TLC Family Resource Center
(603) 542-1848
Diane@tlcfamilyrc.org
109 Pleasant Street
PO Box 1098
Claremont, New Hampshire 03743
TLCfamilyrc.org



(put "0" if not premature)

For ASQ-3™ English

For ASQ:SE-2™ English

As stated above the information you enter into this website is secure and cannot be seen or accessed by anyone other than the program employees who respond to the survey you submit. Information collected through the Ages and Stages Questionnaires will be entered into the Watch Me Grow data system to assist in analyzing information about how well the Watch Me Grow statewide screening system is working.  At no time will identifiable data be included in any report.

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.