6
6. Does your baby put a small toy down, without dropping it, and then take her
asq_9m_fm_q6_1
Yes
asq_9m_fm_q6_2
Sometimes
asq_9m_fm_q6_3
Not yet
asq_9m_fm_q6_4
Observed
asq_9m_fm_comment
COMMENTS ON FINE MOTOR
asq_9m_ps_label
PROBLEM SOLVING
asq_9m_ps_q1
1. Does your baby pass a toy back and forth from one hand to the other?
asq_9m_ps_q1_1
Yes
asq_9m_ps_q1_2
Sometimes
asq_9m_ps_q1_3
Not yet
asq_9m_ps_q1_4
Observed
asq_9m_ps_q2
2. Does your baby pick up two small toys, one in each hand, and hold onto them
asq_9m_ps_q2_1
Yes
asq_9m_ps_q2_2
Sometimes
asq_9m_ps_q2_3
Not yet
asq_9m_ps_q2_4
Observed
asq_9m_ps_q3
3. When holding a toy in his hand, does your baby bang it against another toy o
asq_9m_ps_q3_1
Yes
asq_9m_ps_q3_2
Sometimes
asq_9m_ps_q3_3
Not yet
asq_9m_ps_q3_4
Observed
asq_9m_ps_q4
4. While holding a small toy in each hand, does your baby clap the toys togethe
asq_9m_ps_q4_1
Yes
asq_9m_ps_q4_2
Sometimes
asq_9m_ps_q4_3
Not yet
asq_9m_ps_q4_4
Observed
asq_9m_ps_q5
5. Does your baby poke at or try to get a crumb or Cheerio that is inside a cle
asq_9m_ps_q5_1
Yes
asq_9m_ps_q5_2
Sometimes
asq_9m_ps_q5_3
Not yet
asq_9m_ps_q5_4
Observed
asq_9m_ps_q6
6. After watching you hide a small toy under a piece of paper or cloth, does yo
asq_9m_ps_q6_1
Yes
asq_9m_ps_q6_2
Sometimes
asq_9m_ps_q6_3
Not yet
asq_9m_ps_q6_4
Observed
asq_9m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_9m_sc_label
PERSONAL-SOCIAL
asq_9m_sc_q1
1. While your baby is on her back, does she put her foot in her mouth?
asq_9m_sc_q1_1
Yes
asq_9m_sc_q1_2
Sometimes
asq_9m_sc_q1_3
Not yet
asq_9m_sc_q1_4
Observed
asq_9m_sc_q2
2. Does your baby drink water, juice, or formula from a cup while you hold it?
asq_9m_sc_q2_1
Yes
asq_9m_sc_q2_2
Sometimes
asq_9m_sc_q2_3
Not yet
asq_9m_sc_q2_4
Observed
asq_9m_sc_q3
3. Does your baby feed himself a cracker or a cookie?
asq_9m_sc_q3_1
Yes
asq_9m_sc_q3_2
Sometimes
asq_9m_sc_q3_3
Not yet
asq_9m_sc_q3_4
Observed
asq_9m_sc_q4
4. When you hold out your hand and ask for her toy, does your baby offer it to
asq_9m_sc_q4_1
Yes
asq_9m_sc_q4_2
Sometimes
asq_9m_sc_q4_3
Not yet
asq_9m_sc_q4_4
Observed
asq_9m_sc_q5
5. When you dress your baby, does he push his arm through a sleeve once his arm
asq_9m_sc_q5_1
Yes
asq_9m_sc_q5_2
Sometimes
asq_9m_sc_q5_3
Not yet
asq_9m_sc_q5_4
Observed
asq_9m_sc_q6
6. When you hold out your hand and ask for her toy, does your baby let go of it
asq_9m_sc_q6_1
Yes
asq_9m_sc_q6_2
Sometimes
asq_9m_sc_q6_3
Not yet
asq_9m_sc_q6_4
Observed
asq_9m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_9m_oa_comment
COMMENTS ON OVERALL
asq_10m_cm_label
COMMUNICATION
asq_10m_cm_q1
1. Does your baby make sounds like'da,' 'ga,' 'ka,' and 'ba'?
asq_10m_cm_q1_1
Yes
asq_10m_cm_q1_2
Sometimes
asq_10m_cm_q1_3
Not yet
asq_10m_cm_q1_4
Observed
asq_10m_cm_q2
2. If you copy the sounds your baby makes, does your baby repeat the same sound
asq_10m_cm_q2_1
Yes
asq_10m_cm_q2_2
Sometimes
asq_10m_cm_q2_3
Not yet
asq_10m_cm_q2_4
Observed
asq_10m_cm_q3
3. Does your baby make two similar sounds like 'ba-ba,' 'da-da,' or 'ga-ga'? (T
asq_10m_cm_q3_1
Yes
asq_10m_cm_q3_2
Sometimes
asq_10m_cm_q3_3
Not yet
asq_10m_cm_q3_4
Observed
asq_10m_cm_q4
4. If you ask your baby to, does he play at least one nursery game even if you
asq_10m_cm_q4_1
Yes
asq_10m_cm_q4_2
Sometimes
asq_10m_cm_q4_3
Not yet
asq_10m_cm_q4_4
Observed
asq_10m_cm_q5
5. Does your baby follow one simple command, such as 'Come here,' 'Give it to m
asq_10m_cm_q5_1
Yes
asq_10m_cm_q5_2
Sometimes
asq_10m_cm_q5_3
Not yet
asq_10m_cm_q5_4
Observed
asq_10m_cm_q6
6. Does your baby say three words, such as 'Mama,' 'Dada,' and 'Baba'? (A 'word
asq_10m_cm_q6_1
Yes
asq_10m_cm_q6_2
Sometimes
asq_10m_cm_q6_3
Not yet
asq_10m_cm_q6_4
Observed
asq_10m_cm_comment
COMMENTS ON COMMUNICATION
asq_10m_gm_label
GROSS MOTOR
asq_10m_gm_q1
1. If you hold both hands just to balance your baby, does she support her own w
asq_10m_gm_q1_1
Yes
asq_10m_gm_q1_2
Sometimes
asq_10m_gm_q1_3
Not yet
asq_10m_gm_q1_4
Observed
asq_10m_gm_q2
2. When sitting on the floor, does your baby sit up straight for several minute
asq_10m_gm_q2_1
Yes
asq_10m_gm_q2_2
Sometimes
asq_10m_gm_q2_3
Not yet
asq_10m_gm_q2_4
Observed
asq_10m_gm_q3
3. When you stand your baby next to furniture or the crib rail, does she hold o
asq_10m_gm_q3_1
Yes
asq_10m_gm_q3_2
Sometimes
asq_10m_gm_q3_3
Not yet
asq_10m_gm_q3_4
Observed
asq_10m_gm_q4
4. While holding onto furniture, does your baby bend down and pick up a toy fro
asq_10m_gm_q4_1
Yes
asq_10m_gm_q4_2
Sometimes
asq_10m_gm_q4_3
Not yet
asq_10m_gm_q4_4
Observed
asq_10m_gm_q5
5. While holding onto furniture, does your baby lower himself with control (wit
asq_10m_gm_q5_1
Yes
asq_10m_gm_q5_2
Sometimes
asq_10m_gm_q5_3
Not yet
asq_10m_gm_q5_4
Observed
asq_10m_gm_q6
6. Does your baby walk beside furniture while holding on with only one hand?
asq_10m_gm_q6_1
Yes
asq_10m_gm_q6_2
Sometimes
asq_10m_gm_q6_3
Not yet
asq_10m_gm_q6_4
Observed
asq_10m_gm_comment
COMMENTS ON GROSS MOTOR
asq_10m_fm_label
FINE MOTOR
asq_10m_fm_q1
1. Does your baby pick up a small toy with only one hand?
asq_10m_fm_q1_1
Yes
asq_10m_fm_q1_2
Sometimes
asq_10m_fm_q1_3
Not yet
asq_10m_fm_q1_4
Observed
asq_10m_fm_q2
2. Does your baby successfully pick up a crumb or Cheerio by using her thumb an
asq_10m_fm_q2_1
Yes
asq_10m_fm_q2_2
Sometimes
asq_10m_fm_q2_3
Not yet
asq_10m_fm_q2_4
Observed
asq_10m_fm_q3
3. Does your baby pick up a small toy with the tips of his thumb and fingers? (
asq_10m_fm_q3_1
Yes
asq_10m_fm_q3_2
Sometimes
asq_10m_fm_q3_3
Not yet
asq_10m_fm_q3_4
Observed
asq_10m_fm_q4
4. After one or two tries, does your baby pick up a piece of string with her fi
asq_10m_fm_q4_1
Yes
asq_10m_fm_q4_2
Sometimes
asq_10m_fm_q4_3
Not yet
asq_10m_fm_q4_4
Observed
asq_10m_fm_q5
5. Does your baby pick up a crumb or Cheerio with the tips of his thumb and a f
asq_10m_fm_q5_1
Yes
asq_10m_fm_q5_2
Sometimes
asq_10m_fm_q5_3
Not yet
asq_10m_fm_q5_4
Observed
asq_10m_fm_q6
6. Does your baby put a small toy down, without dropping it, and then take her
asq_10m_fm_q6_1
Yes
asq_10m_fm_q6_2
Sometimes
asq_10m_fm_q6_3
Not yet
asq_10m_fm_q6_4
Observed
asq_10m_fm_comment
COMMENTS ON FINE MOTOR
asq_10m_ps_label
PROBLEM SOLVING
asq_10m_ps_q1
1. Does your baby pass a toy back and forth from one hand to the other?
asq_10m_ps_q1_1
Yes
asq_10m_ps_q1_2
Sometimes
asq_10m_ps_q1_3
Not yet
asq_10m_ps_q1_4
Observed
asq_10m_ps_q2
2. Does your baby pick up two small toys, one in each hand, and hold onto them
asq_10m_ps_q2_1
Yes
asq_10m_ps_q2_2
Sometimes
asq_10m_ps_q2_3
Not yet
asq_10m_ps_q2_4
Observed
asq_10m_ps_q3
3. When holding a toy in his hand, does your baby bang it against another toy o
asq_10m_ps_q3_1
Yes
asq_10m_ps_q3_2
Sometimes
asq_10m_ps_q3_3
Not yet
asq_10m_ps_q3_4
Observed
asq_10m_ps_q4
4. While holding a small toy in each hand, does your baby clap the toys togethe
asq_10m_ps_q4_1
Yes
asq_10m_ps_q4_2
Sometimes
asq_10m_ps_q4_3
Not yet
asq_10m_ps_q4_4
Observed
asq_10m_ps_q5
5. Does your baby poke at or try to get a crumb or Cheerio that is inside a cle
asq_10m_ps_q5_1
Yes
asq_10m_ps_q5_2
Sometimes
asq_10m_ps_q5_3
Not yet
asq_10m_ps_q5_4
Observed
asq_10m_ps_q6
6. After watching you hide a small toy under a piece of paper or cloth, does yo
asq_10m_ps_q6_1
Yes
asq_10m_ps_q6_2
Sometimes
asq_10m_ps_q6_3
Not yet
asq_10m_ps_q6_4
Observed
asq_10m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_10m_sc_label
PERSONAL-SOCIAL
asq_10m_sc_q1
1. While your baby is on her back, does she put her foot in her mouth?
asq_10m_sc_q1_1
Yes
asq_10m_sc_q1_2
Sometimes
asq_10m_sc_q1_3
Not yet
asq_10m_sc_q1_4
Observed
asq_10m_sc_q2
2. Does your baby drink water, juice, or formula from a cup while you hold it?
asq_10m_sc_q2_1
Yes
asq_10m_sc_q2_2
