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Ages and Stages Questionnaire. 3-5 Years

59 Shared Subjects

N/A
Clinical Assessments
Questionnaire
07/02/2015
asq345_01
01/06/2023
View Change History
01
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR* guid_r03
src_subject_id String 20 Required Subject ID how it's defined in lab/project sid_r03
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query com_asq1 Integer Recommended Does your child name at least three items from a common category 1::3 1=Not yet; 2=Sometimes; 3=Yes com_4yoasq01_r03
Query com_asq2 Integer Recommended Does your child answer the following questions: "What do you do when you are hungry/tired? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_4yoasq02_r03, com_5yoasq05_r03
Query com_asq3 Integer Recommended Does your child tell you at least two things about common objects? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_4yoasq03_r03
Query com_asq4 Integer Recommended Does your child use endings of words, such as "s," "ed," and "ing"? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_4yoasq04_r03, com_5yoasq03_r03
Query com_asq5 Integer Recommended Without giving help by pointing or repeating, does your child follow three directions that are unrelated to one another? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_4yoasq05_r03, com_5yoasq01_r03
Query com_asq6 Integer Recommended Does your child use all of the words in a sentence (for example, "a" "the," "am," "is," and "are") to make complete sentences, such as "I am going to the park," or "Is there a toy to play with?" or "Are you coming, too? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_4yoasq06_r03
Query com_asq7 Integer Recommended Does your child use four and five-word sentences? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_5yoasq02_r03
Query com_asq8 Integer Recommended Does your child use comparison words, such as heavier, stronger, or shorter? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_5yoasq04_r03, com_6yoasq04_r03
Query com_asq9 Integer Recommended Does your child repeat the sentences shown below back to you, without any mistakes? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_5yoasq06_r03, com_6yoasq03_r03
Query com_asq10 Integer Recommended After learning new words, does your child try to use them in conversation? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_6yoasq01_r03
Query com_asq11 Integer Recommended Does your child use at least 5 words to describe position? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_6yoasq02_r03
Query com_asq12 Integer Recommended After reading a new story to your child, can your child tell you the beginning, middle, and ending of the story? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_6yoasq05_r03
Query com_asq13 Integer Recommended Does your child use words that connect other words such as "and," "but," "because," "if," and "or"? 1::3 1=Not yet; 2=Sometimes; 3=Yes com_6yoasq06_r03
Query asq_communication_total Float Recommended Communication Total 999 = N/A com_4yoasqtotal_r03, com_5yoasqtotal_r03, com_6yoasqtotal_r03
Query gm_asq1 Integer Recommended Does your child catch a large ball with both hands? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_4yoasq01_r03, gm_5yoasq02_r03
Query gm_asq2 Integer Recommended Does your child climb the rungs of a ladder of a playground slide and slide down without help 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_4yoasq02_r03
Query gm_asq3 Integer Recommended While standing, does your child throw a ball overhand in the direction of a person standing at least 6 feet away? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_4yoasq03_r03, gm_5yoasq01_r03
Query gm_asq4 Integer Recommended Does your child hop up and down on either the right or left foot at least one time without loosing his balance or falling? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_4yoasq04_r03
