1. Ages and Stages Questionnaires (ASQ) - Survey for Providers

* 1. Did this ASQ screening assist you in communicating with the parent about their child's development?

* 2. If the results indicated a possible delay, did you use any of the activities recommended?

* 3. If you answered yes to question #2, do you feel the activities were helpful?

* 4. Do you feel the ASQ screening helped you understand the development of this child?

* 5. If you had any developmental concerns about the child, were they addressed?

* 6. Are you satisfied with this screening service provided by the Early Learning Coalition of Manatee County?

  Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied
Level of Satisfaction

* 7. Please include any additional comments or suggestions of which you would like us to be aware: