Help Me Grow Michigan

www.helpmegrow-mi.org
844-464-0005
[email protected]


Help Me Grow Michigan is committed to ensuring that all children under the age of 5 receive routine developmental screenings.

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 Questionnaire to help you keep track of your child's development. 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. 

 

We look forward to your participation in ASQ-3!



(put "0" if not premature)



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 couple of 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.

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