Request a Keycode

Euphoric female winner winning at homeASQ® Keycodes are now available for customers who have purchased ASQ®-3 Arabic, ASQ®-3 French, or ASQ®-3 Vietnamese Questionnaires on CD-ROM*.

To add ASQ-3 Arabic, ASQ-3 French, or ASQ-3 Vietnamese questionnaires to your ASQ Online account, you will need to submit a Keycode Request Form. You may also use this form to request replacement keycodes for any previously purchased ASQ-3 or ASQ®:SE-2 Questionnaires, including:

  • ASQ®-3 in English
  • ASQ®-3 in Spanish
  • ASQ®-3 in French
  • ASQ®-3 in Arabic
  • ASQ®-3 in Vietnamese
  • ASQ®:SE-2 in English
  • ASQ®:SE-2 in Spanish
  • ASQ®:SE-2 in French



1. Print the Keycode Request Form on your organization’s letterhead and complete
 the form.

2. Find a valid proof of purchase for the ASQ product(s) that require a replacement
 keycode. A valid proof of purchase is considered one of the following:

  • Initial purchase receipt for the product(s)
  • Copyright page(s) from the ASQ-3 English, ASQ-3 Spanish, ASQ:SE-2 English, or ASQ:SE-2 Spanish (located on the inside front cover of the ASQ-3 Product Overview)
  • Title page(s) from the ASQ-3 French, ASQ-3 Arabic, ASQ-3 Vietnamese, or ASQ:SE-2 French CD-ROMs (located on the first page of the Master Set file on the CD-ROM)

3. Fax or mail the completed form and valid proof of purchase for the corresponding
 ASQ product(s) to Brookes Publishing Co. Please include ATTN: Customer Service
 (ASQ Keycode Request).

4. Upon the verification and approval of your request, we will email a keycode to the
 e-mail address you provided on your completed ASQ® Keycode Request Form.


Download the Keycode Request Form


*Please note that to receive a keycode you must have a current paid subscription to ASQ Online.
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    Cynthia Suire, MSN, RN, Nurse–Family Partnership Program Louisiana Office of Public Health