Ages Stages Developmental Survey

Ascension Providence Rochester Hospital is in partnership with Head Start and the Early On program that offers this free assessment tool.



No Registration Required

The first 3 years of life are very important to your child because this time sets the stage for success in school and later in life.  We would like to invite you to complete the online survey and receive the results by e-mail.  Please access the Ages and Stages Developmental Survey by visiting

Please enter your baby's date of birth and number of weeks premature (0 if not premature).

You may complete the survey any time at 4, 6, 12, 16, 20, 24, 30, and 36 months.

Notes go here