Sometimes
asq_10m_sc_q2_3
Not yet
asq_10m_sc_q2_4
Observed
asq_10m_sc_q3
3. Does your baby feed himself a cracker or a cookie?
asq_10m_sc_q3_1
Yes
asq_10m_sc_q3_2
Sometimes
asq_10m_sc_q3_3
Not yet
asq_10m_sc_q3_4
Observed
asq_10m_sc_q4
4. When you hold out your hand and ask for her toy, does your baby offer it to
asq_10m_sc_q4_1
Yes
asq_10m_sc_q4_2
Sometimes
asq_10m_sc_q4_3
Not yet
asq_10m_sc_q4_4
Observed
asq_10m_sc_q5
5. When you dress your baby, does he push his arm through a sleeve once his arm is started in the hole of the sleeve?
asq_10m_sc_q5_1
Yes
asq_10m_sc_q5_2
Sometimes
asq_10m_sc_q5_3
Not yet
asq_10m_sc_q5_4
Observed
asq_10m_sc_q6
6. When you hold out your hand and ask for her toy, does your baby let go of it into your hand?
asq_10m_sc_q6_1
Yes
asq_10m_sc_q6_2
Sometimes
asq_10m_sc_q6_3
Not yet
asq_10m_sc_q6_4
Observed
asq_10m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_10m_oa_comment
COMMENTS ON OVERALL
asq_12m_cm_label
label
asq_12m_cm_q1
1. Does your baby make two similar sounds, such as 'ba-ba,' 'da-da,' or 'ga-ga'
asq_12m_cm_q1_1
Yes
asq_12m_cm_q1_2
Sometimes
asq_12m_cm_q1_3
Not yet
asq_12m_cm_q1_4
Observed
asq_12m_cm_q2
2.If you ask your baby to, does he play at least one nursery game even if you don’t show him the activity yourself (such as “bye-bye,” “Peeka- boo,” “clap your hands,” “So Big”)?
asq_12m_cm_q2_1
Yes
asq_12m_cm_q2_2
Sometimes
asq_12m_cm_q2_3
Not yet
asq_12m_cm_q2_4
Observed
asq_12m_cm_q3
3. Does your baby follow one simple command, such as “Come here,” “Give it to me,” or “Put it back,” without your using gestures?
asq_12m_cm_q3_1
Yes
asq_12m_cm_q3_2
Sometimes
asq_12m_cm_q3_3
Not yet
asq_12m_cm_q3_4
Observed
asq_12m_cm_q4
4. 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.)
asq_12m_cm_q4_1
Yes
asq_12m_cm_q4_2
Sometimes
asq_12m_cm_q4_3
Not yet
asq_12m_cm_q4_4
Observed
asq_12m_cm_q5
5. When you ask, “Where is the ball (hat, shoe, etc.)?” does your baby look at the object?(Make sure the object is present. (Mark “yes” if she knows one object.)
asq_12m_cm_q5_1
Yes
asq_12m_cm_q5_2
Sometimes
asq_12m_cm_q5_3
Not yet
asq_12m_cm_q5_4
Observed
asq_12m_cm_q6
6. When your baby wants something, does he tell you by pointing to it?
asq_12m_cm_q6_1
Yes
asq_12m_cm_q6_2
Sometimes
asq_12m_cm_q6_3
Not yet
asq_12m_cm_q6_4
Observed
asq_12m_cm_comment
COMMENTS ON COMMUNICATION
asq_12m_gm_label
label
asq_12m_gm_q1
1. While holding onto furniture, does your baby bend down and pick up a toy from the floor and then return to a standing position?
asq_12m_gm_q1_1
Yes
asq_12m_gm_q1_2
Sometimes
asq_12m_gm_q1_3
Not yet
asq_12m_gm_q1_4
Observed
asq_12m_gm_q2
2. While holding onto furniture, does your baby lower herself with control (without falling or flopping down)?
asq_12m_gm_q2_1
Yes
asq_12m_gm_q2_2
Sometimes
asq_12m_gm_q2_3
Not yet
asq_12m_gm_q2_4
Observed
asq_12m_gm_q3
3. Does your baby walk beside furniture while holding on with only one hand?
asq_12m_gm_q3_1
Yes
asq_12m_gm_q3_2
Sometimes
asq_12m_gm_q3_3
Not yet
asq_12m_gm_q3_4
Observed
asq_12m_gm_q4
4. If you hold both hands just to balance your baby, does he take several steps without tripping or falling?
asq_12m_gm_q4_1
Yes
asq_12m_gm_q4_2
Sometimes
asq_12m_gm_q4_3
Not yet
asq_12m_gm_q4_4
Observed
asq_12m_gm_q5
5. When you hold one hand just to balance your baby, does she take several step foward?
asq_12m_gm_q5_1
Yes
asq_12m_gm_q5_2
Sometimes
asq_12m_gm_q5_3
Not yet
asq_12m_gm_q5_4
Observed
asq_12m_gm_q6
6. Does your baby stand up in the middle of the floor by himself and take several steps forward?
asq_12m_gm_q6_1
Yes
asq_12m_gm_q6_2
Sometimes
asq_12m_gm_q6_3
Not yet
asq_12m_gm_q6_4
Observed
asq_12m_gm_comment
COMMENTS ON GROSS MOTOR
asq_12m_fm_label
label
asq_12m_fm_q1
1. After one or two tries, does your baby pick up a piece of string with his first finger and thumb?
asq_12m_fm_q1_1
Yes
asq_12m_fm_q1_2
Sometimes
asq_12m_fm_q1_3
Not yet
asq_12m_fm_q1_4
Observed
asq_12m_fm_q2
2. Does your baby pick up a crumb or Cheerio with the tips of her thumb and a finger?
asq_12m_fm_q2_1
Yes
asq_12m_fm_q2_2
Sometimes
asq_12m_fm_q2_3
Not yet
asq_12m_fm_q2_4
Observed
asq_12m_fm_q3
3. Does your baby put a small toy down, without dropping it, and then take his hand off the toy?
asq_12m_fm_q3_1
Yes
asq_12m_fm_q3_2
Sometimes
asq_12m_fm_q3_3
Not yet
asq_12m_fm_q3_4
Observed
asq_12m_fm_q4
4. 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?
asq_12m_fm_q4_1
Yes
asq_12m_fm_q4_2
Sometimes
asq_12m_fm_q4_3
Not yet
asq_12m_fm_q4_4
Observed
asq_12m_fm_q5
5. Does your baby throw a small ball with a forward arm motion?
asq_12m_fm_q5_1
Yes
asq_12m_fm_q5_2
Sometimes
asq_12m_fm_q5_3
Not yet
asq_12m_fm_q5_4
Observed
asq_12m_fm_q6
6. Does your baby help turn the pages of a book?
asq_12m_fm_q6_1
Yes
asq_12m_fm_q6_2
Sometimes
asq_12m_fm_q6_3
Not yet
asq_12m_fm_q6_4
Observed
asq_12m_fm_comment
COMMENTS ON FINE MOTOR
asq_12m_ps_label
label
asq_12m_ps_q1
1.When holding a small toy in each hand, does your baby clap the toys together (like “Pat-a-cake”)?
asq_12m_ps_q1_1
Yes
asq_12m_ps_q1_2
Sometimes
asq_12m_ps_q1_3
Not yet
asq_12m_ps_q1_4
Observed
asq_12m_ps_q2
2. Does your baby poke at or try to get a crumb or Cheerio that is inside a clear bottle (such as a plastic soda-pop bottle or baby bottle)?
asq_12m_ps_q2_1
Yes
asq_12m_ps_q2_2
Sometimes
asq_12m_ps_q2_3
Not yet
asq_12m_ps_q2_4
Observed
asq_12m_ps_q3
3. After watching you hide a small toy under a piece of paper or cloth, does your baby find it?
asq_12m_ps_q3_1
Yes
asq_12m_ps_q3_2
Sometimes
asq_12m_ps_q3_3
Not yet
asq_12m_ps_q3_4
Observed
asq_12m_ps_q4
4. If you put a small toy into a bowl or box, does your baby copy you by putting in a toy, although she may not let go of it?
asq_12m_ps_q4_1
Yes
asq_12m_ps_q4_2
Sometimes
asq_12m_ps_q4_3
Not yet
asq_12m_ps_q4_4
Observed
asq_12m_ps_q5
5. Does your baby drop two small toys, one after the other, into a container like a bowl or box?
asq_12m_ps_q5_1
Yes
asq_12m_ps_q5_2
Sometimes
asq_12m_ps_q5_3
Not yet
asq_12m_ps_q5_4
Observed
asq_12m_ps_q6
6. After you scribble back and forth on paper with a crayon (or a pencil or pen), does your baby copy you by scribbling?
asq_12m_ps_q6_1
Yes
asq_12m_ps_q6_2
Sometimes
asq_12m_ps_q6_3
Not yet
asq_12m_ps_q6_4
Observed
asq_12m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_12m_sc_label
label
asq_12m_sc_q1
1. When you hold out your hand and ask for his toy, does your baby offer it to you even if he doesn’t let go of it?
asq_12m_sc_q1_1
Yes
asq_12m_sc_q1_2
Sometimes
asq_12m_sc_q1_3
Not yet
asq_12m_sc_q1_4
Observed
asq_12m_sc_q2
2. When you dress your baby, does she push her arm through a sleeve once her arm is started in the hole of the sleeve?
asq_12m_sc_q2_1
Yes
asq_12m_sc_q2_2
Sometimes
asq_12m_sc_q2_3
Not yet
asq_12m_sc_q2_4
Observed
asq_12m_sc_q3
3. When you hold out your hand and ask for his toy, does your baby let go of it into your hand?
asq_12m_sc_q3_1
Yes
asq_12m_sc_q3_2
Sometimes
asq_12m_sc_q3_3
Not yet
asq_12m_sc_q3_4
Observed
asq_12m_sc_q4
4. When you dress your baby, does she lift her foot for her shoe, sock, or pant leg?
asq_12m_sc_q4_1
Yes
asq_12m_sc_q4_2
Sometimes
asq_12m_sc_q4_3
Not yet
asq_12m_sc_q4_4
Observed
asq_12m_sc_q5
5. Does your baby roll or throw a ball back to you so that you can return it to him?
asq_12m_sc_q5_1
Yes
asq_12m_sc_q5_2
Sometimes
asq_12m_sc_q5_3
Not yet
asq_12m_sc_q5_4
Observed
asq_12m_sc_q6
6. Does your baby play with a doll or stuffed animal by hugging it?
asq_12m_sc_q6_1
Yes
asq_12m_sc_q6_2
Sometimes
asq_12m_sc_q6_3
Not yet
asq_12m_sc_q6_4
Observed
asq_12m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_12m_oa_comment
COMMENTS ON OVERALL
asq_14m_cm_label
COMMUNICATION
asq_14m_cm_q1
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.)
