Environmental Screening Questionnaire (ESQ™), Research Edition

Early Childhood

Get a fuller picture of each family's strengths and needs—and guide your decision-making about next steps—with the newest tool from the developers of the renowned ASQ® screeners. The free Environmental Screening Questionnaire (ESQ™) is a quick, parent-completed screening tool that gathers vital information about the home environments of children from ages birth through 6.

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Get a fuller picture of each family's strengths and needs—and guide your decision-making about next steps—with the newest tool from the developers of the renowned ASQ® screeners. The free Environmental Screening Questionnaire (ESQ™) is a quick, parent-completed screening tool that gathers vital information about the home environments of children from ages birth through 6. When used in tandem with ASQ, the ESQ screener gives you a more accurate, balanced picture of each child's developmental status, risk and protective factors, and overall well being.

Provided as an electronic download of master PDF files, professionals reproduce the forms and share with parents for completion. In about 10–15 minutes, they'll answer questions in six key areas:

• Education and Employment
• Housing
• Child and Family Health
• Economics and Finances
• Family Life
• Community

After scoring the ESQ in just 2–3 minutes, discuss results with the family and plan follow-up steps using the ESQ Referral Summary. If the score is high, follow up with support and additional resources and ask the family to fill out ESQ again in 6 months. If the score is lower, the family may not need additional support unless a caregiver has indicated a concern.

BENEFITS

• Highlights a family's strengths and protective factors
• Identifies risk factors that might affect a parent's ability to support healthy child development
• Helps you determine what types of resources and referrals a family might need
• Provides an easy way to monitor outcomes for children and families
• Meets recommendations for social determinants of health screening by the American Academy of Pediatrics *

Does not imply endorsement by the AAP

DOWNLOAD INSTRUCTIONS

Be sure to create an account during the checkout process (or log in to your existing account), since your account is where you'll be able to access your ESQ files for future downloads.

After you complete your order, you'll be taken to an order confirmation screen where, upon accepting the license agreement, you will be able to download the ESQ files. The files will also be stored on your account page on the Digital Goods tab.

Authors: Jane Squires Ph.D., Diane Bricker Ph.D. With Authors: Misti Waddell M.S., Kristin Funk M.A., LCSW, Kathleen Moxley-South Ph.D.

Download

ESQ At a Glance

Sample English questionnaire and referral summary

Sample Spanish questionnaire and referral summary

6 Environmental Areas of the ESQ

Watch a webinar

Your Guide to the Environmental Screening Questionnaire

Read an article

Using the New ESQ

A Q&A with the ESQ Developers

Download the alignment

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