Help Me Grow Northwest
2319226437
[email protected]
1101 Red Drive
Traverse City, Michigan 49684
https://www.helpmegrow-mi.org/northwest

Welcome!

 

Thank you for visiting ASQ Online through Help Me Grow- Northwest.

View description Hide description

Because your child's first 5 years of life are so important, we want to help you provide the best start for your child. You've been invited to participate in the Ages & Stages Questionnaires, Third Edition (ASQ-3), to help you keep track of your child's development. The questionnaire may be provided every 2-, 4- or 6-month period. You will be asked to answer questions about some things your child can and cannot do. The questionnaire includes questions about your child's communication, gross motor, fine motor, problem solving, and personal social skills.

Please enter your child's birth date and the number of weeks he or she was born premature below to start the screening. Please note that the information you enter into this website is secure and cannot be seen or accessed by anyone other than the program employees who have invited you to participate in this screening.

We look forward to your participation in ASQ-3!



(put "0" if not premature)



Participation in this screening is voluntary and at no cost to you. By proceeding with this form you agree to allow Help Me Grow Michigan and its affiliates to review your answers. One of our care coordinators will follow up in the next 3-5 days with your results and activities to support your child's development. With your permission, we may also share your results with your local early childhood support system to ensure your child's needs are met. Your child's non-identifying information will be combined with others in this program, and the data will be studied to help improve access to services for all children in Michigan.

Note: By clicking "Submit", you are agreeing to both our Family Access End User License Agreement and any other consent or authorization information outlined on this page.