## Showing articles from adjusted score tag

### [We are discussing how to best incorporate ASQ with our pediatric practice. Some of the items, particularly in the Fine Motor and Problem Solving areas, require observation with "props" such as Cheerios, strings, blocks, balls, sticks, etc. We have parents fill the questionnaires out in our office waiting room, but in some cases the parents have to guess because we do not have the materials here. Does this make ASQ-3 less reliable?](https://support.agesandstages.com/kb/article/402-we-are-discussing-how-to-best-incorporate-asq-with-our-pediatric-practice-some-of-the-items-particularly-in-the-fine-motor-and-problem-solving-areas-require-observation-with-props-such-as-cheerios-strings-blocks-balls-sticks-etc-we-have-parents-fill-the-questionnaires-out-in-our-office-waiting-room-but-in-some-cases-the-parents-have-to-guess-because-we-do-not-have-the-materials-here-does-this-make-asq3-less-reliable/)

Your pediatric practice could consider a couple options to help parents confidently answer the questions. Some practices send parents the questionnaires in advance of the appointment, either by mail or electronically through ASQ Family Access. Having parents complete the questionnaire at home 1-2 weeks in advance...

### [I struggle with calculating adjusted scores when there are unanswered items on the ASQ screener. Is there a way to help me calculate adjusted scores more accurately?](https://support.agesandstages.com/kb/article/396-i-struggle-with-calculating-adjusted-scores-when-there-are-unanswered-items-on-the-asq-screener-is-there-a-way-to-help-me-calculate-adjusted-scores-more-accurately/)

When it comes to screening, accuracy is important. Don't second guess your by-hand calculations—use our online calculator instead! If there are any missing or omitted responses, easily determine a child's adjusted score with our ASQ Adjusted Score Calculator.

### [I am scoring a completed ASQ:SE-2 questionnaire, but one of the items has two answers. That is, the parent circled two responses for one item. How would I score that item?](https://support.agesandstages.com/kb/article/398-i-am-scoring-a-completed-asqse2-questionnaire-but-one-of-the-items-has-two-answers-that-is-the-parent-circled-two-responses-for-one-item-how-would-i-score-that-item/)

First, you should try to contact the parent and determine which response they intended to choose for that item. If you cannot get a response from the parent, you should drop that item from the scoring (similar to a parent skipping an item) and calculate an adjusted score.

### [How do you score a section accurately when a parent is unable to answer a question because they have never attempted the activity and are not able to try it at the time?](https://support.agesandstages.com/kb/article/373-how-do-you-score-a-section-accurately-when-a-parent-is-unable-to-answer-a-question-because-they-have-never-attempted-the-activity-and-are-not-able-to-try-it-at-the-time/)

The authors recommend that the professional attempt to allow the parent to try the activity at a later time. However, if that is not possible, the item can be skipped. Up to 2 items can be omitted per area for ASQ-3. Instructions for scoring questionnaires with omitted items can be found on page 72 of the User's Guide.

### [Several ASQ-3 intervals include an item related to gender and whether the child identifies their gender correctly. Some parents have concerns about this item, and some say that they find it to be insensitive to the transgender community. As a professional, how should we handle this issue?](https://support.agesandstages.com/kb/article/150-several-asq3-intervals-include-the-an-item-related-to-gender-and-whether-the-child-identifies-their-gender-correctly-some-parents-have-concerns-about-this-item-and-some-say-that-they-find-it-to-be-insensitive-to-the-transgender-community-as-a-professional-how-should-we-handle-this-issue/)

This is an important issue. We agree that the questions related to gender are potentially hurtful to families and children, and we apologize. In the past, gender was considered a hallmark of development but now there exists a much more nuanced and sophisticated view of all that is involved with gender.