asq_14m_cm_q1_1
Yes
asq_14m_cm_q1_2
Sometimes
asq_14m_cm_q1_3
Not yet
asq_14m_cm_q1_4
Observed
asq_14m_cm_q2
2. When your baby wants something, does she tell you by pointing to it?
asq_14m_cm_q2_1
Yes
asq_14m_cm_q2_2
Sometimes
asq_14m_cm_q2_3
Not yet
asq_14m_cm_q2_4
Observed
asq_14m_cm_q3
3. Does your baby shake his head when he means 'no' or 'yes'?
asq_14m_cm_q3_1
Yes
asq_14m_cm_q3_2
Sometimes
asq_14m_cm_q3_3
Not yet
asq_14m_cm_q3_4
Observed
asq_14m_cm_q4
4. Does your baby point to, pat, or try to pick up pictures in a book?
asq_14m_cm_q4_1
Yes
asq_14m_cm_q4_2
Sometimes
asq_14m_cm_q4_3
Not yet
asq_14m_cm_q4_4
Observed
asq_14m_cm_q5
5. Does your baby say four or more words in addition to 'Mama' and 'Dada'?
asq_14m_cm_q5_1
Yes
asq_14m_cm_q5_2
Sometimes
asq_14m_cm_q5_3
Not yet
asq_14m_cm_q5_4
Observed
asq_14m_cm_q6
6.When you ask her to, does your baby go into another room to find a fa- miliar toy or object?(You might ask, “Where is your ball?” or say, “Bring me your coat,” or “Go get your blanket.”)
asq_14m_cm_q6_1
Yes
asq_14m_cm_q6_2
Sometimes
asq_14m_cm_q6_3
Not yet
asq_14m_cm_q6_4
Observed
asq_14m_cm_comment
COMMENTS ON COMMUNICATION
asq_14m_gm_label
GROSS MOTOR
asq_14m_gm_q1
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.)
asq_14m_gm_q1_1
Yes
asq_14m_gm_q1_2
Sometimes
asq_14m_gm_q1_3
Not yet
asq_14m_gm_q1_4
Observed
asq_14m_gm_q2
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.)
asq_14m_gm_q2_1
Yes
asq_14m_gm_q2_2
Sometimes
asq_14m_gm_q2_3
Not yet
asq_14m_gm_q2_4
Observed
asq_14m_gm_q3
3.Does your baby stand up in the middle of the floor by himself and take several steps forward?
asq_14m_gm_q3_1
Yes
asq_14m_gm_q3_2
Sometimes
asq_14m_gm_q3_3
Not yet
asq_14m_gm_q3_4
Observed
asq_14m_gm_q4
4. Does your baby climb onto furniture or other large objects, such as large climbing blocks?
asq_14m_gm_q4_1
Yes
asq_14m_gm_q4_2
Sometimes
asq_14m_gm_q4_3
Not yet
asq_14m_gm_q4_4
Observed
asq_14m_gm_q5
5. Does your baby bend over or squat to pick up an object from the floor and then stand up again without any support?
asq_14m_gm_q5_1
Yes
asq_14m_gm_q5_2
Sometimes
asq_14m_gm_q5_3
Not yet
asq_14m_gm_q5_4
Observed
asq_14m_gm_q6
6. Does your baby move around by walking, rather than by crawling on his hands and knees?
asq_14m_gm_q6_1
Yes
asq_14m_gm_q6_2
Sometimes
asq_14m_gm_q6_3
Not yet
asq_14m_gm_q6_4
Observed
asq_14m_gm_comment
COMMENTS ON GROSS MOTOR
asq_14m_fm_label
FINE MOTOR
asq_14m_fm_q1
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?
asq_14m_fm_q1_1
Yes
asq_14m_fm_q1_2
Sometimes
asq_14m_fm_q1_3
Not yet
asq_14m_fm_q1_4
Observed
asq_14m_fm_q2
2. Does your baby throw a small ball with a forward arm mo- tion? (If he simply drops the ball, mark “not yet” for this item.)
asq_14m_fm_q2_1
Yes
asq_14m_fm_q2_2
Sometimes
asq_14m_fm_q2_3
Not yet
asq_14m_fm_q2_4
Observed
asq_14m_fm_q3
3. Does your baby help turn the pages of a book?(You may lift a page for her to grasp.)
asq_14m_fm_q3_1
Yes
asq_14m_fm_q3_2
Sometimes
asq_14m_fm_q3_3
Not yet
asq_14m_fm_q3_4
Observed
asq_14m_fm_q4
4. 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.)
asq_14m_fm_q4_1
Yes
asq_14m_fm_q4_2
Sometimes
asq_14m_fm_q4_3
Not yet
asq_14m_fm_q4_4
Observed
asq_14m_fm_q5
5. Does your baby make a mark on the paper with the tip of a crayon (or pencil or pen) when trying to draw?
asq_14m_fm_q5_1
Yes
asq_14m_fm_q5_2
Sometimes
asq_14m_fm_q5_3
Not yet
asq_14m_fm_q5_4
Observed
asq_14m_fm_q6
6. Does your baby stack three small blocks or toys on top of each other by herself?
asq_14m_fm_q6_1
Yes
asq_14m_fm_q6_2
Sometimes
asq_14m_fm_q6_3
Not yet
asq_14m_fm_q6_4
Observed
asq_14m_fm_comment
COMMENTS ON FINE MOTOR
asq_14m_ps_label
PROBLEM SOLVING
asq_14m_ps_q1
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.)
asq_14m_ps_q1_1
Yes
asq_14m_ps_q1_2
Sometimes
asq_14m_ps_q1_3
Not yet
asq_14m_ps_q1_4
Observed
asq_14m_ps_q2
2. 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)
asq_14m_ps_q2_1
Yes
asq_14m_ps_q2_2
Sometimes
asq_14m_ps_q2_3
Not yet
asq_14m_ps_q2_4
Observed
asq_14m_ps_q3
3. 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.)
asq_14m_ps_q3_1
Yes
asq_14m_ps_q3_2
Sometimes
asq_14m_ps_q3_3
Not yet
asq_14m_ps_q3_4
Observed
asq_14m_ps_q4
4. Can your baby drop a crumb or Cheerio into a small, clear bottle (such as a plastic soda-pop bottle or baby bottle)?
asq_14m_ps_q4_1
Yes
asq_14m_ps_q4_2
Sometimes
asq_14m_ps_q4_3
Not yet
asq_14m_ps_q4_4
Observed
asq_14m_ps_q5
5. Does your baby drop several small toys, one after another, into a con- tainer like a bowl or box?(You may show her how to do it.)
asq_14m_ps_q5_1
Yes
asq_14m_ps_q5_2
Sometimes
asq_14m_ps_q5_3
Not yet
asq_14m_ps_q5_4
Observed
asq_14m_ps_q6
6. 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?
asq_14m_ps_q6_1
Yes
asq_14m_ps_q6_2
Sometimes
asq_14m_ps_q6_3
Not yet
asq_14m_ps_q6_4
Observed
asq_14m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_14m_sc_label
PERSONAL-SOCIAL
asq_14m_sc_q1
1.When you dress your baby, does she lift her foot for her shoe, sock, or pant leg?