Query gm_asq5 Integer Recommended Does your child jump forward a distance of 20 inches from a standing position, starting with her feet together? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_4yoasq05_r03
Query gm_asq6 Integer Recommended Without holding onto anything, does your child stand on one foot for at least 5 seconds without losing his balance and putting his foot down? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_4yoasq06_r03, gm_5yoasq03_r03
Query gm_asq7 Integer Recommended Does your child walk on his tiptoes for 15 feet? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_5yoasq04_r03
Query gm_asq8 Integer Recommended Does your child hop forward on one foot for a distance of 4-6 feet without putting down the other foot? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_5yoasq05_r03
Query gm_asq9 Integer Recommended Does your child skip using alternating feet? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_5yoasq06_r03
Query gm_asq10 Integer Recommended Does your child catch a small ball that is thrown from 6 feet away? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_6yoasq01_r03
Query gm_asq11 Integer Recommended Ask your child to repeat a movement pattern of hop up, jump and skip a few steps. Does your child do all three movements at least 2 times? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_6yoasq02_r03
Query gm_asq12 Integer Recommended Does your child jump forward a distance of 3 feet from a standing position? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_6yoasq03_r03
Query gm_asq13 Integer Recommended Does your child walk 10 or more steps backward? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_6yoasq04_r03
Query gm_asq14 Integer Recommended Does your child hop forward on one foot for a distance of 6 feet (3 adult walking steps) without putting down the other foot? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_6yoasq05_r03
Query gm_asq15 Integer Recommended Does your child throw a small ball (such as a tennis ball) about 12 feet (5 adult walking steps) and hit a target about (2x2 feet) or a size of a large pizza box? 1::3 1=Not yet; 2=Sometimes; 3=Yes gm_6yoasq06_r03
Query asq_gross_motor_total Float Recommended Gross Motor Total 999 = N/A gm_4yoasqtotal_r03, gm_5yoasqtotal_r03, gm_6yoasqtotal_r03
Query fm_asq1 Integer Recommended Does your child put together a six-piece interlocking puzzle? Does your child put it back together correctly? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_4yoasq01_r03
Query fm_asq2 Integer Recommended Using child-safe scissors, does your child copy at least three shapes onto a large piece of paper using a pencil or crayon, without tracing? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_4yoasq02_r03
Query fm_asq3 Integer Recommended Does your child copy at least three shapes onto a large piece of paper using a pencil or crayon, without tracing? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_4yoasq03_r03
Query fm_asq4 Integer Recommended Does your child unbutton one or more buttons? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_4yoasq04_r03
Query fm_asq5 Integer Recommended Does your child draw pictures of people that have at least three of the following features: head, eyes, nose, mouth, neck, hair, trunk, arms, hands, legs, or feet? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_4yoasq05_r03
Query fm_asq6 Integer Recommended Does your child color mostly within the lines in a coloring book? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_4yoasq06_r03
Query fm_asq7 Integer Recommended Ask your child to trace on the line below with a pencil. Does your child trace on the line without going off the line more than two times? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_5yoasq01_r03
Query fm_asq8 Integer Recommended Ask your child to draw a picture of a person on a blank sheet of paper. 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_5yoasq02_r03, fm_6yoasq04_r03
