Environmental Screening Questionnaire (ESQ™), Research Edition
At-a-glance
Tool name
Environmental Screening Questionnaire (ESQ™), Research Edition
Use to evaluate
Social determinants of health
Age range
Birth through 6 years
Completed by
Parents/caregivers complete; early childhood and health care professionals score
Time Commitment
10–15 minutes to complete; 2–3 minutes to score
Better support young children by screening for risk and protective factors in the home environment
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.
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
Developers
What You'll Need
Includes
- Guide
- Forms in English and Spanish
Free downloads
ESQ At-A-Glance
This at-a-glance gives you a quick snapshot of the new Environmental Screening Questionnaire (ESQ), includin what it is, who uses it, and more.
ESQ Sample Questionnaire (English)
A sample questionnaire in English from the Environmental Screening Questionnaire (ESQ™), Research Edition.
ESQ Sample Questionnaire (Spanish)
A sample questionnaire in Spanish from the Environmental Screening Questionnaire (ESQ™), Research Edition.