asq_14m_sc_q1_1
Yes
asq_14m_sc_q1_2
Sometimes
asq_14m_sc_q1_3
Not yet
asq_14m_sc_q1_4
Observed
asq_14m_sc_q2
2. Does your baby roll or throw a ball back to you so that you can return it to him?
asq_14m_sc_q2_1
Yes
asq_14m_sc_q2_2
Sometimes
asq_14m_sc_q2_3
Not yet
asq_14m_sc_q2_4
Observed
asq_14m_sc_q3
3. Does your baby play with a doll or stuffed animal by hugging it?
asq_14m_sc_q3_1
Yes
asq_14m_sc_q3_2
Sometimes
asq_14m_sc_q3_3
Not yet
asq_14m_sc_q3_4
Observed
asq_14m_sc_q4
4. Does your baby feed herself with a spoon, even though she may spill some food?
asq_14m_sc_q4_1
Yes
asq_14m_sc_q4_2
Sometimes
asq_14m_sc_q4_3
Not yet
asq_14m_sc_q4_4
Observed
asq_14m_sc_q5
5. Does your baby help undress himself by taking off clothes like socks, hat, shoes, or mittens?
asq_14m_sc_q5_1
Yes
asq_14m_sc_q5_2
Sometimes
asq_14m_sc_q5_3
Not yet
asq_14m_sc_q5_4
Observed
asq_14m_sc_q6
6. Does your baby get your attention or try to show you something by pulling on
asq_14m_sc_q6_1
Yes
asq_14m_sc_q6_2
Sometimes
asq_14m_sc_q6_3
Not yet
asq_14m_sc_q6_4
Observed
asq_14m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_14m_oa_comment
COMMENTS ON OVERALL
asq_16m_cm_label
COMMUNICATION
asq_16m_cm_q1
1. Does your child point to, pat, or try to pick up pictures in a book?
asq_16m_cm_q1_1
Yes
asq_16m_cm_q1_2
Sometimes
asq_16m_cm_q1_3
Not yet
asq_16m_cm_q1_4
Observed
asq_16m_cm_q2
2. Does your child say four or more words in addition to 'Mama' and 'Dada'?
asq_16m_cm_q2_1
Yes
asq_16m_cm_q2_2
Sometimes
asq_16m_cm_q2_3
Not yet
asq_16m_cm_q2_4
Observed
asq_16m_cm_q3
3. When your child wants something, does she tell you by pointing to it?
asq_16m_cm_q3_1
Yes
asq_16m_cm_q3_2
Sometimes
asq_16m_cm_q3_3
Not yet
asq_16m_cm_q3_4
Observed
asq_16m_cm_q4
4. When you ask your child to, does he go into another room to find a fa- milia
asq_16m_cm_q4_1
Yes
asq_16m_cm_q4_2
Sometimes
asq_16m_cm_q4_3
Not yet
asq_16m_cm_q4_4
Observed
asq_16m_cm_q5
5. Does your child imitate a two-word sentence? For example, when you say a two
asq_16m_cm_q5_1
Yes
asq_16m_cm_q5_2
Sometimes
asq_16m_cm_q5_3
Not yet
asq_16m_cm_q5_4
Observed
asq_16m_cm_q6
6. Does your child say eight or more words in addition to 'Mama' and 'Dada'?
asq_16m_cm_q6_1
Yes
asq_16m_cm_q6_2
Sometimes
asq_16m_cm_q6_3
Not yet
asq_16m_cm_q6_4
Observed
asq_16m_cm_comment
COMMENTS ON COMMUNICATION
asq_16m_gm_label
GROSS MOTOR
asq_16m_gm_q1
1. Does your child stand up in the middle of the floor by himself and take seve
asq_16m_gm_q1_1
Yes
asq_16m_gm_q1_2
Sometimes
asq_16m_gm_q1_3
Not yet
asq_16m_gm_q1_4
Observed
asq_16m_gm_q2
2. Does your child climb onto furniture or other large objects, such as large c
asq_16m_gm_q2_1
Yes
asq_16m_gm_q2_2
Sometimes
asq_16m_gm_q2_3
Not yet
asq_16m_gm_q2_4
Observed
asq_16m_gm_q3
3. Does your child bend over or squat to pick up an object from the floor and t
asq_16m_gm_q3_1
Yes
asq_16m_gm_q3_2
Sometimes
asq_16m_gm_q3_3
Not yet
asq_16m_gm_q3_4
Observed
asq_16m_gm_q4
4. Does your child move around by walking, rather than crawling on her hands an
asq_16m_gm_q4_1
Yes
asq_16m_gm_q4_2
Sometimes
asq_16m_gm_q4_3
Not yet
asq_16m_gm_q4_4
Observed
asq_16m_gm_q5
5. Does your child walk well and seldom fall?
asq_16m_gm_q5_1
Yes
asq_16m_gm_q5_2
Sometimes
asq_16m_gm_q5_3
Not yet
asq_16m_gm_q5_4
Observed
asq_16m_gm_q6
6. Does your child climb on an object such as a chair to reach something he wan
asq_16m_gm_q6_1
Yes
asq_16m_gm_q6_2
Sometimes
asq_16m_gm_q6_3
Not yet
asq_16m_gm_q6_4
Observed
asq_16m_gm_comment
COMMENTS ON GROSS MOTOR
asq_16m_fm_label
FINE MOTOR
asq_16m_fm_q1
1. Does your child help turn the pages of a book? (You may lift a page for her
asq_16m_fm_q1_1
Yes
asq_16m_fm_q1_2
Sometimes
asq_16m_fm_q1_3
Not yet
asq_16m_fm_q1_4
Observed
asq_16m_fm_q2
2. Does your child throw a small ball with a forward arm motion? (If he simply
asq_16m_fm_q2_1
Yes
asq_16m_fm_q2_2
Sometimes
asq_16m_fm_q2_3
Not yet
asq_16m_fm_q2_4
Observed
asq_16m_fm_q3
3. Does your child stack a small block or toy on top of another one? (You could
asq_16m_fm_q3_1
Yes
asq_16m_fm_q3_2
Sometimes
asq_16m_fm_q3_3
Not yet
asq_16m_fm_q3_4
Observed
asq_16m_fm_q4
4. Does your child stack three small blocks or toys on top of each other by her
asq_16m_fm_q4_1
Yes
asq_16m_fm_q4_2
Sometimes
asq_16m_fm_q4_3
Not yet
asq_16m_fm_q4_4
Observed
asq_16m_fm_q5
5. Does your child make a mark on the paper with the tip of a crayon (or pencil
asq_16m_fm_q5_1
Yes
asq_16m_fm_q5_2
Sometimes
asq_16m_fm_q5_3
Not yet
asq_16m_fm_q5_4
Observed
asq_16m_fm_q6
6. Does your child turn the pages of a book by himself? (He may turn more than
asq_16m_fm_q6_1
Yes
asq_16m_fm_q6_2
Sometimes
asq_16m_fm_q6_3
Not yet
asq_16m_fm_q6_4
Observed
asq_16m_fm_comment
COMMENTS ON FINE MOTOR
asq_16m_ps_label
PROBLEM SOLVING
asq_16m_ps_q1
1. After you scribble back and forth on paper with a crayon (or pencil or pen),
asq_16m_ps_q1_1
Yes
asq_16m_ps_q1_2
Sometimes
asq_16m_ps_q1_3
Not yet
asq_16m_ps_q1_4
Observed
asq_16m_ps_q2
2. Can your child drop a crumb or Cheerio into a small, clear bottle (such as a
asq_16m_ps_q2_1
Yes
asq_16m_ps_q2_2
Sometimes
asq_16m_ps_q2_3
Not yet
asq_16m_ps_q2_4
Observed
asq_16m_ps_q3
3. Does your child drop several small toys, one after another, into a con- tain
asq_16m_ps_q3_1
Yes
asq_16m_ps_q3_2
Sometimes
asq_16m_ps_q3_3
Not yet
asq_16m_ps_q3_4
Observed
asq_16m_ps_q4
4. After you have shown your child how, does she try to get a small toy that is
asq_16m_ps_q4_1
Yes
asq_16m_ps_q4_2
Sometimes
asq_16m_ps_q4_3
Not yet
asq_16m_ps_q4_4
Observed
asq_16m_ps_q5
5. Without your showing him how, does your child scribble back and forth when y
asq_16m_ps_q5_1
Yes
asq_16m_ps_q5_2
Sometimes
asq_16m_ps_q5_3
Not yet
asq_16m_ps_q5_4
Observed
asq_16m_ps_q6
6. After a crumb or Cheerio is dropped into a small, clear bottle, does your ch
asq_16m_ps_q6_1
Yes
asq_16m_ps_q6_2
Sometimes
asq_16m_ps_q6_3
Not yet
asq_16m_ps_q6_4
Observed
asq_16m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_16m_sc_label
PERSONAL-SOCIAL
asq_16m_sc_q1
1. Does your child feed himself with a spoon, even though he may spill some foo
asq_16m_sc_q1_1
Yes
asq_16m_sc_q1_2
Sometimes
asq_16m_sc_q1_3
Not yet
asq_16m_sc_q1_4
Observed
asq_16m_sc_q2
2. Does your child help undress herself by taking off clothes like socks, hat,
asq_16m_sc_q2_1
Yes
asq_16m_sc_q2_2
Sometimes
asq_16m_sc_q2_3
Not yet
asq_16m_sc_q2_4
Observed
asq_16m_sc_q3
3. Does your child play with a doll or stuffed animal by hugging it?
asq_16m_sc_q3_1
Yes
asq_16m_sc_q3_2
Sometimes
asq_16m_sc_q3_3
Not yet
asq_16m_sc_q3_4
Observed
asq_16m_sc_q4
4. While looking at himself in the mirror, does your child offer a toy to his o
asq_16m_sc_q4_1
Yes
asq_16m_sc_q4_2
Sometimes
asq_16m_sc_q4_3
Not yet
asq_16m_sc_q4_4
Observed
asq_16m_sc_q5
5. Does your child get your attention or try to show you something by pulling o
asq_16m_sc_q5_1
Yes
asq_16m_sc_q5_2
Sometimes
asq_16m_sc_q5_3
Not yet
asq_16m_sc_q5_4
Observed
asq_16m_sc_q6
6. Does your child come to you when she needs help, such as with wind- ing up a
asq_16m_sc_q6_1
Yes
asq_16m_sc_q6_2
Sometimes
asq_16m_sc_q6_3
Not yet
asq_16m_sc_q6_4
Observed
asq_16m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_16m_oa_comment
COMMENTS ON OVERALL
asq_18m_cm_label
COMMUNICATION
asq_18m_cm_q1
1. When your child wants something, does she tell you by pointing to it?
asq_18m_cm_q1_1
Yes
asq_18m_cm_q1_2
Sometimes
asq_18m_cm_q1_3
Not yet
asq_18m_cm_q1_4
Observed
asq_18m_cm_q2
2. When you ask your child to, does he go into another room to find a fa- milia
asq_18m_cm_q2_1
Yes
asq_18m_cm_q2_2
Sometimes
asq_18m_cm_q2_3
Not yet
asq_18m_cm_q2_4
Observed
asq_18m_cm_q3
3. Does your child say eight or more words in addition to 'Mama' and 'Dada'?
asq_18m_cm_q3_1
Yes
asq_18m_cm_q3_2
Sometimes
asq_18m_cm_q3_3
Not yet
asq_18m_cm_q3_4
Observed
asq_18m_cm_q4