Query fm_asq9 Integer Recommended Draw a line across a piece of paper. Using safe scissors, does your child cut the paper in half on a more or less straight line, making the blades go up and down? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_5yoasq03_r03
Query fm_asq10 Integer Recommended Using the shapes below to look at, does your child copy the shapes in the space below without tracing? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_5yoasq04_r03
Query fm_asq11 Integer Recommended Using the letters below to look at, does your child copy the letters without tracing? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_5yoasq05_r03, fm_6yoasq05_r03
Query fm_asq12 Integer Recommended Print your child's first name. Can your child copy the letters? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_5yoasq06_r03
Query fm_asq13 Integer Recommended Does your child button most of his/ her clothing, including small buttons less than 1/2 inch? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_6yoasq01_r03
Query fm_asq14 Integer Recommended Does your child fold the paper so that the sides match up within a half inch? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_6yoasq02_r03
Query fm_asq15 Integer Recommended Does your child cut up soft food such as pizza into smaller pieces using a dull knife in one hand and a fork in the other? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_6yoasq03_r03
Query fm_asq16 Integer Recommended Does your child cut a 4 inch line across paper that is thick paper (such as light cardboard)? 1::3 1=Not yet; 2=Sometimes; 3=Yes fm_6yoasq06_r03
Query asq_fine_motor_total Float Recommended Fine Motor Total 999 = N/A fm_4yoasqtotal_r03, fm_5yoasqtotal_r03, fm_6yoasqtotal_r03
Query ps_asq1 Integer Recommended When you say, "Say five eight three," does your child repeat just these three numbers in the correct order? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_4yoasq01_r03
Query ps_asq2 Integer Recommended When asked, "Which circle is the smallest? Does your child point to the smallest circle? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_4yoasq02_r03, ps_5yoasq01_r03
Query ps_asq3 Integer Recommended Without giving help by pointing, does your child follow three different directions using the words "under," "between," and "middle"? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_4yoasq03_r03
Query ps_asq4 Integer Recommended When shown an object and asked, "What color is this? "Does your child name five different colors like red, blue, yellow, orange, black, white or pink? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_4yoasq04_r03, ps_5yoasq02_r03
Query ps_asq5 Integer Recommended Does your child dress up and "play-act," pretending to be someone or something else? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_4yoasq05_r03
Query ps_asq6 Integer Recommended If you place five objects in front of your child, can he count them saying, "One, two, three, four, five," in order? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_4yoasq06_r03
Query ps_asq7 Integer Recommended Does your child count up to 15 without making mistakes? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_5yoasq03_r03
Query ps_asq8 Integer Recommended Is your child able to finish the following sentences using a word that means the opposite of the word that is italicized? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_5yoasq04_r03
Query ps_asq9 Integer Recommended Does your child know the names of numbers? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_5yoasq05_r03
Query ps_asq10 Integer Recommended Does your child name at least four letters in her name? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_5yoasq06_r03
Query ps_asq11 Integer Recommended Ask your child, "What is 4 plus 2, 3 plus 5, 7 plus 1?" Does your child correctly add the numbers? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_6yoasq01_r03
Query ps_asq12 Integer Recommended Can your child count to 100 by 10s? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_6yoasq02_r03
