Pretend City Children's Museum
29 Hubble
Irvine, CA 92618
949.428.3900
www.pretendcity.org
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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!
The information you enter into ASQ Online is confidential and can only be accessed by Pretend City staff. However, information entered into the OC Children's Screening Registry can be accessed by Help Me Grow and authorized OC Children's Screening Registry users. Please note that you can opt out of sharing your child’s information in the OC Children’s Screening Registry when completing the Child Information Section during this registration process or at any time in the future by contacting Pretend City Children’s Museum, without any consequences to receiving services. You acknowledge that your opting out cannot and will not recall information that has previously been released in reliance upon your consent provided herein.
{landing_page_logo}
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!
The information you enter into ASQ Online is confidential and can only be accessed by Pretend City staff. However, information entered into the OC Children's Screening Registry can be accessed by Help Me Grow and authorized OC Children's Screening Registry users. Please note that you can opt out of sharing your child’s information in the OC Children’s Screening Registry when completing the Child Information Section during this registration process or at any time in the future by contacting Pretend City Children’s Museum, without any consequences to receiving services. You acknowledge that your opting out cannot and will not recall information that has previously been released in reliance upon your consent provided herein.
