Ages & Stages Child Monitoring Program                                                   Contact Us:
Child Development Infoline/United Way of CT                                            1-800-505-7000
1344 Silas Deane Highway                                                                       [email protected]
Rocky Hill, CT 06067-1350                                                                       http://www.ctunitedway.org/cdi.html

 

The Ages & Stages Questionnaires (SE-2) provide a fun, interactive way to understand the many changes a child goes through.

One way you, as a parent, can have some of your questions answered, as well as to keep track of how your child is developing, is to enroll in Connecticut's Ages and Stages Child Monitoring Program, a FREE service provided by Help Me Grow.  Staff from Child Development Infoline will send you reminders when it is time to complete a questionnaire for your child.   Fun learning activities will be sent to you with each completed questionnaire. Connections to community services and resources may also be provided.  

Feel free to contact the Child Development Infoline staff using the contact information listed above, to learn more about programs and services offered through Help Me Grow and the United Way of CT.  

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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: Social-Emotional, Second Edition (ASQ:SE-2) to help you keep track of your child's social and emotional development. The questionnaire may be provided for use at 2, 6, 12, 18, 24, 30, 36, 48, or 60 months of age. You will be asked to answer questions about some of your child's behaviors. The questionnaire includes questions about your child's ability to calm down, take direction and follow rules, communicate, perform daily activities (e.g., eating, sleeping), act independently, demonstrate feelings, and interact with others.

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:SE-2!



(put "0" if not premature)



I agree to participate in the Ages & Stages Child Monitoring Program and understand that the information that I provide will be considered confidential and will not be shared without my permission.

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.