Query ps_asq13 Integer Recommended Ask your child, "What is 6 minus (or take away) 1, 4 minus 2, and 8 minus 3?" Does your child correctly subtract one number from another? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_6yoasq03_r03
Query ps_asq14 Integer Recommended Does your child know the sounds of 5 of these letters? S,t,k,m,p,c,f,j. 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_6yoasq04_r03
Query ps_asq15 Integer Recommended Ask your child, "What day comes before and after Friday"? Does your child answer correctly? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_6yoasq05_r03
Query ps_asq16 Integer Recommended Does your child tell you if a spoken or printed word has the same or different beginning and ending sounds? 1::3 1=Not yet; 2=Sometimes; 3=Yes ps_6yoasq06_r03
Query asq_probsolve_total Integer Recommended Problem Solving Total 999 = N/A ps_4yoasqtotal_r03, ps_5yoasqtotal_r03, ps_6yoasqtotal_r03
Query psoc_asq1 Integer Recommended Dos your child serve herself, taking food from one container to another using utensils? 1::3 1=Not yet; 2=Sometimes; 3=Yes psoc_4yoasq01_r03
Query psoc_asq2 Integer Recommended Does your child tell you at least four of the following: a. First name, b. Age, c. City she lives in, d. Last name, e. Boy or girl, f. Telephone number 1::3 1=Not yet; 2=Sometimes; 3=Yes psoc_4yoasq02_r03, psoc_5yoasq03_r03
Query psoc_asq3 Integer Recommended Does your child wash his hands and face using soap and water and dry off with a towel without help? 1::3 1=Not yet; 2=Sometimes; 3=Yes psoc_4yoasq03_r03, psoc_5yoasq02_r03
Query psoc_asq4 Integer Recommended Does your child tell you the names of two or more playmates, not including brothers and sisters? 1::3 1=Not yet; 2=Sometimes; 3=Yes psoc_4yoasq04_r03
Query psoc_asq5 Integer Recommended Does your child brush her teeth by putting toothpaste on the toothbrush and brushing all her teeth without help? 1::3 1=Not yet; 2=Sometimes; 3=Yes psoc_4yoasq05_r03
Query psoc_asq6 Integer Recommended Does your child dress or undress himself without help for snaps, buttons, and zippers)? 1::3 1=Not yet; 2=Sometimes; 3=Yes psoc_4yoasq06_r03
Query psoc_asq7 Integer Recommended Does your child serve himself, using utensils? 1::3 1=Not yet; 2=Sometimes; 3=Yes psoc_5yoasq01_r03
Query psoc_asq8 Integer Recommended Does your child dress and undress herself, including buttoning medium-sized buttons and zipping front zippers? 1::3 1=Not yet; 2=Sometimes; 3=Yes psoc_5yoasq04_r03
Query psoc_asq9 Integer Recommended Does your child use the toilet by himself? 1::3 1=Not yet; 2=Sometimes; 3=Yes psoc_5yoasq05_r03, psoc_6yoasq05_r03
Query psoc_asq10 Integer Recommended Does your child usually take turns and share with other children? 1::3 1=Not yet; 2=Sometimes; 3=Yes psoc_5yoasq06_r03
Query psoc_asq11 Integer Recommended Does your child take turns when playing a sit down game such as board games or cards? psoc_6yoasq01_r03
Query psoc_asq12 Integer Recommended Does your child ask before using other people's things? psoc_6yoasq02_r03
Query psoc_asq13 Integer Recommended Does your child begin activities and encourage friends to join in? psoc_6yoasq03_r03
Query psoc_asq14 Integer Recommended Does your child try to solve a conflict with playmates? psoc_6yoasq04_r03
Query psoc_asq15 Integer Recommended Does your child do most of the bath time routine by himself/herself? psoc_6yoasq06_r03
Query asq_persocial_total Integer Recommended Personal-social Total 999 = N/A psoc_4yoasqtotal_r03, psoc_5yoasqtotal_r03, psoc_6yoasqtotal_r03
Query health_asq1a Integer Recommended Do you think your child hears well? 1;2 1=No; 1=Yes health_4yoasq01a_r03, health_5yoasq01a_r03, health_6yoasq01a_r03
health_asq1b String 100 Recommended If no explain: health_4yoasq01b_r03, health_5yoasq01b_r03, health_6yoasq01b_r03
Query health_asq2a Integer Recommended Do you think your child talks like other children her age? 1;2 1=No; 1=Yes health_4yoasq02a_r03, health_5yoasq02a_r03, health_6yoasq02a_r03
