This document provides instructions for administrative assistants at relief nurseries on how to use R to analyze Ages and Stages Questionnaire (ASQ) data and generate a report with key metrics for stakeholders. It describes importing ASQ data from an Access database into a CSV file and storing it in a working directory along with an ASQ reference values file and the R code file. Running the R code will clean the data, calculate developmental progress scores, and output a final CSV file with metrics including the number of students assessed, those with valid 6+ month follow-ups, those identified as having delays, and those with no delays after 6 months in the program.