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Survey of Well-Being of Young Children - Phone Number Collection

Thank you for your interest in taking this screening test.  We use The Survey of Well-Being of Young Children.  This screening test is designed to evaluate young children 1 month to 5.5 years.  The screening test covers childhood development, behavior, and family issues. If your child is older than 5.5 years of age, then you should not take this survey.  However, we can provide online video evaluations with you and your child.  Please contact us if you would like to schedule an appointment.

Survey of Well-Being of Young Children


This survey will take approximately 10-15 minutes to complete. The questions asked will depend upon the age of your child. We will serve the questions that are appropriate for the age of your child even though your child may be a little older or younger than the number of months stated at the top of the form. We score the answers based upon the actual age of your child.