Help Me Grow Utah
801-691-5322
helpmegrow@unitedwayuc.org
148 N 100 W
Provo, Utah 84601
www.helpmegrowutah.org

ASQ 3: General Development Screening

Welcome to the Utah Department of Health's, Ages and Stages Questionnaire® (ASQ) program; in partnership with Help Me Grow Utah!

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 ASQ program, to help you keep track of your child's development.  In addition to connecting you to the ASQ, we will also work with you to identify resources, programs and information that are right for your family.

The ASQ is an online developmental screening tool that helps you to:

· understand and support your child’s developmental milestones;

· identify possible delays that may need attention; and

· celebrate your child’s ongoing development.

The questionnaire may be provided every few months. You will be asked to answer questions about things your child can and cannot do at this time. The questionnaire includes questions about your child's emerging communication, social, problem solving and movement skills. 

This developmental screening opportunity is provided by the Utah Department of Health (UDOH). UDOH partners with early care and education providers, to ensure all families with young children have access to developmental screening.

Use of Data

Early childhood programs rely on data to inform decisions about effective early childhood policy and services. Data helps us to understand which practices work best and provide evidence to advocate for additional funding to best support Utah families and young children.

Participation in the online ASQ is optional. Help Me Grow Utah partners with UDOH to collect basic information about your family and the services provided. UDOH is committed to protecting personal data it maintains on behalf of its citizens.  The UDOH Privacy Policy and Consent to Use of Data is available here

We look forward to your participation in ASQ and working with you to provide the best start to your child’s life! 

To get started with the ASQ Online Questionnaire, please enter your child's birth date and the number of weeks he or she was born premature below to start the screening. 



(put "0" if not premature)

IMPORTANT: By submitting data and/or using this website, you give your consent to the use of your personal data and developmental screening data as described in the UDOH Privacy Policy and Consent to Use of Data.

If you do not wish to share data, do not enter data into ASQ online. Please let Help Me Grow Utah know and they will provide you with a paper copy of the ASQ.

When using Help Me Grow Utah, basic information is collected about your family and the services provided. With your permission, we communicate with your family’s physician(s) and other providers. By using Help Me Grow Utah services, you are consenting to the sharing of your information unless you ask otherwise. For more details, visit: helpmegrowutah.org or talk to a staff member.

 

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.