Interpreting ASQ-3 Scores - Ages and Stages

Interpreting ASQ-3 Scores

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  1. Are there numerical values for the monitoring zone cutoffs on ASQ-3? On one of the age intervals, the gray line indicating the monitoring zone ends halfway in the circle representing 45; does that indicate that the monitoring zone cutoff is 42.5?
  2. How should my program use the monitoring zone for ASQ-3?
  3. My daughter scored "perfect" on her ASQ-3 questionnaire at her 9 month appointment, but I'm not sure what that really means. Are there averages to compare?
  4. Sometimes, we receive completed ASQ-3 questionnaires with scores of 0 in all domains for children that have not been diagnosed with any delays or disabilities. Should we use an ASQ-3 questionnaire in a younger age interval to help get an idea of the children’s general developmental level?
  5. The ASQ-3 questionnaire, particularly in the Communication area, sometimes is not in-depth enough and may flag a child with a slight delay instead of a significant delay. How would you address this type of case?
  6. The age ranges for the 9 and 10 month old questionnaires overlap, but the cutoff scores on the two intervals are different. If we used the 10 month questionnaire for a child 9 1/2 months, his score falls into the monitoring zone, but if we use the 9 month questionnaire his scores falls in the normal range. Which questionnaire interval do you recommend using for a child between 9 months, 0 days and 9 months, 30 days?
  7. When do you refer a child when using ASQ-3?
  8. When screening a child at 30 months, the parent reported many concerns, such as inability to understand when he talks, not liking to be held, only liking certain foods, and difficulty with transitions. The parent is concerned about possible autism, but the child's ASQ-3 scores are in the monitoring zone, not below the cutoff. What should I do?