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Ages and Stages Questionnaires. ASQ-3

12 Shared Subjects

Ages and Stages Questionnaires. ASQ-3. 4, 6, 10, 12, 16, 18 and 24 months questionnaires.
Clinical Assessments
Questionnaire
10/29/2012
asq301
05/03/2023
View Change History
01
Definition
Submission Template
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*
src_subject_id String 20 Required Subject ID how it's defined in lab/project
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.
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data
Query premature_weeks Integer Recommended Weeks premature 0 = Full term
asq_relationship String 40 Required Relationship to baby: Parent, grandparent or other relative, guardian, foster parent, teacher, child care provider, other Parent;Grandparent or other relative;Guardian;Foster parent;Teacher;Child care provider;Other; 999 = N/A
Query asq_communication_total Float Required Communication Total 999 = N/A
Query communication_10m_3_12m_1 Integer Recommended Does your baby make two similar sounds like "ba-ba," "da-da," or "ga-ga"? (The sounds do not need to mean anything.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_10m_4_12m_2 Integer Recommended 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," "Peekaboo," "clap your hands," "So Big")? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_10m_5_12m_3 Integer Recommended Does your baby follow one simple command, such as "Come here," "Give it to me," or "Put it back," without using your gestures? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_10m_6_12m_4 Integer Recommended 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.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_12m_5 Integer Recommended 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.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_12m_6_16_3_18m_1 Integer Recommended When your baby wants something, does he tell you by pointing to it? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_16m_1 Integer Recommended Does your child point to, pat, or try to pick up pictures in a book? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_16m_2 Integer Recommended Does your child say four or more words in addition to "Mama" and "Dada"? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_16m_4_18m_2 Integer Recommended When you ask your child to, does he go into another room to find a familiar toy or object? (You might ask, "Where is your ball?" or say, "Bring me your coat," or "Go get your blanket.") 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_16m_5_18_4_24m_2 Integer Recommended Does your child imitate a two-word sentence? For example, when you say a two-word phrase, such as "Mama eat," "Daddy play," "Go home," or "What's this?" does your child say both words back to you? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_16m_6_18m_3 Integer Recommended Does your child say eight or more words in addition to "Mama" and "Dada"? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_18m_5_24m_1 Integer Recommended Without you showing him, does your child point to the correct picture when you say, "Show me the kitty," or ask, "Where is the dog?" (He needs to identify only one picture correctly.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_18m_6_24m_5 Integer Recommended Does your child say two or three words that represent different ideas together, such as "See dog," "Mommy come home," or "Kitty gone"? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_24m_3 Integer Recommended Without you giving him clues by pointing or using gestures, can your child carry out at least three of these kinds of directions? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes. DIRECTIONS: A) Put the toy on the table. B) Close the door. C) Bring me a towel. D) Find your coat. E) Take my hand. F) Get your book.
Query communication_24m_4 Integer Recommended If you point to a picture of a ball (kitty, cup, hat, etc.) and ask your child, "What is this?" does your child correctly name at least one picture? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_24m_6 Integer Recommended Does your child correctly use at least two words like "me," "I," "mine," and "you"? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_4m_1 Integer Recommended Does your baby chuckle softly? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_4m_2 Integer Recommended After you have been out of sight, does your baby smile or get excited when he sees you? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_4m_3 Integer Recommended Does your baby stop crying when she hears a voice other than yours? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_4m_4_6m_1 Integer Recommended Does your baby make high-pitched squeals? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_4m_5 Integer Recommended Does your baby laugh? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_4m_6 Integer Recommended Does your baby make sounds when looking at toys or people? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_6m_2 Integer Recommended When playing with sounds, does your baby make grunting, growling, or other deep-toned sounds? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_6m_3 Integer Recommended If you call your baby when you are out of sight, does she look in the direction of your voice? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_6m_4 Integer Recommended When a loud noise occurs, does your baby turn to see where the sound came from? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_6m_5_10m_1 Integer Recommended Does your baby make sounds like "da," "ga," "ka," and "ba"? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query communication_6m_6_10m_2 Integer Recommended If you copy the sounds your baby makes, does your baby repeat the same sounds back to you? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query asq_gross_motor_total Float Required Gross Motor Total 999 = N/A
