United Way for Southeastern Michigan
3011 West Grand Boulevard
Suite 500
Detroit, Michigan 48202

[email protected]

Welcome to our ASQ Online screening program!

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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, Third Edition (ASQ-3), to help you keep track of your child's development. The questionnaire may be provided every 2-, 4- or 6-month period. 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. 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-3!

(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.

I agree to enroll in the ParentPowered text messaging program from ParentPowered PBC and receive approximately three text messages per week with fun facts and easy tips for supporting my child’s growth, based on their ASQ-3 results. I also agree to the ParentPowered PBC Terms of Use, available at parentpowered.com/terms.html and Privacy Policy available at parentpowered.com/privacy.html. While there is absolutely no cost for enrolling, data & message rates may apply. To cancel ParentPowered text messages at any time, text STOP to 70138. For help, text HELP to 70138 or email us at [email protected].

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.