4. Does your child imitate a two-word sentence? For example, when you say a two
asq_18m_cm_q4_1
Yes
asq_18m_cm_q4_2
Sometimes
asq_18m_cm_q4_3
Not yet
asq_18m_cm_q4_4
Observed
asq_18m_cm_q5
5. Without your showing him, does your child point to the correct picture when
asq_18m_cm_q5_1
Yes
asq_18m_cm_q5_2
Sometimes
asq_18m_cm_q5_3
Not yet
asq_18m_cm_q5_4
Observed
asq_18m_cm_q6
6. Does your child say two or three words that represent different ideas togeth
asq_18m_cm_q6_1
Yes
asq_18m_cm_q6_2
Sometimes
asq_18m_cm_q6_3
Not yet
asq_18m_cm_q6_4
Observed
asq_18m_cm_comment
COMMENTS ON COMMUNICATION
asq_18m_gm_label
GROSS MOTOR
asq_18m_gm_q1
1. Does your child bend over or squat to pick up an object from the floor and t
asq_18m_gm_q1_1
Yes
asq_18m_gm_q1_2
Sometimes
asq_18m_gm_q1_3
Not yet
asq_18m_gm_q1_4
Observed
asq_18m_gm_q2
2. Does your child move around by walking, rather than by crawling on her hands
asq_18m_gm_q2_1
Yes
asq_18m_gm_q2_2
Sometimes
asq_18m_gm_q2_3
Not yet
asq_18m_gm_q2_4
Observed
asq_18m_gm_q3
3. Does your child walk well and seldom fall?
asq_18m_gm_q3_1
Yes
asq_18m_gm_q3_2
Sometimes
asq_18m_gm_q3_3
Not yet
asq_18m_gm_q3_4
Observed
asq_18m_gm_q4
4. Does your child climb on an object such as a chair to reach something he wan
asq_18m_gm_q4_1
Yes
asq_18m_gm_q4_2
Sometimes
asq_18m_gm_q4_3
Not yet
asq_18m_gm_q4_4
Observed
asq_18m_gm_q5
5. Does your child walk down stairs if you hold onto one of her hands? She may
asq_18m_gm_q5_1
Yes
asq_18m_gm_q5_2
Sometimes
asq_18m_gm_q5_3
Not yet
asq_18m_gm_q5_4
Observed
asq_18m_gm_q6
6. When you show your child how to kick a large ball, does he try to kick the b
asq_18m_gm_q6_1
Yes
asq_18m_gm_q6_2
Sometimes
asq_18m_gm_q6_3
Not yet
asq_18m_gm_q6_4
Observed
asq_18m_gm_comment
COMMENTS ON GROSS MOTOR
asq_18m_fm_label
FINE MOTOR
asq_18m_fm_q1
1. Does your child throw a small ball with a forward arm motion? (If he simply
asq_18m_fm_q1_1
Yes
asq_18m_fm_q1_2
Sometimes
asq_18m_fm_q1_3
Not yet
asq_18m_fm_q1_4
Observed
asq_18m_fm_q2
2. Does your child stack a small block or toy on top of another one? (You could
asq_18m_fm_q2_1
Yes
asq_18m_fm_q2_2
Sometimes
asq_18m_fm_q2_3
Not yet
asq_18m_fm_q2_4
Observed
asq_18m_fm_q3
3. Does your child make a mark on the paper with the tip of a crayon (or pencil
asq_18m_fm_q3_1
Yes
asq_18m_fm_q3_2
Sometimes
asq_18m_fm_q3_3
Not yet
asq_18m_fm_q3_4
Observed
asq_18m_fm_q4
4. Does your child stack three small blocks or toys on top of each other by him
asq_18m_fm_q4_1
Yes
asq_18m_fm_q4_2
Sometimes
asq_18m_fm_q4_3
Not yet
asq_18m_fm_q4_4
Observed
asq_18m_fm_q5
5. Does your child turn the pages of a book by himself? (He may turn more than
asq_18m_fm_q5_1
Yes
asq_18m_fm_q5_2
Sometimes
asq_18m_fm_q5_3
Not yet
asq_18m_fm_q5_4
Observed
asq_18m_fm_q6
6. Does your child get a spoon into her mouth right side up so that the food us
asq_18m_fm_q6_1
Yes
asq_18m_fm_q6_2
Sometimes
asq_18m_fm_q6_3
Not yet
asq_18m_fm_q6_4
Observed
asq_18m_fm_comment
COMMENTS ON FINE MOTOR
asq_18m_ps_label
PROBLEM SOLVING
asq_18m_ps_q1
1. Does your child drop several small toys, one after another, into a con- tain
asq_18m_ps_q1_1
Yes
asq_18m_ps_q1_2
Sometimes
asq_18m_ps_q1_3
Not yet
asq_18m_ps_q1_4
Observed
asq_18m_ps_q2
2. After you have shown your child how, does she try to get a small toy that is
asq_18m_ps_q2_1
Yes
asq_18m_ps_q2_2
Sometimes
asq_18m_ps_q2_3
Not yet
asq_18m_ps_q2_4
Observed
asq_18m_ps_q3
3. After a crumb or Cheerio is dropped into a small, clear bottle, does your ch
asq_18m_ps_q3_1
Yes
asq_18m_ps_q3_2
Sometimes
asq_18m_ps_q3_3
Not yet
asq_18m_ps_q3_4
Observed
asq_18m_ps_q4
4. Without your showing her how, does your child scribble back and forth when y
asq_18m_ps_q4_1
Yes
asq_18m_ps_q4_2
Sometimes
asq_18m_ps_q4_3
Not yet
asq_18m_ps_q4_4
Observed
asq_18m_ps_q5
5. After watching you draw a line from the top of the paper to the bottom with
asq_18m_ps_q5_1
Yes
asq_18m_ps_q5_2
Sometimes
asq_18m_ps_q5_3
Not yet
asq_18m_ps_q5_4
Observed
asq_18m_ps_q6
6. After a crumb or Cheerio is dropped into a small, clear bottle, does your ch
asq_18m_ps_q6_1
Yes
asq_18m_ps_q6_2
Sometimes
asq_18m_ps_q6_3
Not yet
asq_18m_ps_q6_4
Observed
asq_18m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_18m_sc_label
PERSONAL-SOCIAL
asq_18m_sc_q1
1. While looking at herself in the mirror, does your child offer a toy to her o
asq_18m_sc_q1_1
Yes
asq_18m_sc_q1_2
Sometimes
asq_18m_sc_q1_3
Not yet
asq_18m_sc_q1_4
Observed
asq_18m_sc_q2
2. Does your child play with a doll or stuffed animal by hugging it?
asq_18m_sc_q2_1
Yes
asq_18m_sc_q2_2
Sometimes
asq_18m_sc_q2_3
Not yet
asq_18m_sc_q2_4
Observed
asq_18m_sc_q3
3. Does your child get your attention or try to show you something by pulling o
asq_18m_sc_q3_1
Yes
asq_18m_sc_q3_2
Sometimes
asq_18m_sc_q3_3
Not yet
asq_18m_sc_q3_4
Observed
asq_18m_sc_q4
4. Does your child come to you when he needs help, such as with winding up a to
asq_18m_sc_q4_1
Yes
asq_18m_sc_q4_2
Sometimes
asq_18m_sc_q4_3
Not yet
asq_18m_sc_q4_4
Observed
asq_18m_sc_q5
5. Does your child drink from a cup or glass, putting it down again with little
asq_18m_sc_q5_1
Yes
asq_18m_sc_q5_2
Sometimes
asq_18m_sc_q5_3
Not yet
asq_18m_sc_q5_4
Observed
asq_18m_sc_q6
6. Does your child copy the activities you do, such as wipe up a spill, sweep,
asq_18m_sc_q6_1
Yes
asq_18m_sc_q6_2
Sometimes
asq_18m_sc_q6_3
Not yet
asq_18m_sc_q6_4
Observed
asq_18m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_18m_oa_comment
COMMENTS ON OVERALL
asq_20m_cm_label
COMMUNICATION
asq_20m_cm_q1
1. Does your child imitate a two-word sentence? For example, when you say a two
asq_20m_cm_q1_1
Yes
asq_20m_cm_q1_2
Sometimes
asq_20m_cm_q1_3
Not yet
asq_20m_cm_q1_4
Observed
asq_20m_cm_q2
2. Does your child say eight or more words in addition to 'Mama' and 'Dada'?
asq_20m_cm_q2_1
Yes
asq_20m_cm_q2_2
Sometimes
asq_20m_cm_q2_3
Not yet
asq_20m_cm_q2_4
Observed
asq_20m_cm_q3
3. Without your showing him, does your child point to the correct picture when
asq_20m_cm_q3_1
Yes
asq_20m_cm_q3_2
Sometimes
asq_20m_cm_q3_3
Not yet
asq_20m_cm_q3_4
Observed
asq_20m_cm_q4
4. If you point to a picture of a ball (kitty, cup, hat, etc.) and ask your chi
asq_20m_cm_q4_1
Yes
asq_20m_cm_q4_2
Sometimes
asq_20m_cm_q4_3
Not yet
asq_20m_cm_q4_4
Observed
asq_20m_cm_q5
5. Without your giving him clues by pointing or using gestures, can your child
asq_20m_cm_q5_1
Yes
asq_20m_cm_q5_2
Sometimes
asq_20m_cm_q5_3
Not yet
asq_20m_cm_q5_4
Observed
asq_20m_cm_q6
6. Does your child say two or three words that represent different ideas togeth
asq_20m_cm_q6_1
Yes
asq_20m_cm_q6_2
Sometimes
asq_20m_cm_q6_3
Not yet
asq_20m_cm_q6_4
Observed
asq_20m_cm_q6_answer
6. Please give an example of your child's word combinations:
asq_20m_cm_comment
COMMENTS ON COMMUNICATION
asq_20m_gm_label
GROSS MOTOR
asq_20m_gm_q1
1. Does your child climb on an object such as a chair to reach something he wan
asq_20m_gm_q1_1
Yes
asq_20m_gm_q1_2
Sometimes
asq_20m_gm_q1_3
Not yet
asq_20m_gm_q1_4
Observed
asq_20m_gm_q2
2. Does your child walk well and seldom fall?
asq_20m_gm_q2_1
Yes
asq_20m_gm_q2_2
Sometimes
asq_20m_gm_q2_3
Not yet
asq_20m_gm_q2_4
Observed
asq_20m_gm_q3
3. Does your child walk down stairs if you hold onto one of her hands? She may
asq_20m_gm_q3_1
Yes
asq_20m_gm_q3_2
Sometimes
asq_20m_gm_q3_3
Not yet
asq_20m_gm_q3_4
Observed
asq_20m_gm_q4
4. When you show your child how to kick a large ball, does he try to kick the b
asq_20m_gm_q4_1
Yes
asq_20m_gm_q4_2
Sometimes
asq_20m_gm_q4_3
Not yet
asq_20m_gm_q4_4
Observed
asq_20m_gm_q5
5. Does your child run fairly well, stopping herself without bumping into thing
asq_20m_gm_q5_1
Yes
asq_20m_gm_q5_2
Sometimes
asq_20m_gm_q5_3
Not yet
asq_20m_gm_q5_4
Observed
asq_20m_gm_q6
6. Does your child walk either up or down at least two steps by himself? He may
asq_20m_gm_q6_1
Yes
asq_20m_gm_q6_2
Sometimes
asq_20m_gm_q6_3
Not yet
asq_20m_gm_q6_4
Observed
