Weeks Premature
(put "0" if not premature)

List others assisting with completion of the questionnaire

For ASQ:SE-2™ English

List others assisting with completion of the questionnaire

It is the goal of Head Start to provide services to children that will enhance their growth and development. These screening tools assist in planning for your child’s health and/or educational needs, and are a requirement of Federal Head Start Performance Standards.

By completing this screening, you have agreed to the terms stated in our consent form and give Albina Head Start and their representative’s permission to obtain and review this developmental screening.

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.