We are excited you are taking the time to ensure the child has the best start in life! We hope you find this free developmental screening tooleasy to use and helpful in understanding the child's social-emotional development. After you complete the screening, a Help Me Grow Developmental Screening Specialist will contact you to discuss results, share acrivities, and provide service options. 

For the ASQ-SE 2, you will be asked to answer questions about some of the child's behaviors. The questionnaire includes questions about the 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.

If the child resides in Ohio and is under the age of 5 years or 60 months, please enter the child's birth date and the number of weeks they were born premature below to start the screening. Please note that the information you enter into this website is secure.



(put "0" if not premature)


I have read the provided information about the Ages & Stages questionnaires, and I wish to have the child participate in the online screening program. I will fill out the questionnaire about the child's development and promptly submit the completed questionnaire through this Family Access online questionnaire completion system.

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.