asq_20m_gm_comment
COMMENTS ON GROSS MOTOR
asq_20m_fm_label
FINE MOTOR
asq_20m_fm_q1
1. Does your child make a mark on the paper with the tip of a crayon (or pencil
asq_20m_fm_q1_1
Yes
asq_20m_fm_q1_2
Sometimes
asq_20m_fm_q1_3
Not yet
asq_20m_fm_q1_4
Observed
asq_20m_fm_q2
2. Does your child stack three small blocks or toys on top of each other by her
asq_20m_fm_q2_1
Yes
asq_20m_fm_q2_2
Sometimes
asq_20m_fm_q2_3
Not yet
asq_20m_fm_q2_4
Observed
asq_20m_fm_q3
3. Does your child turn the pages of a book by himself? (He may turn more than
asq_20m_fm_q3_1
Yes
asq_20m_fm_q3_2
Sometimes
asq_20m_fm_q3_3
Not yet
asq_20m_fm_q3_4
Observed
asq_20m_fm_q4
4. Does your child get a spoon into her mouth right side up so that the food us
asq_20m_fm_q4_1
Yes
asq_20m_fm_q4_2
Sometimes
asq_20m_fm_q4_3
Not yet
asq_20m_fm_q4_4
Observed
asq_20m_fm_q5
5. Does your child stack six small blocks or toys on top of each other by himse
asq_20m_fm_q5_1
Yes
asq_20m_fm_q5_2
Sometimes
asq_20m_fm_q5_3
Not yet
asq_20m_fm_q5_4
Observed
asq_20m_fm_q6
6. Does your child use a turning motion with her hand while trying to turn door
asq_20m_fm_q6_1
Yes
asq_20m_fm_q6_2
Sometimes
asq_20m_fm_q6_3
Not yet
asq_20m_fm_q6_4
Observed
asq_20m_fm_comment
COMMENTS ON FINE MOTOR
asq_20m_ps_label
PROBLEM SOLVING
asq_20m_ps_q1
1. Without your showing him how, does your child scribble back and forth when y
asq_20m_ps_q1_1
Yes
asq_20m_ps_q1_2
Sometimes
asq_20m_ps_q1_3
Not yet
asq_20m_ps_q1_4
Observed
asq_20m_ps_q2
2. After watching you draw a line from the top of the paper to the bottom with
asq_20m_ps_q2_1
Yes
asq_20m_ps_q2_2
Sometimes
asq_20m_ps_q2_3
Not yet
asq_20m_ps_q2_4
Observed
asq_20m_ps_q3
3. If you do any of the following gestures, does your child copy at least one o
asq_20m_ps_q3_1
Yes
asq_20m_ps_q3_2
Sometimes
asq_20m_ps_q3_3
Not yet
asq_20m_ps_q3_4
Observed
asq_20m_ps_q4
4. If you give your child a bottle, spoon, or pencil upside down, does she turn
asq_20m_ps_q4_1
Yes
asq_20m_ps_q4_2
Sometimes
asq_20m_ps_q4_3
Not yet
asq_20m_ps_q4_4
Observed
asq_20m_ps_q5
5. While your child watches, line up four objects like blocks or cars in a row.
asq_20m_ps_q5_1
Yes
asq_20m_ps_q5_2
Sometimes
asq_20m_ps_q5_3
Not yet
asq_20m_ps_q5_4
Observed
asq_20m_ps_q6
6. If your child wants something he cannot reach, does he find a chair or box t
asq_20m_ps_q6_1
Yes
asq_20m_ps_q6_2
Sometimes
asq_20m_ps_q6_3
Not yet
asq_20m_ps_q6_4
Observed
asq_20m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_20m_sc_label
PERSONAL-SOCIAL
asq_20m_sc_q1
1. Does your child feed herself with a spoon, even though she may spill some fo
asq_20m_sc_q1_1
Yes
asq_20m_sc_q1_2
Sometimes
asq_20m_sc_q1_3
Not yet
asq_20m_sc_q1_4
Observed
asq_20m_sc_q2
2. Does your child get your attention or try to show you something by pulling o
asq_20m_sc_q2_1
Yes
asq_20m_sc_q2_2
Sometimes
asq_20m_sc_q2_3
Not yet
asq_20m_sc_q2_4
Observed
asq_20m_sc_q3
3. Does your child drink from a cup or glass, putting it down again with little
asq_20m_sc_q3_1
Yes
asq_20m_sc_q3_2
Sometimes
asq_20m_sc_q3_3
Not yet
asq_20m_sc_q3_4
Observed
asq_20m_sc_q4
4. Does your child copy the activities you do, such as wipe up a spill, sweep,
asq_20m_sc_q4_1
Yes
asq_20m_sc_q4_2
Sometimes
asq_20m_sc_q4_3
Not yet
asq_20m_sc_q4_4
Observed
asq_20m_sc_q5
5. When playing with either a stuffed animal or a doll, does your child pre- te
asq_20m_sc_q5_1
Yes
asq_20m_sc_q5_2
Sometimes
asq_20m_sc_q5_3
Not yet
asq_20m_sc_q5_4
Observed
asq_20m_sc_q6
6. Does your child eat with a fork?
asq_20m_sc_q6_1
Yes
asq_20m_sc_q6_2
Sometimes
asq_20m_sc_q6_3
Not yet
asq_20m_sc_q6_4
Observed
asq_20m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_20m_oa_comment
COMMENTS ON OVERALL
asq_22m_cm_label
COMMUNICATION
asq_22m_cm_q1
1. If you point to a picture of a ball (kitten/cat, cup, hat, etc.) and ask you
asq_22m_cm_q1_1
Yes
asq_22m_cm_q1_2
Sometimes
asq_22m_cm_q1_3
Not yet
asq_22m_cm_q1_4
Observed
asq_22m_cm_q2
2. Without your giving him clues by pointing or using gestures, can your child
asq_22m_cm_q2_1
Yes
asq_22m_cm_q2_2
Sometimes
asq_22m_cm_q2_3
Not yet
asq_22m_cm_q2_4
Observed
asq_22m_cm_q3
3. When you ask your child to point to her nose, eyes, hair, feet, ears, and so
asq_22m_cm_q3_1
Yes
asq_22m_cm_q3_2
Sometimes
asq_22m_cm_q3_3
Not yet
asq_22m_cm_q3_4
Observed
asq_22m_cm_q4
4. Does your child say 15 or more words in addition to 'Mama' and 'Dada'?
asq_22m_cm_q4_1
Yes
asq_22m_cm_q4_2
Sometimes
asq_22m_cm_q4_3
Not yet
asq_22m_cm_q4_4
Observed
asq_22m_cm_q5
5. Does your child correctly use at least two words like 'me,' 'I,' 'mine,' and
asq_22m_cm_q5_1
Yes
asq_22m_cm_q5_2
Sometimes
asq_22m_cm_q5_3
Not yet
asq_22m_cm_q5_4
Observed
asq_22m_cm_q6
6. Does your child say two or three words that represent different ideas togeth
asq_22m_cm_q6_1
Yes
asq_22m_cm_q6_2
Sometimes
asq_22m_cm_q6_3
Not yet
asq_22m_cm_q6_4
Observed
asq_22m_cm_comment
COMMENTS ON COMMUNICATION
asq_22m_gm_label
GROSS MOTOR
asq_22m_gm_q1
1. When you show your child how to kick a large ball, does he try to kick the b
asq_22m_gm_q1_1
Yes
asq_22m_gm_q1_2
Sometimes
asq_22m_gm_q1_3
Not yet
asq_22m_gm_q1_4
Observed
asq_22m_gm_q2
2. Does your child run fairly well, stopping herself without bumping into thing
asq_22m_gm_q2_1
Yes
asq_22m_gm_q2_2
Sometimes
asq_22m_gm_q2_3
Not yet
asq_22m_gm_q2_4
Observed
asq_22m_gm_q3
3. Does your child walk down stairs or down steps if you hold onto one of his h
asq_22m_gm_q3_1
Yes
asq_22m_gm_q3_2
Sometimes
asq_22m_gm_q3_3
Not yet
asq_22m_gm_q3_4
Observed
asq_22m_gm_q4
4. Does your child walk either up or down at least two steps by herself? She ma
asq_22m_gm_q4_1
Yes
asq_22m_gm_q4_2
Sometimes
asq_22m_gm_q4_3
Not yet
asq_22m_gm_q4_4
Observed
asq_22m_gm_q5
5. Does your child jump with both feet leaving the floor at the same time?
asq_22m_gm_q5_1
Yes
asq_22m_gm_q5_2
Sometimes
asq_22m_gm_q5_3
Not yet
asq_22m_gm_q5_4
Observed
asq_22m_gm_q6
6. Without holding onto anything for support, does your child kick a ball by sw
asq_22m_gm_q6_1
Yes
asq_22m_gm_q6_2
Sometimes
asq_22m_gm_q6_3
Not yet
asq_22m_gm_q6_4
Observed
asq_22m_gm_comment
COMMENTS ON GROSS MOTOR
asq_22m_fm_label
FINE MOTOR
asq_22m_fm_q1
1. Does your child get a spoon into her mouth right side up so that the food us
asq_22m_fm_q1_1
Yes
asq_22m_fm_q1_2
Sometimes
asq_22m_fm_q1_3
Not yet
asq_22m_fm_q1_4
Observed
asq_22m_fm_q2
2. Does your child stack six small blocks or toys on top of each other by himse
asq_22m_fm_q2_1
Yes
asq_22m_fm_q2_2
Sometimes
asq_22m_fm_q2_3
Not yet
asq_22m_fm_q2_4
Observed
asq_22m_fm_q3
3. Does your child use a turning motion with her hand while trying to turn door
asq_22m_fm_q3_1
Yes
asq_22m_fm_q3_2
Sometimes
asq_22m_fm_q3_3
Not yet
asq_22m_fm_q3_4
Observed
asq_22m_fm_q4
4. Does your child turn the pages of a book by himself? (He may turn more than
asq_22m_fm_q4_1
Yes
asq_22m_fm_q4_2
Sometimes
asq_22m_fm_q4_3
Not yet
asq_22m_fm_q4_4
Observed
asq_22m_fm_q5
5. Does your child flip switches off and on? (E.g. torch or radio or electrical
asq_22m_fm_q5_1
Yes
asq_22m_fm_q5_2
Sometimes
asq_22m_fm_q5_3
Not yet
asq_22m_fm_q5_4
Observed
asq_22m_fm_q6
6. Can your child string small items such as beads, macaroni, or pasta 'bottle
asq_22m_fm_q6_1
Yes
asq_22m_fm_q6_2
Sometimes
asq_22m_fm_q6_3
Not yet
asq_22m_fm_q6_4
Observed
asq_22m_fm_comment
COMMENTS ON FINE MOTOR
asq_22m_ps_label
PROBLEM SOLVING
asq_22m_ps_q1
1. Without your showing her how, does your child scribble back and forth when y
asq_22m_ps_q1_1
Yes
asq_22m_ps_q1_2
Sometimes
asq_22m_ps_q1_3
Not yet
asq_22m_ps_q1_4
Observed
asq_22m_ps_q2
2. While your child watches, line up four objects like blocks or cars in a row.
asq_22m_ps_q2_1
Yes
asq_22m_ps_q2_2
Sometimes
asq_22m_ps_q2_3
Not yet
asq_22m_ps_q2_4
Observed
asq_22m_ps_q3
3. Does your child pretend objects are something else? For example, does your c
asq_22m_ps_q3_1
Yes
