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ADMINISTRATIVE TASK

Student Name: Jessica Luongo Date: Thursday March 16, 2017

Placement: Early Intervention Services

Purpose: My EI has asked me to take the lead on an ASQ (Ages &


Reason for completing the Stages Questionnaire) for one of her home visit for one of her
task. This could be based on little kiddies.
an observation you made, a
conversation between you and
your site supervisor, etc
Task: I am going to complete and ASQ at todays home visit with one
What are you planning in of my EI mentors little kiddies who is four years old.
response to your purpose?
- Label your task (e.g. Objectives:
Bulletin board focused on 1. The ASQ will help the parents see where there child is at
the importance of play- developmental and if there are any concerns they should
based learning). be aware of.
- What are your 3 objectives 2. The ASQ will help the EI get an update on where the child
for this experience? (i.e. is at, so she can complete the little kiddies transition to
Why are creating a bulletin school report to give to the school.
board on the importance of 3. By completing the ASQ, it will give me the chance to
play-based learning? What experience how an ASQ is done and see what an EI does.
message are you sending?)
Description:
Describe the experience: 1 I will print of the ASQ for a child who is 48 months and
- List the materials and review the package.
resources you will use 4. I will ask my EI any questions I have about certain
- Describe the completion of sections of the ASQ package.
the task, with a step by step 5. I will make sure I have all the toys and activities need to
description complete the ASQ.
6. During the completion of the ASQ package I will ask my
EI to clarify any sections that I would not understand how
to perform.
7. After the ASQ was completed, I completed the evaluation
sheet which is then given to the parents.
Reflection: What went well is my EI mentor gave me enough time to
- What went well? Provide review the ASQ package and prepare myself for the home visit.
examples for how you Also, my EI answered all the questions I had about the ASQ.
know it went well. During the completion of the ASQ, when I got stuck on a
- What didnt go well? section, my EI was able to assist me and help me understand
Provide examples for how how to ask the question to the child. Lastly, Before the home
you know it didnt go well. visit, I met up with my EI to go over any last minute question I
- What did you learn? had and review the ASQ package and toys kit used for the
- What might you do assessment.
differently next time you
implement this same task What I might do differently next time, is maybe review the
and why? package a few more times that way I will get and even better
- Did you have to make any understanding of the ASQ package.
adaptations or
modifications? If so, what One adaption made was for the communication section of the
were they? ASQ package. As the child had some difficulty recalling
- What type of experience animal names, I had to pull out a picture sheet with various
might you plan to extend animals and objects to refresh her memory. This helped her
on this one? label the animal better.
Field Supervisor Feedback:

Signature:______________________________________Date: Thursday March 16, 2017

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