Weeks Premature
(put "0" if not premature)

List others assisting with completion of the questionnaire

For ASQ-3™ English

List others assisting with completion of the questionnaire

Participation in this project is voluntary and at no cost to you. Your child’s results are confidential and will not be shared outside of the Great Start Developmental Screening Project. Your results will be sent to you as well asClarkston Community Schools. Your child’s non-identifying information will also be combined with that of others in this program and the data will be studied to help improve access to services for all children in the county.

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