asq_22m_ps_q3_2
Sometimes
asq_22m_ps_q3_3
Not yet
asq_22m_ps_q3_4
Observed
asq_22m_ps_q4
4. After watching you draw a line from the top of the paper to the bottom with
asq_22m_ps_q4_1
Yes
asq_22m_ps_q4_2
Sometimes
asq_22m_ps_q4_3
Not yet
asq_22m_ps_q4_4
Observed
asq_22m_ps_q5
5. After a crumb or bean or maize grain is dropped into a small, clear bottle,
asq_22m_ps_q5_1
Yes
asq_22m_ps_q5_2
Sometimes
asq_22m_ps_q5_3
Not yet
asq_22m_ps_q5_4
Observed
asq_22m_ps_q6
6. If you give your child a bottle, spoon, or pencil upside down, does he turn
asq_22m_ps_q6_1
Yes
asq_22m_ps_q6_2
Sometimes
asq_22m_ps_q6_3
Not yet
asq_22m_ps_q6_4
Observed
asq_22m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_22m_sc_label
PERSONAL-SOCIAL
asq_22m_sc_q1
1. Does your child copy the activities you do, such as wipe up a spill, sweep,
asq_22m_sc_q1_1
Yes
asq_22m_sc_q1_2
Sometimes
asq_22m_sc_q1_3
Not yet
asq_22m_sc_q1_4
Observed
asq_22m_sc_q2
2. If you do any of the following gestures, does your child copy at least one o
asq_22m_sc_q2_1
Yes
asq_22m_sc_q2_2
Sometimes
asq_22m_sc_q2_3
Not yet
asq_22m_sc_q2_4
Observed
asq_22m_sc_q3
3. Does your child eat with a spoon?
asq_22m_sc_q3_1
Yes
asq_22m_sc_q3_2
Sometimes
asq_22m_sc_q3_3
Not yet
asq_22m_sc_q3_4
Observed
asq_22m_sc_q4
4. Does your child drink from a cup or glass, putting it down again with little
asq_22m_sc_q4_1
Yes
asq_22m_sc_q4_2
Sometimes
asq_22m_sc_q4_3
Not yet
asq_22m_sc_q4_4
Observed
asq_22m_sc_q5
5. When playing with either a stuffed animal or a doll, does your child pre- te
asq_22m_sc_q5_1
Yes
asq_22m_sc_q5_2
Sometimes
asq_22m_sc_q5_3
Not yet
asq_22m_sc_q5_4
Observed
asq_22m_sc_q6
6. Does your child push a little toy car, stroller, or other toy on wheels, ste
asq_22m_sc_q6_1
Yes
asq_22m_sc_q6_2
Sometimes
asq_22m_sc_q6_3
Not yet
asq_22m_sc_q6_4
Observed
asq_22m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_22m_oa_comment
COMMENTS ON OVERALL
asq_24m_cm_label
COMMUNICATION
asq_24m_cm_q1
1. Without your showing him, does your child point to the correct picture when
asq_24m_cm_q1_1
Yes
asq_24m_cm_q1_2
Sometimes
asq_24m_cm_q1_3
Not yet
asq_24m_cm_q1_4
Observed
asq_24m_cm_q2
2. Does your child imitate a two-word sentence? For example, when you say a two
asq_24m_cm_q2_1
Yes
asq_24m_cm_q2_2
Sometimes
asq_24m_cm_q2_3
Not yet
asq_24m_cm_q2_4
Observed
asq_24m_cm_q3
3. Without your giving him clues by pointing or using gestures, can your child
asq_24m_cm_q3_1
Yes
asq_24m_cm_q3_2
Sometimes
asq_24m_cm_q3_3
Not yet
asq_24m_cm_q3_4
Observed
asq_24m_cm_q4
4. If you point to a picture of a ball (cat, cup, hat, etc.) and ask your child
asq_24m_cm_q4_1
Yes
asq_24m_cm_q4_2
Sometimes
asq_24m_cm_q4_3
Not yet
asq_24m_cm_q4_4
Observed
asq_24m_cm_q5
5. Does your child say two or three words that represent different ideas togeth
asq_24m_cm_q5_1
Yes
asq_24m_cm_q5_2
Sometimes
asq_24m_cm_q5_3
Not yet
asq_24m_cm_q5_4
Observed
asq_24m_cm_q6
6. Does your child correctly use at least two words like 'me,' 'I,' 'mine,' and
asq_24m_cm_q6_1
Yes
asq_24m_cm_q6_2
Sometimes
asq_24m_cm_q6_3
Not yet
asq_24m_cm_q6_4
Observed
asq_24m_cm_comment
COMMENTS ON COMMUNICATION
asq_24m_gm_label
GROSS MOTOR
asq_24m_gm_q1
1. Does your child walk down stairs or down steps if you hold onto one of her h
asq_24m_gm_q1_1
Yes
asq_24m_gm_q1_2
Sometimes
asq_24m_gm_q1_3
Not yet
asq_24m_gm_q1_4
Observed
asq_24m_gm_q2
2. When you show your child how to kick a large ball, does he try to kick the b
asq_24m_gm_q2_1
Yes
asq_24m_gm_q2_2
Sometimes
asq_24m_gm_q2_3
Not yet
asq_24m_gm_q2_4
Observed
asq_24m_gm_q3
3. Does your child walk either up or down at least two steps by herself? She ma
asq_24m_gm_q3_1
Yes
asq_24m_gm_q3_2
Sometimes
asq_24m_gm_q3_3
Not yet
asq_24m_gm_q3_4
Observed
asq_24m_gm_q4
4. Does your child run fairly well, stopping herself without bumping into thing
asq_24m_gm_q4_1
Yes
asq_24m_gm_q4_2
Sometimes
asq_24m_gm_q4_3
Not yet
asq_24m_gm_q4_4
Observed
asq_24m_gm_q5
5. Does your child jump with both feet leaving the floor at the same time?
asq_24m_gm_q5_1
Yes
asq_24m_gm_q5_2
Sometimes
asq_24m_gm_q5_3
Not yet
asq_24m_gm_q5_4
Observed
asq_24m_gm_q6
6. Without holding onto anything for support, does your child kick a ball by sw
asq_24m_gm_q6_1
Yes
asq_24m_gm_q6_2
Sometimes
asq_24m_gm_q6_3
Not yet
asq_24m_gm_q6_4
Observed
asq_24m_gm_comment
COMMENTS ON GROSS MOTOR
asq_24m_fm_label
FINE MOTOR
asq_24m_fm_q1
1. Does your child get a spoon into his mouth right side up so that the food us
asq_24m_fm_q1_1
Yes
asq_24m_fm_q1_2
Sometimes
asq_24m_fm_q1_3
Not yet
asq_24m_fm_q1_4
Observed
asq_24m_fm_q2
2. Does your child turn the pages of a book by herself? (She may turn more than
asq_24m_fm_q2_1
Yes
asq_24m_fm_q2_2
Sometimes
asq_24m_fm_q2_3
Not yet
asq_24m_fm_q2_4
Observed
asq_24m_fm_q3
3. Does your child use a turning motion with his hand while trying to turn door
asq_24m_fm_q3_1
Yes
asq_24m_fm_q3_2
Sometimes
asq_24m_fm_q3_3
Not yet
asq_24m_fm_q3_4
Observed
asq_24m_fm_q4
4. Does your child flip switches off and on? (Torch, radio, electric switches)
asq_24m_fm_q4_1
Yes
asq_24m_fm_q4_2
Sometimes
asq_24m_fm_q4_3
Not yet
asq_24m_fm_q4_4
Observed
asq_24m_fm_q5
5. Does your child stack seven small blocks or toys on top of each other by her
asq_24m_fm_q5_1
Yes
asq_24m_fm_q5_2
Sometimes
asq_24m_fm_q5_3
Not yet
asq_24m_fm_q5_4
Observed
asq_24m_fm_q6
6. Can your child string small items such as beads, macaroni, or pasta 'bottle
asq_24m_fm_q6_1
Yes
asq_24m_fm_q6_2
Sometimes
asq_24m_fm_q6_3
Not yet
asq_24m_fm_q6_4
Observed
asq_24m_fm_comment
COMMENTS ON FINE MOTOR
asq_24m_ps_label
PROBLEM SOLVING
asq_24m_ps_q1
1. After watching you draw a line from the top of the paper to the bottom with
asq_24m_ps_q1_1
Yes
asq_24m_ps_q1_2
Sometimes
asq_24m_ps_q1_3
Not yet
asq_24m_ps_q1_4
Observed
asq_24m_ps_q2
2. After a crumb or bean or maize grain is dropped into a small, clear bottle,
asq_24m_ps_q2_1
Yes
asq_24m_ps_q2_2
Sometimes
asq_24m_ps_q2_3
Not yet
asq_24m_ps_q2_4
Observed
asq_24m_ps_q3
3. Does your child pretend objects are something else? For example, does your c
asq_24m_ps_q3_1
Yes
asq_24m_ps_q3_2
Sometimes
asq_24m_ps_q3_3
Not yet
asq_24m_ps_q3_4
Observed
asq_24m_ps_q3_ii
3.ii. Does she put a box on her head, pretending it is a hat? Does she use a bl
asq_24m_ps_q3_ii_1
Yes
asq_24m_ps_q3_ii_2
Sometimes
asq_24m_ps_q3_ii_3
Not yet
asq_24m_ps_q3_ii_4
Observed
asq_24m_ps_q4
4. Does your child put things away where they belong? For example, does he know
asq_24m_ps_q4_1
Yes
asq_24m_ps_q4_2
Sometimes
asq_24m_ps_q4_3
Not yet
asq_24m_ps_q4_4
Observed
asq_24m_ps_q5
5. If your child wants something she cannot reach, does she find a chair or box
asq_24m_ps_q5_1
Yes
asq_24m_ps_q5_2
Sometimes
asq_24m_ps_q5_3
Not yet
asq_24m_ps_q5_4
Observed
asq_24m_ps_q6
6. While your child watches, line up four objects like blocks or cars in a row.
asq_24m_ps_q6_1
Yes
asq_24m_ps_q6_2
Sometimes
asq_24m_ps_q6_3
Not yet
asq_24m_ps_q6_4
Observed
asq_24m_ps_comment
COMMENTS ON PROBLEM SOLVING
asq_24m_sc_label
PERSONAL-SOCIAL
asq_24m_sc_q1
1. Does your child drink from a cup or glass, putting it down again with little
asq_24m_sc_q1_1
Yes
asq_24m_sc_q1_2
Sometimes
asq_24m_sc_q1_3
Not yet
asq_24m_sc_q1_4
Observed
asq_24m_sc_q2
2. Does your child copy the activities you do, such as wipe up a spill, sweep,
asq_24m_sc_q2_1
Yes
asq_24m_sc_q2_2
Sometimes
asq_24m_sc_q2_3
Not yet
asq_24m_sc_q2_4
Observed
asq_24m_sc_q3
3. Does your child eat with a spoon?
asq_24m_sc_q3_1
Yes
asq_24m_sc_q3_2
Sometimes
asq_24m_sc_q3_3
Not yet
asq_24m_sc_q3_4
Observed
asq_24m_sc_q4
4. When playing with either a stuffed animal or a doll, does your child pre- te
asq_24m_sc_q4_1
Yes
asq_24m_sc_q4_2
Sometimes
asq_24m_sc_q4_3
Not yet
asq_24m_sc_q4_4
Observed
asq_24m_sc_q5
5. Does your child push a little wagon, stroller, or other toy on wheels, steer
asq_24m_sc_q5_1
Yes
asq_24m_sc_q5_2
Sometimes