Query health_asq2b String 100 Recommended If no explain: health_4yoasq02b_r03, health_5yoasq02b_r03, health_6yoasq02b_r03
Query health_asq3a Integer Recommended Can you understand most of what your child says? 1;2 1=No; 1=Yes health_4yoasq03a_r03, health_5yoasq03a_r03, health_6yoasq03a_r03
health_asq3b String 100 Recommended If no explain: health_4yoasq03b_r03, health_5yoasq03b_r03, health_6yoasq03b_r03
Query health_asq4a Integer Recommended Do you think your child walks, runs, and climbs like other children his age? 1;2 1=No; 1=Yes health_4yoasq04a_r03, health_5yoasq04a_r03, health_6yoasq05a_r03
Query health_asq4b String 100 Recommended If no explain: health_4yoasq04b_r03, health_5yoasq04b_r03, health_6yoasq05b_r03
Query health_asq5a Integer Recommended Does either parent have a family history of childhood deafness or hearing impairment? 1;2 1=No; 1=Yes health_4yoasq05a_r03, health_5yoasq05a_r03, health_6yoasq06a_r03
Query health_asq5b String 100 Recommended If yes explain: health_4yoasq05b_r03, health_5yoasq05b_r03, health_6yoasq06b_r03
Query health_asq6a Integer Recommended Do you have any concerns about your child's vision? 1;2 1=No; 1=Yes health_4yoasq06a_r03, health_5yoasq06a_r03, health_6yoasq07a_r03
health_asq6b String 100 Recommended If yes explain: health_4yoasq06b_r03, health_5yoasq06b_r03, health_6yoasq07b_r03
Query health_asq7a Integer Recommended Has your child had any medical problems in the last several months? 1;2 1=No; 1=Yes health_4yoasq07a_r03, health_5yoasq07a_r03, health_6yoasq08a_r03
Query health_asq7b String 100 Recommended If yes explain: health_4yoasq07b_r03, health_5yoasq07b_r03, health_6yoasq08b_r03
Query health_asq8a Integer Recommended Does anything about your child worry you? 1;2 1=No; 1=Yes health_4yoasq08a_r03, health_5yoasq08a_r03, health_6yoasq10a_r03
Query health_asq8b String 100 Recommended If yes explain: health_4yoasq08b_r03, health_5yoasq08b_r03, health_6yoasq10b_r03
Query health_asq9a Integer Recommended Can other people understand most of what your child says? 1;2 1=No; 1=Yes health_6yoasq04a_r03
Query health_asq9b String 100 Recommended If no, explain: health_6yoasq04b_r03
Query health_asq10a Integer Recommended Do you have any concerns about your child's behavior? 1;2 1=No; 1=Yes health_6yoasq09a_r03
Query health_asq10b String 100 Recommended If yes, explain: health_6yoasq09b_r03
com_36m_asq6 Integer Recommended When you ask, 'What is your name?' does your child say both her/his first and last names? 1::3 1=Not yet; 2=Sometimes; 3=Yes
asq_36m_comm_total Integer Recommended Sum of all 36m communication items
gm_36m_asq1 Integer Recommended Without holding onto anything for support, does your child kick a ball by swinging her/his leg forward? 1::3 1=Not yet; 2=Sometimes; 3=Yes
gm_36m_asq2 Integer Recommended Does your child jump with both feet leaving the floor at the same time? 1::3 1=Not yet; 2=Sometimes; 3=Yes
gm_36m_asq3 Integer Recommended Does your child walk up stairs using only one foot on each stair? The left foot is on one step, and the right foot is on the next. S/he may hold onto the railing or wall. 1::3 1=Not yet; 2=Sometimes; 3=Yes
gm_36m_asq4 Integer Recommended Does your child stand on one foot for about 1 second without holding onto anything? 1::3 1=Not yet; 2=Sometimes; 3=Yes
gm_36m_asq5 Integer Recommended While standing, does your child throw a ball overhand by raising her/his arm to shoulder height and throwing the ball forward? Dropping the ball or throwing the ball underhand should be scored as 'not yet.' 1::3 1=Not yet; 2=Sometimes; 3=Yes
gm_36m_asq6 Integer Recommended Does your child jump forward at least 6 inches with both feet leaving the ground at the same time? 1::3 1=Not yet; 2=Sometimes; 3=Yes
asq_36m_gross_motor_total Integer Recommended Sum of all 36m gross motor function items
fm_36m_asq1 Integer Recommended Does your child copy you by drawing a single line in a vertical direction? 1::3 1=Not yet; 2=Sometimes; 3=Yes
