# Administering ASQ:SE-2 in Virtual Environments:  
## Guidelines for Providers Working Together with Parents

### Before target screening date  
1. Prepare parent for ASQ:SE-2 screening.  
   - Send what’s needed to the parent:  
     - ASQ:SE-2 Parent Guide  
     - Correct ASQ:SE-2 questionnaire for child’s age (HINT: Use ASQ Calculator App)  
   - Use the parent’s preferred method:  
     - Mail paper questionnaire.  
     - Email guide with online Family Access URL with instructions to access or print questionnaire.  
     - Text (or email) JPEG images of the questionnaire pages.  
   - Review ASQ:SE-2 Parent Guide and ASQ:SE-2 questionnaire with the parent.  
   - Schedule home visit to go through ASQ:SE-2 questionnaire responses together.  
   - Ask the parent:  
     - “Do you have any questions?”  
     - “Do you have any concerns about completing ASQ:SE-2?”  
     - “How can I support you? We can go through the questionnaire together, or you can complete ASQ:SE-2 yourself and we can talk after.”  
2. Support parent to complete ASQ:SE-2 using video conferencing or phone.*  
   - *Be careful not to influence the parent’s responses or share your opinions about the child’s behavior.  
   - Have the parent complete ASQ:SE-2 independently before or during videoconferencing or phone call.  
   - Review ASQ:SE-2 responses together in an interview format—parent and provider.  
   - As appropriate, ask the parent for more information about any concerns:  
     - “Can you tell me more about what your child is doing? (when, where, with whom?)”  
     - “Can you tell me more about your concerns?”

### Document parent responses to ASQ:SE-2 items.  
- Use a paper master of the questionnaire and Information Summary with plastic sleeves and dry-erase marker to record responses and score.  
- Use ASQ Online to record responses; questionnaire scoring is automatic.  
- Score and chart as required after the virtual screening conference/call.

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### ASQ:SE-2
### No more than 1 week after screening  
5. Summarize results and share with parent using video conferencing or phone.  
   - Begin the meeting by celebrating the child.  
   - Review the completed ASQ:SE-2.  
     - Discuss the child’s strengths (0-point items).  
     - Discuss the 10-point and 15-point items: “Can you tell me more about…?”  
   - Review ASQ:SE-2 results (with or without Information Summary):  
     - Results below cutoff: “Results in this area indicate that your child’s social-emotional development is on-track.”  
     - Results in monitor area: “Results in this area indicate that your child may need additional support and for us to monitor closely.”  
     - Results above cutoff: “This is the referral area. When results are in this area, we may want to get more information from a health care provider or behavioral specialist.”  
6. Determine appropriate follow-up with parent.  
   - The parent should take the lead in making decisions about follow-up.  
   - Offer resources/support for any concerns identified on ASQ:SE-2, regardless of the total score.  
   - Follow-up may include conversations, online information or resources such as tip sheets or Learning Activities, or referrals to other agencies or behavioral specialists.  
   - Facilitate behavioral health, EI/ECSE, and primary health care referrals that are safe and appropriate.  
   - Up to 3 items may be omitted on any ASQ:SE-2 questionnaire if the questions are not in line with family values or parenting practices.  
   - Calculate an adjusted score if 3 items are missing AND the child’s score is within 5 points of the monitoring zone or cutoff score—results will change.