GSCW Wayne County Landing Page
Questions? 313-410-4588
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8225 Allen Rd
PMB 163
Allen Park, Michigan 48101
www.helpmegrow-mi.org

ASQ:3 Developmental Milestones Questionairre

Help Me Grow Wayne County community partners are committed to ensuring ALL children under the age of 5 receive routine developmental screenings.

Para completar la proyección en español, haga clic aquí: https://www.asqonline.com/family/a0f270

لإكمال الفحص باللغة العربية ، انقر هنا: https://www.asqonline.com/family/ad2f14

To complete the Social and Emotional Screening (ASQ:SE-2) click here: https://www.asqonline.com/family/e925f3 

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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, Third Edition (ASQ-3), to help you keep track of your child's development. The questionnaire may be provided every 2-, 4- or 6-month period. You will be asked to answer questions about some things your child can and cannot do. The questionnaire includes questions about your child's communication, gross motor, fine motor, problem solving, and personal social skills.

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-3!



(put "0" if not premature)


 

Participation in this program is voluntary and at no cost to you. Once your child's results have been reviewed by a Developmental Specialist and shared with you, the identifying information will be removed and your child's results will remain confidential. 

Your child’s non-identifying information will also be combined with that of others in this program and the data will be studied to help improve access to services for all children in the county.

 

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.