fm_36m_asq2 Integer Recommended Can your child string small items such as beads, macaroni, or pasta 'wagon wheels' onto a string or shoelace? 1::3 1=Not yet; 2=Sometimes; 3=Yes
fm_36m_asq3 Integer Recommended Does your child copy you by drawing a circle? 1::3 1=Not yet; 2=Sometimes; 3=Yes
fm_36m_asq4 Integer Recommended Does your child copy you by drawing a single line in a horizontal direction? 1::3 1=Not yet; 2=Sometimes; 3=Yes
fm_36m_asq5 Integer Recommended Does your child try to cut paper with child-safe scissors? S/he does not need to cut the paper but must get the blades to open and close while holding the paper with the other hand. You may show your child how to use scissors. 1::3 1=Not yet; 2=Sometimes; 3=Yes
fm_36m_asq6 Integer Recommended When drawing, does your child hold a pencil, crayon, or pen between her/his fingers and thumb like an adult does? 1::3 1=Not yet; 2=Sometimes; 3=Yes
asq_36m_fine_motor_total Integer Recommended Sum of all 36m fine motor function items
ps_36m_asq1 Integer Recommended While your child watches, line up four objects like blocks or cars in a row. Does your child copy or imitate you and line up four objects in a row? You can also use spools of thread, small boxes, or other toys. 1::3 1=Not yet; 2=Sometimes; 3=Yes
ps_36m_asq2 Integer Recommended If your child wants something s/he cannot reach, does s/he find a chair or box to stand on to reach it? For example, to get a toy on a counter or to 'help' you in the kitchen. 1::3 1=Not yet; 2=Sometimes; 3=Yes
ps_36m_asq3 Integer Recommended When you point to the figure pictured above and ask your child, ''What is this?'' does your child say a word that means a person or something similar? Select 'Yes' for responses like 'snowman,' 'boy,' 'man,' 'girl,' 'Daddy,' 'spaceman,' and 'monkey.' 1::3 1=Not yet; 2=Sometimes; 3=Yes
ps_36m_asq4 Integer Recommended When you say, 'Say 'seven three,'' does your child repeat just the two numbers in the same order? Do not repeat the numbers. If necessary, try another pair of numbers and say, 'Say 'eight two.'' Your child must repeat just one series of two numbers for you to answer 'Yes' to this question. 1::3 1=Not yet; 2=Sometimes; 3=Yes
relationship Integer Recommended Relationship of respondent to individual 1::94;-999 1 = Biological mom; 2 = Biological dad; 3 = Grandparent; 4 = Special education (sped) teacher; 5 = General education teacher; 6 = Occupational therapist; 7 = Speech and language therapist; 8 = Behavioral therapist; 9 = Paraprofessional; 10 = Aide; 11 = Principal; 12 = Administrator; 14 = Content teacher; 15 = Parent center director; 16 = Self; 17=Adoptive mother; 18=Adoptive father; 19=Foster mother; 20 = Foster father; 21=Grandmother; 22=Grandfather; 23=Step-mother; 24 = Step-father; 25=Aunt; 26=Uncle; 28=Both parents;31= Grandmother from mother side; 32= Grandfather from mother side; 33= Grandmother from father side; 34= Grandfather from father side; 36= Brother; 37= Sister; 38= Cousin; 39= female caregiver; 40=male caregiver; 41=Female child; 42=Male child; 43=Spouse/Mate; 44=Friend; 45=Parent; 46=Significant other; 47=Sibling; 48=Son/Daughter; 49=Son-in-law/Daughter-in law; 50=Other Relative; 51=Paid caregiver; 52=Friends; 53=Roommate; 54=Supervisor; 55=mother's boyfriend; 56=other parental figure; 57=Summary; 58=counselor ; 59 = other female relative; 60 = other male relative; 61 = non-relative ; 62=Maternal Aunt; 63=Maternal Uncle; 64=Maternal Cousin; 65 = Paternal Aunt; 66=Paternal Uncle; 67=Paternal Cousin ; 68=Biological/Adoptive Mother and Grandmother; 69=Biological/Adoptive Mother and Stepmother and Grandmother; 70=Biological/Adoptive Mother and Grandmother and Foster Father; 71=Biological/Adoptive Mother and Stepmother and Foster Mother; 72=Biological/Adoptive Mother and Foster Mother; 73=Biological/Adoptive Mother and Biological/Adoptive Father; 74=Biological/Adoptive Mother and Stepmother and Biological/Adoptive Father; 75=Biological/Adoptive Mother and Other; 76=Biological/Adoptive Mother and Stepmother and Stepfather; 77=Biological/Adoptive Mother and Stepfather; 78=Biological/Adoptive Mother and Grandfather; 79=Biological/Adoptive Mother and Stepmother and Foster Father; 80=Biological/Adoptive Mother and Stepmother; 81=Guardian, female; 82=Other female; 83=Guardian, male; 84=Other male; 85=Other/Grandparent/Nanny; 86 = Mother, Father, Guardian; 87 = Daughter, son, grandchild; 88 = Professional (e.g., social worker, nurse, therapist, psychiatrist, or group home staff); -999=Missing; 89 = Biological parent; 90=Other; 91 = Stepparent; 92 = Adoptive parent; 93 = Foster parent; 94 = Co-worker
