Photocopying and Use Guidelines

Photocopying of ASQ-3™ and ASQ:SE-2™ questionnaires is permitted according to the following guidelines: Purchasers of the Ages & Stages Questionnaires®, Third Edition, and Ages & Stages Questionnaires®: Social-Emotional, Second Edition are granted permission to photocopy the questionnaires as well as the sample letters and forms in the ASQ-3 User’s Guide and the ASQ:SE-2 User’s Guide in the course of their agency’s service provision to families. Each branch office that will be using the ASQ system must purchase its own set of original questionnaires; master forms cannot be shared among sites.

The questionnaires and samples are meant to be used to facilitate screening and monitoring and to assist in the early identification of children who may need further evaluation. Electronic reproduction of the questionnaires is prohibited, and none of the ASQ materials may be reproduced to generate revenue for any program or individual. Photocopies may only be made from an original set of master questionnaires and/or an original User’s Guide. Programs are prohibited from charging parents, caregivers, or other service providers who will be completing and/or scoring the questionnaires fees in excess of the exact cost to photocopy the master forms. This restriction is not meant to apply to reimbursement of usual and customary charges for developmental screening when performed with other evaluation and management services.

The ASQ materials may not be used in a way contrary to the family-oriented philosophies of the ASQ developers. Unauthorized use beyond this privilege is prosecutable under federal law. You will see the copyright protection line at the bottom of each form.

  • Children with Hands in the Air

    What ASQ Users are Saying

    “I like the ASQ:SE, which is an easy non-threatening tool to use to assess important social-emotional developmental milestones of the baby…. This tool lends itself well to developing educational activities to foster a healthy parenting relationship.”

    Cynthia Suire, MSN, RN, Nurse–Family Partnership Program Louisiana Office of Public Health