Help Me Grow Kentucky
275 East Main Street
Frankfort, Kentucky 40621
877-616-7388
hmgky@ky.gov
helpmegrowky.com

Congratulations for taking this important step to understanding and supporting your child's development. This is a fun and interactive way for you to spend special time with your child while learning where he/she is in the develpmental process.

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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)

Your Participation in the Ages & Stages Questionnaires® (ASQ) Means:

Ages & Stages Questionnaires® (ASQ) screenings will be completed on your child’s overall developmental skills. These screens will identify your child’s strengths as well as any areas where your child may need practice or support.

Giving Permission Means:                                                  

You freely agree to participate in the ASQ screenings.

You can change your mind about participating in the ASQ screenings at any time.

You agree to Help Me Grow Kentucky sharing information with your health care provider, First Steps, and/or local school district for referrals to services that may help your child.

Help Me Grow Kentucky will contact you for future screenings. You can opt out of these future screenings at any time.

Your child’s ASQ results cannot be released to other persons, programs, or schools without your permission.

You always have access to all information collected by Help Me Grow Kentucky about your child.

You agree to ongoing communication and screenings through Help Me Grow Kentucky. 

 

 

 

 

 

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.