2-1-1 Big Bend

P.O. Box 10950

Tallahassee, FL 32302

Help Me Grow - 211 Big Bend

Dial 211 for more information 

Serving: Leon, Jefferson, Taylor, Liberty, Madison, Wakulla, Franklin, Gadsden

                                 

                                   Welcome to Help Me Grow's Online Developmental Screening

Your child's first five years are an important time for learning, growth, and development. Help Me Grow is here to support you by offering free developmental and social-emotional screenings to help you better understand your child's strengths and identify any areas where additional support may be helpful.

We offer two screenings:

Ages & Stages Questionnaires: (ASQ-3), to help you keep track of your child's development. The questionnaire includes questions about your child's communication, gross motor, fine motor, problem solving, and personal social skills.

Ages & Stages Questionnaires: (ASQ:SE-2) to help you keep track of your child's social and emotional development. 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

 

Getting Started: Please select the blue link below that best fits your needs:

I am completing both the ASQ-3™ and ASQ SE-2 ™ questionnaires

• Choose this option if you would like to complete both screenings.

I am completing the ASQ-3™ questionnaire

• Choose this option if you only want to complete the developmental screening.

I am completing the ASQ SE-2™ questionnaire

• Choose this option if you only want to complete the social-emotional screening.

I have already completed both the ASQ-3™ and ASQ SE-2™ on paper and am ready to enter my data

• Choose this option only if you have already completed paper copies of both screenings and need to enter the results online.

 

Child Date of Birth

Month Day Year

MM 01 02 03 04 05 06 07 08 09 10 11 12 DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026

Child DOB you entered is in the future, are you sure of that? (Please correct the date before proceeding to the next step). Please enter your child's DOB and not the screening date or today's date (Please correct the date before proceeding to the next step). Child DOB you entered is not valid, please format the date like this: MM-DD-YYYY

Weeks Premature
(put "0" if not premature)

Screening Date Options

For ASQ-3™ English

Screening Date

List others assisting with completion of the questionnaire

For ASQ:SE-2™ English

Screening Date

List others assisting with completion of the questionnaire

By completing this screening, you are authorizing the information you provide to be released to/from Help Me Grow partners. 

I agree to allow Help Me Grow Florida to enter this data into a secure database in order to follow-up with me on the results of this screening and provide me with other relevant sources.

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.