Early Learning Coalition of Pinellas County, Inc.
727.400.4452
aellwood@elcpinellas.net
2536 Countryside Blvd, Suite 500
Clearwater, FL 33763
www.elcpinellas.net

Kelley Miller
Program Supervisor of Screening and Intervention
727.400.4454
kmiller@elcpinellas.net

Welcome to our ASQ:SE 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: 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)

If you are a parent:

By clicking "Submit", you are attesting the following; "I have read and understand the information about the Ages & Stages Questionnaires:Social-Emotional (ASQ:SE 2) Screener, and I give the Coalition staff, child care provider and/or teacher, permission to screen my child(ren).

 

If you are a provider:

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.