(put "0" if not premature)

For ASQ-3™ English

For ASQ:SE-2™ English

Your participation in completing this ASQ-3 screening indicates your agreement to allow HFUW 211, Help Me Grow Florida, Community Coordinated Care for Children, Inc. (4C) and the Early Learning Coalitions of Orange and Osceola Counties to share demographic, screening and referral activities.

If you would like to receive your child's ASQ results via email, please be sure to include your email address when completing the parent information section prior to entering the screening.

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.