Sometimes children refuse to answer questions or attempt actitivities. How do I determine if a child isn't displaying the skill because they can't or because they don't want to? Does it matter? - Ages and Stages

Sometimes children refuse to answer questions or attempt activities. How do I determine if a child isn't displaying the skill because they can't or because they don't want to? Does it matter?

If a child will not answer the question or perform the action in an ASQ-3 item, you can skip that item on the questionnaire and adjust the scoring so the child isn’t penalized. You can only skip 2 items per area, though, and still score the section. Directions for using adjusted scoring is found on page 72 of the ASQ-3 User's Guide.

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ASQ-3(195) administration(5) scoring(19) ommited item(1) User's Guide(37)