Query gross_motor_10m_1 Integer Recommended If you hold both hands just to balance your baby, does she support her own weight while standing? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_10m_2 Integer Recommended When sitting on the floor, does your baby sit up straight for several minutes without using his hands for support? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_10m_3 Integer Recommended When you stand your baby next to furniture or the crib rail, does she hold on without leaning her chest against the furniture for support? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_10m_4_12m_1 Integer Recommended While holding onto furniture, does your baby bend down and pick up a toy from the floor and then return to a standing position? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_10m_5_12m_2 Integer Recommended While holding onto furniture, does your baby lower himself with control (without falling or flopping down)? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_10m_6_12m_3 Integer Recommended Does your baby walk beside furniture while holding on with only one hand? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_12m_4 Integer Recommended 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.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_12m_5 Integer Recommended 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.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_12m_6 Integer Recommended Does your baby stand up in the middle of the floor by himself and take several steps forward? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_16m_1 Integer Recommended Does your child stand up in the middle of the floor by himself and take several steps forward? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_16m_2 Integer Recommended Does your child climb onto furniture or other large objects, such as large climbing blocks? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_16m_3_18m_1 Integer Recommended Does your child bend over or squat to pick up an object from the floor and then stand up again without any support? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_16m_4_18m_2 Integer Recommended Does your child move around by walking, rather than crawling on her hands and knees? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_16m_6_18m_3 Integer Recommended Does your child walk well and seldom fall? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_16m_6_18m_4 Integer Recommended Does your child climb on an object such as a chair to reach something he wants (for example, to get a toy on a counter or to "help" you in the kitchen)? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_18m_5_24m_1 Integer Recommended Does your child walk down stairs if you hold onto one of her hands? She may also hold onto the railing or wall. (You can look for this at a store, on a playground, or at home.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_18m_6_24m_2 Integer Recommended When you show your child how to kick a large ball, does he try to kick the ball by moving his leg forward or by walking into it? (If your child already kicks a ball, mark "yes" for this item.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_24m_3 Integer Recommended Does your child walk either up or down at least two steps by herself? She may hold onto the railing or wall. 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_24m_4 Integer Recommended Does your child run fairly well, stopping herself without bumping into things or falling? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_24m_5 Integer Recommended Does your child jump with both feet leaving the floor at the same time? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_24m_6 Integer Recommended Without holding onto anything for support, does your child kick a ball by swinging his leg forward? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_4m_1 Integer Recommended While your baby is on his back, does he move his head from side to side? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_4m_2 Integer Recommended After holding her head up while on her tummy, does your baby lay her head back down on the floor, rather than let it drop or fall forward. 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_4m_3 Integer Recommended When your baby is on his tummy, does he hold his head up so that his chin is about 3 inches from the floor for at least 15 seconds? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_4m_4 Integer Recommended When your baby is on her tummy, does she hold her head straight up, looking around? (She can rest on her arms while doing this.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_4m_5 Integer Recommended When you hold him in a sitting position, does your baby hold his head steady? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_4m_6 Integer Recommended While your baby is on her back, does your baby bring her hands together over her chest, touching her fingers? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_6m_1 Integer Recommended While your baby is on his back, does your baby lift his legs high enough to see his feet? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_6m_2 Integer Recommended When your baby is on her tummy, does she straighten both arms and push her whole chest off the bed or floor? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_6m_3 Integer Recommended Does your baby roll from his back to his tummy, getting both arms out from under him? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_6m_4 Integer Recommended When you put your baby on the floor, does she lean on her hands while sitting? (If she already sits up straight without leaning on her hands, mark "yes" for this item.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_6m_5 Integer Recommended If you hold both hands just to balance your baby, does he support his own weight while standing? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query gross_motor_6m_6 Integer Recommended Does your baby get into a crawling position by getting up on her hands and knees? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query asq_fine_motor_total Float Required Fine Motor Total 999 = N/A
Query fine_motor_10m_3 Integer Recommended Does your baby pick up a small toy with the tips of his thumb and fingers? (You should see a space between the toy and his palm.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_10m_4_12m_1 Integer Recommended After one or two tries, does your baby pick up a piece of string with her first finger and thumb? (The string may be attached to a toy.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_10m_5_12m_2 Integer Recommended Does your baby pick up a crumb or Cheerio with the tips of her thumb and a finger? She may rest her arm or hand on the table while doing it. 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_10m_6_12m_3 Integer Recommended Does your baby put a small toy down, without dropping it, and then take her hand off the toy? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_12m_5 Integer Recommended Does your baby throw a small ball with a forward arm motion? (If he simply drops the ball, mark "not yet" for this item.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_12m_6 Integer Recommended Does your baby help turn the pages of a book? (You may lift a page for him to grasp.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_12m_4 Integer Recommended 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? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_16m_1 Integer Recommended Does your child help turn the pages of a book? (You may lift a page for her to grasp.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_16m_2_18m_1 Integer Recommended Does your child throw a small ball with a forward arm motion? (If he simply drops the ball, mark "not yet" for this item.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_16m_3_18m_2 Integer Recommended Does your child 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.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_16m_4_18m_4 Integer Recommended Does your child stack three small blocks or toys on top of each other by herself? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_16m_5_18m_3 Integer Recommended Does your child make a mark on the paper with the tip of a crayon (or pencil or pen) when trying to draw? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_16m_6_18_5_24m_2 Integer Recommended Does your child turn the pages of a book by herself? (She may turn more than one page at a time.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_18m_6_24m_1 Integer Recommended Does your child get a spoon into her mouth right side up so that the food usually doesn't spill? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_24m_3 Integer Recommended Does your child use a turning motion with his hand while trying to turn doorknobs, wind up toys, twist tops, or screw lids on and off jars? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_24m_4 Integer Recommended Does your child flip switches off and on? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_24m_5 Integer Recommended Does your child stack seven small blocks or toys on top of each other by herself? (You could also use spools of thread, small boxes, or toys that are about 1 inch in size.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_24m_6 Integer Recommended Can your child string small items such as beads, macaroni, or pasta "wagon wheels" onto a string or shoelace? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_4m_1 Integer Recommended Does your baby hold his hands open or partly open (rather than in fists, as they were when he was a newborn)? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_4m_2 Integer Recommended When you put a toy in her hand, does your baby wave it about, at least briefly? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_4m_3 Integer Recommended Does your baby grab or scratch at his clothes? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_4m_4 Integer Recommended When you put a toy in her hand, does your baby hold onto it for about 1 minute while looking at it, waving it about, or trying to chew it? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_4m_5 Integer Recommended Does your baby grab or scratch his fingers on a surface in front of him, either while being held in a sitting position or when he is on his tummy? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_4m_6 Integer Recommended When you hold your baby in a sitting position, does she reach for a toy on a table close by, even though her hand may not touch it? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_6m_1 Integer Recommended Does your baby grab a toy you offer and look at it, wave it about, or chew on it for about 1 minute? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_6m_2 Integer Recommended Does your baby reach for or grasp a toy using both hands at once? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_6m_3 Integer Recommended Does your baby reach for a crumb or Cheerio and touch it with his finger or hand? (If he already picks up a small object the size of a pea, mark "yes" for this item.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_6m_4 Integer Recommended Does your baby pick up a small toy, holding it in the center of her hand with her fingers around it? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_6m_5_10m_2 Integer Recommended Does your baby try to pick up a crumb or Cheerio by using his thumb and all of his fingers in a raking motion, even if he isn't able to pick it up? (If he already picks up the crumb or Cheerio, mark "yes" for this item.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query fine_motor_6m_6_10m_1 Integer Recommended Does your baby pick up a small toy with only one hand? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query asq_probsolve_total Integer Required Problem Solving Total 999 = N/A
