Child Date of Birth
Format: yyyy-mm-dd
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: YYYY-MM-DD

Weeks Premature
(put "0" if not premature)

For ASQ-3™ English

List others assisting with completion of the questionnaire

For ASQ:SE-2™ English

List others assisting with completion of the questionnaire

Questionnaires should be completed by the child's parent or legal guardian.

By proceeding with this form, you agree to allow Help Me Grow South Carolina to review your answers and use your information as is consistent with our Privacy Policy and Consent to Use of Data, which is posted on our website: https://helpmegrowsc.org/privacy/.

In addition, we would like to send a copy of the scored questionnaire to your child's health care provider. This is a free service, and allows you to work interactively with your health care team so they can offer better care to your family. If you do not wish to receive this service, please contact us at helpmegrowsc@scimha.org, and we will remove this permission from your file.

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.