Help Me Grow Yolo

Early Childhood Access and Linkage to Early Intervention

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Help Me Grow Yolo - First 5 Yolo

Welcome to our Help Me Grow Yolo ASQ Online screening and monitoring program! This program is free for families with children ages birth-5 living in Yolo County.

90% of a child’s brain develops  in the  first 5 years of life. It is important to keep track of your child’s development to help give them the best start during these early years. Ages & Stages Questionnaires®, Third Edition (ASQ®-3) and Ages and Stages Social Emotional Questionnaires (ASQ:SE-2) are offered by First 5 Yolo's Help Me Grow. These 15-minute questionnaires include doing fun and simple activities with your child so you can see your child's strengths and areas where they need more practice.  

 

How to complete each questionnaire: ASQ3-Parent-Guide

ASQ:SE-2 Parent Guide

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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)



Consent Form -- Please Read Carefully:

You/your child must live in Yolo County to participate.

By giving my consent, I understand that my child’s data will be shared with

First 5 Yolo for program evaluation, quality improvement, and program administration

Northern California Children's Therapy Center, Help Me Grow Yolo Lead Service Provider

My provider/program

I understand that:

First 5 Yolo's Help Me Grow network providers never use names or identifying information when reporting summary information to partners or funders.

My consent can be revoked at any time by contacting the organization providing my child’s developmental/behavioral screening and/or Help Me Grow Yolo.

My provider (indicated below) or a Help Me Grow Yolo Child Development Specialist will only contact me to discuss results and assist me with follow up to needed services or offer me services for which I may be eligible.

My permission is required to share my information with anyone else.

Copyright note: Please do not save or distribute blank copies of the ASQ, or use it for commercial purposes. These actions violate the copyright. Thank you for your cooperation!

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.