Great Start Livingston Help Me Grow

517-234-6663

[email protected]

1425 West Grand River

Howell, MI 48843

Welcome to our ASQ Online screening program! This is a questionnaire from the Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ®:SE-2), which is a screening tool that will provide a quick check of your child’s social-emotional development.

This questionnaire asks questions about your child’s behaviors and social-emotional growth. The information you supply will help reveal your child’s strengths, uncover any areas of concern, and determine if there are community resources or services that may be useful for your child or your family. If completing this questionnaire brings up any questions or concerns, we can talk about information and resources that can help.

Please keep these tips and directions in mind while completing ASQ:SE-2.

Tips for completing ASQ:SE-2:

Caregivers who know the child well and spend more than 15–20 hours per week with the child should complete ASQ:SE-2.

Answer based on what you know about your child’s behavior.

Answer questions based on your child’s usual behavior, not behavior when your child is sick, very tired, or hungry.

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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 have read the provided information about the Ages & Stages questionnaires, and I wish to have my child participate in the online screening program. I will fill out the questionnaire about my child's development and promptly submit the completed questionnaire through this Family Access online questionnaire completion system.

By completing an ASQ developmental screening for your child, you are authorizing verbal and/or written communication between Great Start Livingston, Help Me Grow MI, Early On, and/or the support staff in your school district.  Great Start Livingston and/or Help Me Grow MI will refer your child to Early On (for children 2 months - 2 years/9 months) or to the support person in your school district (for children 2 years/9 months - 5 years) if your child's score indicates a possible area(s) of concern.  Both are free local resources/services.  You will have the opportunity to have a free evaluation for your child and free supports if he/she qualifies.  

Your child's results are confidential and will not be shared outside the Great Start Livingston and Help Me Grow screening project.

Your child's non-identifying information will be combined with others in the program and data will be studied to help improve access to services and supports for all children in the State of 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.