OMB #: 0925-0593
OMB Expiration Date: 08/31/2014
Neuro-Psychosocial Ages and Stages-3 (ASQ-3™) Instructions: Telephone, Phase 2g
The National Children’s Study
Ages and Stages-3 (ASQ-3™) Instructions
Telephone Questionnaire
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Thank you for agreeing to participate in the National Children’s Study (NCS) and completing the Ages and Stages Questionnaire, Third Edition (ASQ-3™). This telephone questionnaire will take about 13 minutes to complete. It includes questions about activities that children may do. Your child may have done some of these activities already and there may be some activities your child has not started doing yet. If you have more than one child in the NCS, the telephone interviewer will ask you about each child separately. A copy of the ASQ-3™ is enclosed to allow you time to observe these behaviors in your child previous to the telephone call.
Your answers are important to us. We will keep everything that you tell us confidential. |
Listed below are several points that you may find helpful in answering these questions: |
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If you have any questions, please call the local contact number located on the last page.
Thank you for taking the time to complete this telephone questionnaire! |
For Office Use Only:
Instructions for returning the questionnaire to the Regional Operations Center (ROC):
{Local instructions inserted by ROC. If the visit is done by phone, the ROC will provide information about returning it to the ROC.}
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Insert ROC contact information label here.
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NEU
ASQ-3™ Instructions: Telephone, MDES 4.0, V2.0
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 2021-01-27 |