ps_36m_asq5 Integer Recommended Show your child how to make a bridge with blocks, boxes, or cans, like the example image. Does your child copy you by making one like it? 1::3 1=Not yet; 2=Sometimes; 3=Yes
ps_36m_asq6 Integer Recommended When you say, 'Say 'five eight three,'' does your child repeat just the three numbers in the same order? Do not repeat the numbers. If necessary, try another pair of numbers and say, 'Say 'six nine two.'' Your child must repeat just one series of three numbers for you to answer 'Yes' to this question. 1::3 1=Not yet; 2=Sometimes; 3=Yes
asq_36m_probsolve_total Integer Recommended Sum of all 36m problem solving items
psoc_36m_asq1 Integer Recommended Does your child use a spoon to feed her/himself with little spilling? 1::3 1=Not yet; 2=Sometimes; 3=Yes
psoc_36m_asq2 Integer Recommended Does your child push a little wagon, stroller, or toy on wheels, steering it around objects and backing out of corners if s/he cannot turn? 1::3 1=Not yet; 2=Sometimes; 3=Yes
psoc_36m_asq3 Integer Recommended When your child is looking in a mirror and you ask, 'Who is in the mirror?' does s/he say either 'me' or her/his own name? 1::3 1=Not yet; 2=Sometimes; 3=Yes
psoc_36m_asq4 Integer Recommended Does your child put on a coat, jacket, or shirt by her/himself? 1::3 1=Not yet; 2=Sometimes; 3=Yes
psoc_36m_asq5 Integer Recommended Using these exact words, ask your child, 'Are you a girl or a boy?' Does your child answer correctly? (optional) 1::3 1=Not yet; 2=Sometimes; 3=Yes
psoc_36m_asq6 Integer Recommended Does your child take turns by waiting while another child or adult takes a turn? 1::3 1=Not yet; 2=Sometimes; 3=Yes
asq_36m_persocial_total Integer Recommended Sum of all 36m personal-social items
timepoint_label String 50 Recommended Timepoint/visit label
com_36m_asq1 Integer Recommended When you ask your child to point to her/his nose, eyes, hair, feet, ears, and so forth, does s/he correctly point to at least seven body parts? (s/he can point to parts of her/himself, you, or a doll. Select 'Sometimes' if s/he correctly points to at least 3 different body parts). 1::3 1=Not yet; 2=Sometimes; 3=Yes
com_36m_asq2 Integer Recommended Does your child make sentences that are three or four words long? 1::3 1=Not yet; 2=Sometimes; 3=Yes
com_36m_asq3 Integer Recommended Without giving your child help by pointing or using gestures, ask her/him to 'put the book on the table' and 'put the shoe under the chair.' Does your child carry out both of these directions correctly? 1::3 1=Not yet; 2=Sometimes; 3=Yes
com_36m_asq4 Integer Recommended When looking at a picture book, does your child tell you what is happening or what action is taking place in the picture (for example, 'barking,' 'running,' 'eating,' or 'crying')? You may ask, 'What is the dog (or boy) doing?' 1::3 1=Not yet; 2=Sometimes; 3=Yes
com_36m_asq5 Integer Recommended Show your child how a zipper on a coat moves up and down, and say 'See, this goes up and down.' Put the zipper to the middle and ask your child to move the zipper down. Return the zipper to the middle and ask your child to move the zipper up. Do this several times, placing the zipper in the middle before asking your child to move it up or down. Does your child consistently move the zipper up when you say 'up' and down when you say 'down'? 1::3 1=Not yet; 2=Sometimes; 3=Yes
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.