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Through this study, we explored the developmental screening experiences of home visitors in an Indigenous early childhood program (The Early Years Program) in Maskwacis, Alberta. Using a qualitative descriptive method and a community-based participatory approach, we conducted focus groups with Early Years Visitors to understand their experiences with the Ages and Stages Questionnaire-Third Edition (ASQ-3). Findings centered around two categories: (1) logistical considerations and (2) enacting a relational process, with several subcategories expanded within each. Findings highlight the diverse functions of the ASQ-3 as a medium for strengthening relationships and understanding developmental pathways, a catalyst for strengths-focused conversations with families, and an evaluation tool. Participants emphasized the value of relational dynamics, preparatory measures, and adaptability of the screening process.