Query probsolve_10m_2 Integer Recommended Does your baby pick up two small toys, one in each hand, and hold onto them for about 1 minute? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_10m_3 Integer Recommended When holding a toy in his hand, does your baby bang it against another toy on the table? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_10m_4_12m_1 Integer Recommended While holding a small toy in each hand, does your baby clap the toys together (like "Pat-a-cake")? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_10m_5_12m_2 Integer Recommended 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)? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_10m_6_12m_3 Integer Recommended After watching you hide a small toy under a piece of paper or cloth, does your baby find it? (Be sure the toy is completely hidden.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_12m_4 Integer Recommended 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? (If she already lets go of the toy into a bowl or box, mark "yes" for this item.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_12m_5 Integer Recommended Does your baby drop two small toys, one after the other, into a container like a bowl or box? (You may show him how to do it.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_12m_6_16m_1 Integer Recommended After you scribble back and forth on paper with a crayon (or a pencil or pen), does your baby copy you by scribbling? (If she already scribbles on her own, mark "yes" for this item.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_16m_2 Integer Recommended Can your child drop a crumb or Cheerio into a small, clear bottle (such as a plastic soda-pop bottle or baby bottle)? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_16m_3_18m_1 Integer Recommended Does your child drop several small toys, one after another, into a container like a bowl or box? (You may show him how to do it.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_16m_4_18m_2 Integer Recommended After you have shown your child how, does she try to get a small toy that is slightly out of reach by using a spoon, stick, or similar tool? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_16m_5_18m_4 Integer Recommended Without your showing him how, does your child scribble back and forth when you give him a crayon (or pencil or pen)? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_16m_6_18m_3 Integer Recommended After a crumb or Cheerio is dropped into a small, clear bottle, does your child turn the bottle upside down to dump it out? (You may show her how.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_18m_5_24m_1 Integer Recommended After watching you draw a line from the top of the paper to the bottom with a crayon (or pencil or pen), does your child copy you by drawing a single line on the paper in any direction? (Mark "not yet" if your child scribbles back and forth.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_18m_6_24m_2 Integer Recommended After a crumb or Cheerio is dropped into a small, clear bottle, does your child turn the bottle upside down to dump out the crumb or Cheerio? (Do not show him how.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_24m_3 Integer Recommended Does your child pretend objects are something else? For example, does your child hold a cup to her ear, pretending it is a telephone? Does she put a box on her head, pretending it is a hat? Does she use a block or small toy to stir food? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_24m_4 Integer Recommended Does your child put things away where they belong? For example, does he know his toys belong on the toy shelf, his blanket goes on his bed, and dishes go in the kitchen? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_24m_5 Integer Recommended If your child wants something she cannot reach, does she 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)? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_24m_6 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.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_4m_1 Integer Recommended When you move a toy slowly from side to side in front of your baby's face (about 10 inches away), does your baby follow the toy with his eyes, sometimes turning his head? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_4m_2 Integer Recommended When you move a small toy up and down slowly in front of your baby's face (about 10 inches away), does your baby follow the toy with her eyes? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_4m_3 Integer Recommended When you hold your baby in a sitting position, does he look at a toy (about the size of a cup or rattle) that you place on the table or floor in front of him? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_4m_4 Integer Recommended When you put a toy in her hand, does your baby look at it? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_4m_5 Integer Recommended When you put a toy in his hand, does your baby put the toy in his mouth? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_4m_6 Integer Recommended When you dangle a toy above your baby while she is lying on her back, does your baby wave her arms toward the toy? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_6m_1 Integer Recommended When a toy is in front of your baby, does she reach for it with both hands? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_6m_2 Integer Recommended When your baby is on his back, does he turn his head to look for a toy when drops it? (If he already picks it up, mark "yes" for this item.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_6m_3 Integer Recommended When your baby is on her back, does she try to get a toy she has dropped if she can see it? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_6m_4 Integer Recommended Does your baby pick up a toy and put it in his mouth? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_6m_5_10m_1 Integer Recommended Does your baby pass a toy back and forth from one hand to the other? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query probsolve_6m_6 Integer Recommended Does your baby play by banging a toy up and down on the floor or table? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query asq_persocial_total Integer Required Personal-social Total 999 = N/A