asq_24m_sc_q5_3
Not yet
asq_24m_sc_q5_4
Observed
asq_24m_sc_q6
6. Does your child call herself 'I' or 'me' more often than her own name? For e
asq_24m_sc_q6_1
Yes
asq_24m_sc_q6_2
Sometimes
asq_24m_sc_q6_3
Not yet
asq_24m_sc_q6_4
Observed
asq_24m_sc_comment
COMMENTS ON PERSONAL-SOCIAL
asq_24m_oa_comment
COMMENTS ON OVERALL
ca_lg_q58
Ask the mother, 'What does your child do when there is a loud sound like a shou
ca_lg_q59
59. Repeats vowels in strings (e.g. aa aa aa)
ca_lg_q60
60 Repeats syllables in strings (e.g. ma ma ma)
ca_lg_q61
Ask the mother, 'If you stretch out your hand to ask ( ) for somethi
ca_lg_q62
Ask the mother, 'When your child wants to show you something, what does s/he do
ca_lg_q63
Ask the mother, What does your child do when you say ‘no’?'
ca_lg_q64
Ask the mother, 'What does your child do when you say ‘come here’ or ‘go
ca_lg_q65
Ask the mother, 'What objects can your child identify?' 'If you ask your child
ca_lg_q65_objects
Write the objects
ca_lg_q66
Ask the mother, 'If you ask your child to show you his/her eyes/hair/fingers/no
ca_lg_q66_body_parts
Write the body parts
ca_lg_q67
Ask the mother, 'When your child sees a goat/cow/dog, does s/he imitate the app
ca_lg_q68
Ask the mother, 'Have you heard your child say any words, even if s/he doesn’
ca_lg_q69
During the assessment, listen for any words that ( ) uses spontaneou
ca_lg_q70
Ask the mother, 'How many objects can your child name?' 'If you point to his sh
ca_lg_q71
Ask the mother, 'How does your child get dressed?' 'How much help do you give?'
ca_lg_q72
Ask the mother, 'Is your child able to take his/her clothes off on his/her own?
ca_lg_q73
Ask the mother, 'How does your child drink liquid?' 'Does your child drink anyt
ca_lg_q74
Ask the mother, 'Is your child able to feed him/herself?' 'Does s/he use his ha
ca_lg_q75
Ask the mother, 'How long before you have to change your child’s undergarment
ca_lg_q76
Ask the mother, 'Does your child indicate when s/he has peed on him/herself and
ca_lg_q77
Ask the mother, 'What does your child do when s/he wants to pee?' 'Does s/he ge
ca_lg_q78
Ask the mother, 'Does your child ever soil him/herself?' 'Or is s/he clean all
ca_lg_q79
Ask the mother, 'If someone else is holding the baby and you are talking while
ca_lg_q80
Ask the mother, 'When you talk to your child, what does s/he do?' 'Does s/he sm
ca_lg_q81
Ask the mother, 'When your child is upset and you try to comfort him/her, what
ca_lg_q82
Ask the mother, 'Does your child know other people?' 'How do you know that?'
ca_lg_q83
Call ( )’s name and observe his/her reaction. If () turn
ca_lg_q84
Ask the mother, 'What happens when your child is playing and other children are
ca_lg_q85
85. Refuses to eat
ca_lg_q86
86. Has trouble falling asleep
ca_lg_q87
87. Is quarrelsome
ca_lg_q88
88. Does not play well with others (not just brothers and sisters)
ca_lg_q89
89. Hits, shoves, kicks or bites other children (not just brothers and sisters)
ca_lg_q90
90. Shows jealousy
ca_lg_q91
91. Cries or hangs onto you when you try to leave
ca_lg_q92
92. Demands help for activities they can do for themselves
ca_lg_q93
93. Does not follow spoken or unspoken rules
ca_lg_q94
94. Is destructive. Breaks or ruins things on purpose
ca_lg_q95
95. Trouble in adjusting to changes
ca_lg_q96
96. Hits, bites or kicks you (or other adults)
ca_lg_q97
97. Often gets very upset/angry
ca_lg_q98
98. Cries or throws tantrums until s/he is exhaustedy
ca_lg_q99
99. Looks for you when upset/angry
ca_lg_q100
100. Does not share whatever they have (food, space, clothes and/or toys)
ca_lg_q101
101. Is restless. Cannot sit still
ca_lg_q102
102. Cannot pay attention for a long time (not including TV)
ca_lg_q103
103. Cannot wait for his/her turn
ca_gm_q0_label
CHILD ASSESSMENT
ca_gm_q1
Instruction:: Place ( on the mat. If you observe ( h
ca_gm_q2
For children who are not able to sit, place ( on his/her stomach o
ca_gm_q3
Place ( on his/her side on the mat, with his/her face turned away
ca_gm_q4
Place ( on your lap and feel (’s strength in the sho
ca_gm_q5
Ask the mother if ( is able to sit on his/her own if you have not
ca_gm_q6
Place a toy on the mat in front of ( an arm’s length away. Ask ($
ca_gm_q7
Say to (, 'Come and lie down.' While on the mat, demonstrate to (\
ca_gm_q8
For children younger than 12 months and who are not able to stand on their own,
ca_gm_q9
For children older than 12 months, observe ( as they come into the
ca_gm_q10
Sit on the mat on the floor with ( and say to him/her, 'Let’s get
ca_gm_q11
This item should be administered immediately after no. 10 so that the assessor
ca_gm_q12
Say to (, 'Let’s try standing on one leg.' Demonstrate keeping the
ca_gm_q13
Ask the mother, 'Does your child move around?'
ca_gm_q14
Ask the mother if she has observed her child moving forward on his/her feet whe
ca_gm_q15
Observe ( as s/he comes into the assessment area.
ca_gm_q16
-
ca_gm_q17
-
ca_gm_q18
This item should preferably be administered after ‘Standing on one leg.’ Sa
ca_gm_q19
Use the length of the floor mat to estimate a distance of 2m. Say to (${child_n
ca_gm_q20
Say to (, 'Here is another walking game.' Demonstrate rolling feet
ca_gm_q21
Say to (, 'Walk like me.' Walk along a straight line, with one foo
ca_gm_q22
Ask the mother, 'Have you seen your child running?'
ca_gm_q23
Present the ball to ( and say, 'Let’s play with this ball.' The ba
ca_gm_q24
Demonstrate to ( how to throw a ball to an older sibling or mum. T
ca_gm_q25
Stand about 3 paces away from (. Tell (, 'Now catch
ca_gm_q26
Encourage ( to catch the ball and throw it back to you (or to a si
ca_gm_q27
Demonstrate kicking a stationary ball and tell (, 'Kick the ball l
ca_gm_q28
With the platform table in front of you, say to (, 'Let’s climb up
ca_gm_q29
Now say to (, 'Let’s get off the platform.' Demonstrate stepping o
ca_gm_q30
This item requires stepping on to the platform again and jumping off. Say to ($
ca_fm_q31
Dangle a wooden ring in front of (, within his/her reach. Ask (${
ca_fm_q32
Observe ( holding the ring or tassel and note if it is passed from
ca_fm_q33
Say to (, 'Let’s play with blocks.' Place a wooden block on the gr
ca_fm_q34
Offer ( two blocks, one after the other and say, 'Take these block
ca_fm_q35
After offering ( 2 blocks, place the third on the mat and say to (
ca_fm_q36
Present the pieces of cloth with the button undone to (. Say to (\
ca_fm_q37
Ask the mother, 'What does your child do when s/he wants to go through a closed
ca_fm_q38
38. Picks up beads
ca_fm_q39
39. Drops beads into container
ca_fm_q40
40. Threads 2 beads onto shoelace
ca_fm_q41
41. # of beads in 30 seconds
ca_fm_q42
42. Holds a pen purposefully
ca_fm_q43
43. Writes with a pen
ca_fm_q44
44. Picks coin using the right hand
ca_fm_q45
45. Picks coin using the left hand
ca_fm_q46
46. Puts coins in box using the right hand
ca_fm_q47
47. Puts coins in box using the left hand
ca_fm_q48
48. Puts 6 coins in box (vertical slot) using the right hand, 3 trials
ca_fm_q49
49. Puts 6 coins in box (vertical slot) using the left hand, 3 trials
ca_fm_q50
Place 12 cubes in front of ( and say to (, 'Let’s bu
ca_fm_q51
If ( puts the container upside down so that the cubes fall out, it
ca_fm_q52
To score at the highest level, ( must perform the entire action of
ca_fm_q53
(3) Watch (’s eyes and the movement of his/her hands. Score at thi
ca_fm_q54
Show ( which cubes and lids match a particular container while say
ca_ef_q57_grp_label
Behaviour/mood
ca_ef_q57p1
Crying/inconsolable
ca_ef_q57p2
Occasional crying
ca_ef_q57p3
Mood swings
ca_ef_q57p4
No visible emotions
ca_ef_q57p5
Occasional smiles
ca_ef_q57p6
Smiling/laughing
ca_ef_q57p7
Avoidant and withdrawn
ca_ef_q57p8
Clings to family members
ca_ef_q57p9
Hesitant
ca_ef_q57p10
Difficult to engage in tasks
ca_ef_q57p11
Inappropriate approaches
ca_ef_q57p12
Friendly
Total: 2121
