Ages and Stages Questionnaire / Cuestionario de Edades y Etapas
Activity Questionnaire / Cuestionario de actividad
Overall Questionnaire / Cuestionario General
On the following pages are questions about activities children may do. Your child may have already done some of the activities described here, and there may be some your child has not begun doing yet. For each item, please select the circle that indicates whether your child is doing the activity regularly, sometimes, or not yet.
Important Points to Remember:
❑ Try each activity with your child before marking a response.
❑ Make completing this questionnaire a game that is fun for you and your child.
❑ Make sure your child is rested and fed
2. Does your child tell you at least four of the following?
a. First name
b. Last name
c. City she lives in
e. Boy or girl
f. Telephone number
¿Su hijo le dice al menos cuatro de los siguientes?
a. Nombre de pila
c. Ciudad en la que vive
e. Niño o niña
f. Número de teléfono