GSCW Wayne County Landing Page
Questions? 313-410-4588
[email protected]
8225 Allen Rd
PMB 163
Allen Park, Michigan 48101
www.helpmegrow-mi.org

ASQ: Social Emotional Questionairre

Help Me Grow Wayne County community partners are committed to ensuring ALL children under the age of 5 receive routine developmental screenings.

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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)



Participation in this program is voluntary and at no cost to you.  Once your child's results have been reviewed by a Developmental Specialist and shared with you, the identifying information will be removed and your child's results will remain confidential. 

Your child’s non-identifying information will also be combined with that of others in this program and the data will be studied to help improve access to services for all children in the county.

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.