Help Me Grow WA

In addition to the ASQ:3 , Help Me Grow WA offers the Ages and Stages Questionnaire: Social-Emotional (ASQ-SE). This tool looks at how kids manage their emotions, communicate their needs, interact with others, and behave in safe and appropriate ways. 

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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)



Consent Form -- Please Read Carefully:

-You must live in Washington State to participate.

-Help Me Grow WA staff will review your ASQ results and discuss them only with you (unless you give us permission to share them).

-Help Me Grow WA never uses client names or any identifying information when reporting to partners or funders.

-If you provide us your email address, you are giving us permission to send you the results to you over email.

 

Copyright note: Please do not save or distribute blank copies of the ASQ, or use it for commercial purposes. These actions violate the copyright. Thank you for your cooperation!

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.