Query persocial_4m_5 Integer Recommended Before you smile or talk to your baby, does he smile when he sees you nearby? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_4m_4 Integer Recommended Does your baby help hold the bottle with both hands at once, or when nursing, does she hold the breast with her free hand? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_4m_3 Integer Recommended When your baby sees the breast or bottle, does he seem to know he is about to be fed? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_4m_1 Integer Recommended Does your baby watch his hands? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_4m_6_6m_1 Integer Recommended When in front of a large mirror, does your baby smile or coo at herself? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_4m_2 Integer Recommended When your baby has her hands together, does she play with her fingers? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_6m_2 Integer Recommended Does your baby act differently toward strangers than he does with you and other familiar people? (Reactions to strangers may include staring, frowning, withdrawing, or crying.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_6m_6 Integer Recommended Does your baby try to get a toy that is out of reach? (She may roll, pivot on her tummy, or crawl to get it.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_6m_4 Integer Recommended When in front of a large mirror, does your baby reach out to pat the mirror? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_6m_3 Integer Recommended While lying on her back, does your baby play by grabbing her foot? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_6m_5_10m_1 Integer Recommended While your baby is on his back, does he put his foot in his mouth? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_10m_2 Integer Recommended Does your baby drink water, juice, or formula from a cup while you hold it? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_10m_3 Integer Recommended Does your baby feed himself a cracker or a cookie? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_10m_5 Integer Recommended When you dress your baby, does he push his arm through a sleeve once his arm is started in the hole of the sleeve? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_10m_6_12m_3 Integer Recommended When you hold out your hand and ask for her toy, does your baby let go of it into your hand? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_10m_4_12m_1 Integer Recommended When you hold out your hand and ask for her toy, does your baby offer it to you even if she doesn't let go of it? (If she already lets go of the toy into your hand, mark "yes" for this item.) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_12m_6_16m_3_18m_2 Integer Recommended Does your baby play with a doll or stuffed animal by hugging it? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_12m_5 Integer Recommended Does your baby roll or throw a ball back to you so that you can return it to him? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_12m_4 Integer Recommended When you dress your baby, does she lift her foot for her shoe, sock, or pant leg? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_12m_2 Integer Recommended When you dress your baby, does she push her arm through a sleeve once her arm is started in the hole of the sleeve? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_16m_6_18m_4 Integer Recommended Does your child come to you when she needs help, such as with winding up a toy or unscrewing a lid from a jar? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_16m_1 Integer Recommended Does your child feed himself with a spoon, even though he may spill some food? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_16m_5_18m_3 Integer Recommended Does your child get your attention or try to show you something by pulling on your hand or clothes? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_16m_2 Integer Recommended Does your child help undress herself by taking off clothes like socks, hat, shoes, or mittens? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_16m_4_18m_1 Integer Recommended While looking at himself in the mirror, does your child offer a toy to his own image? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_18m_6_24m_2 Integer Recommended Does your child copy the activities you do, such as wipe up a spill, sweep, shave, or comb hair? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_18m_5_24m_1 Integer Recommended Does your child drink from a cup or glass, putting it down again with little spilling? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_24m_1 Integer Recommended Does your child call herself "I" or "me" more often than her own name? For example, "I do it," more often than "Juanita do it." 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_24m_3 Integer Recommended Does your child eat with a fork? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_24m_5 Integer Recommended Does your child push a little wagon, stroller, or other toy on wheels, steering it around objects and backing out of corners if he cannot turn? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
Query persocial_24m_4 Integer Recommended When playing with either a stuffed animal or a doll, does your child pretend to rock it, feed it, change its diapers, put it to bed, and so forth? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
overall_vision String 5 Recommended Do you have concerns about your baby's vision? Yes;No
overall_vision_com String 1,000 Recommended Do you have concerns about your baby's vision? If yes, explain:
overall_deaf_famhist String 5 Recommended Does either parent have a family history of childhood deafness or hearing impairment? Yes;No
overall_deaf_famhist_com String 1,000 Recommended Does either parent have a family history of childhood deafness or hearing impairment? If yes, explain:
overall_hear String 5 Recommended Do you think your child hears well? Yes;No
overall_hear_com String 1,000 Recommended Do you think your child hears well? Explain
overall_medproblem String 5 Recommended Has your baby had any medical problems in the last several months? Yes;No
overall_medproblem_com String 1,000 Recommended Has your baby had any medical problems in the last several months? If yes, explain:
overall_stand String 5 Recommended When you help your baby stand, are his feet flat on the surface most of the time? Yes;No
overall_stand_com String 1,000 Recommended When you help your baby stand, are his feet flat on the surface most of the time? If no, explain:
overall_talk_com String 1,000 Recommended Do you think your child talks like others his age? Explain
overall_talk String 5 Recommended Do you think your child talks like others his age? Yes;No
overall_understand String 5 Recommended Do you understand most of what your child says? Yes;No
overall_understand_com String 1,000 Recommended Do you understand most of what your child says? Comment
overall_hands_legs String 5 Recommended Does your baby use both hands and both legs equally well? Yes;No
overall_hands_legs_com String 1,000 Recommended Does your baby use both hands and both legs equally well? If no, explain:
overall_walk String 5 Recommended Do you think your child walks, runs and climbs like other toddlers his age? Yes;No
overall_walk_com String 1,000 Recommended Do you think your child walks, runs and climbs like other toddlers his age? Explain
overall_worry String 5 Recommended Does anything about your baby worry you? Yes;No
overall_worry_com String 1,000 Recommended Does anything about your baby worry you? If yes, explain:
overall_asq4b String 1,000 Recommended If your baby had any medical problems, please explain
overall_asq5a Integer Recommended Do you have concerns about your baby?s behavior (for example, eating, sleeping)? 0; 1 0 = No; 1 = Yes
overall_asq5b String 1,000 Recommended If you have concerns about your baby?s behavior, please explain
asq1m_1 Integer Recommended Does your baby sometimes make throaty or gurgling sounds? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_2 Integer Recommended Does your baby make cooing sounds such as ''ooo,'' ''gah,'' and ''aah''? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_3 Integer Recommended When you speak to your baby, does she make sounds back to you? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_4 Integer Recommended Does your baby smile when you talk to him? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_5 Integer Recommended While your baby is on his back, does he wave his arms and legs, wiggle, and squirm? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_6 Integer Recommended When your baby is on her tummy, does she turn her head to the side? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_7 Integer Recommended When your baby is on his tummy, does he hold his head up longer than a few seconds? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_8 Integer Recommended When your baby is on her back, does she kick her legs? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_9 Integer Recommended Is your baby''s hand usually tightly closed when he is awake? (If your baby used to do this but no longer does, mark ?yes.?) 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_10 Integer Recommended Does your baby grasp your finger if you touch the palm of her hand? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_11 Integer Recommended When you put a toy in his hand, does your baby hold it in his hand briefly? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_12 Integer Recommended Does your baby touch her face with her hands? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_13 Integer Recommended Does your baby look at objects that are 8?10 inches away? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_14 Integer Recommended When you move around, does your baby follow you with his eyes? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_15 Integer Recommended Does your baby sometimes try to suck, even when she''s not feeding? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_16 Integer Recommended Does your baby cry when he is hungry, wet, tired, or wants to be held? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
asq1m_17 Integer Recommended Does your baby smile at you? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
overall_asq1a Integer Recommended Did your baby pass the newborn hearing screening test? 0; 1 0 = No; 1 = Yes
asq1m_18 Integer Recommended When you smile at your baby, does she smile back? 0; 5; 10 0 = Not yet; 5 = Sometimes; 10 = Yes
overall_asq1b String 1,000 Recommended If your baby did not pass the newborn hearing screening test, please explain
overall_asq2a Integer Recommended Does your baby move both hands and both legs equally well? 0; 1 0 = No; 1 = Yes
overall_asq2b String 1,000 Recommended If your baby does not move both hands and both legs equally well, please explain
overall_asq3a Integer Recommended Does either parent have a family history of childhood deafness, hearing impairment, or vision problems? 0; 1 0 = No; 1 = Yes
overall_asq3b String 1,000 Recommended If either parent have a family history of childhood deafness, hearing impairment, or vision problems, please explain
overall_asq4a Integer Recommended Has your baby had any medical problems? 0; 1 0 = No; 1 = Yes
overall_6m_3_12m_4 String 3 Recommended Do you have concerns that your baby is too quiet or does not make sounds like other babies? Yes;No
overall_12m_2 String 3 Recommended Does your baby play with sounds or seem to make words? Yes;No
overall_12m_3 String 3 Recommended When your baby is standing, are her/his feet flat on the surface most of the time? Yes;No
timepoint_label String 50 Recommended Timepoint/visit label
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

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