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'FindFirstBookmark Combo57Age ASQ Data [ID number]= $Child's first Nameɤs h)aN?`GXGPfĤIx8<VBE6.DLL  S  Combo39 ID number .[Child's Last Name] = ' Combo62 Combo70 follow up visits [Patient ID]= Patient IDS$@12U$@12(7_ZPС*T$@12 Hear_well_Use_both_hands_well_Feet_flat_on_surface_PassCombo72 Medicaid__GC7?OtherHave_CSCHave_CSC_LabelLanguageEdu_on_child_supportOutcomesEdu_on_first_aid Adjusted_AgeLabel74 Edu_on_stressEdu_on_computersLanguage_LabelEdu_on_family_readingOutcomes_LabelEdu_on_drug_awarenessEdu_on_nutritionEdu_on_domestic_violenceEdu_on_parentingComments !Walks__runs___climbs_like_others_Fine_Motor_ScoreProblem_Solving_ScorePersonal_Social_ScoreDate Total_ScoreTalks_like_other_children_Understand_child_Medicaid___LabelProvider ,Any_medical_problems_in_last_several_months_7Family_history_of_child_deafness_or_hearing_impairment_Anything_worry_you_Person_filling_out_ASQMailing_Address__if_different_Gross_Motor_Score TelephoneCommunicatiow-d _ Z g  ~ ) s  hm"DXXXI,8V@^4RV@~TMPCLP549761kMR2 Filter```<<<<<<<: [!?-U@?-U@~sq_fPatient Demographicskj)^4!?-U@?-U@~sq_fPatient Demographicsk:3_4MR2KeepLocal T!?-U@?-U@~sq_fPatient Demographicsk:3!?-U@?-U@~sq_fPatient Demographicsk:!?-U@?-U@~sq_fPatient DemographicsVCm2(4MR2KeepLocal T`TTTTTTR ` F%U@ F%U@bday querryVT @@@6|@K\PPD8888886  F%U@ F%U@bday querryka @:@6|@K\PPD8888886 `GX5@Ҟc5@Outcomes Queryks]@.@KbVVJ>>>>>>< `>L @V6{r@Switchboard Itemska@JPPPDDDDDDDB @j\\@9h @Query2k @5@6|@vRFF:......, `f}+@U@Query1k @8@}6|@KRFF:......, `9Rd@Bz@Patient Demographicsk! @ VVVJJJJJJJH @j3@R3@MSysAccessObjectskDDDDDDDDDDB <+@,@Everything QuerykL\Z@|6ZZZNBBBBBB@ `$@@ASQ Datak;*>>>22222220 @  @ @Admink@E8,,,,,,,,,* *@ 3@Macro1k.........., )@ 3@Find name Lastk>>>>>>>>>><  "@ 3@Find last namek>>>>>>>>>><  n*y@ 3@Switchboardk88888888886  N@ 3@Patient DemographicskJJJJJJJJJJH  n@ 3@ASQ Datak22222222220  Y@Y@UserDefinedk88888888886  Y@幆@SummaryInfok6@FDDD88888886 @ u@D&@AccessLayoutk4MR2KeepLocal TFehzz:::::::8 @@@SysRelk.........., @@Scriptsk0000000000. @@Reportsk0000000000. @@Modulesk0000000000. @@Formsk,,,,,,,,,,* ܇@܇@DataAccessPagesk@@@@@@@@@@> #@#@MSysRelationshipsjDDDDDDDDDDB #@V6{r@MSysQueriesj88888888886 #@V6{r@MSysACEsj22222222220 #@#@MSysObjectsj88888888886 #@3@MSysDbk>@ .:::......., @#@#@Relationshipsj<<<<<<<<<<: #@#@Databasesj44444444442 #@#@Tablesj.........., d`2l+ k * q ( a  d :  X  6 V Z0]3 azP&¢„„„„„„„„„„„„„„„„„„$ASQ Dat$%  G%  G%  G%%  G%  G%  G% !Patient!Patient!Patient Demographics999 !  G G  G8V@ g7X@ g6J@ g5N@ g4B@ g3 [Patient Demographics].[State]= g2[Patient Demographics].[City]< g1N@ g0Z@ g/D@ g.T@ g-V@ g,D@ g+D@ g*B@ g)[ASQ Data].[Age]/ g([ASQ Data].[Hear well?]6 g'V@ g&D@ g%[ASQ Data].[Date]0 g$[ASQ Data].[Assisting in ASQ]< g#"[ASQ Data].[Communication Score]? g"[ASQ Data].[Telephone]5 g! [ASQ Data].[Gross Motor Score]= g V@ gF@  g"[ASQ Data].[Anything worry you?]? g@  gr@  g[ASQ Data].[Provider]4 g[ASQ Data].[Outcomes]4 g [ASQ Data].[Understand child?]= gN@  g[ASQ Data].[Total Score]7 gD@  gD@ g[ASQ Data].[Fine Motor Score]< g\@ g[ASQ Data].[Comments]4 g[ASQ Data].[Edu on parenting]< gJ@ g[ASQ Data].[Edu on nutrition]< gD@ g D@ g [ASQ Data].[Edu on computers]< g [ASQ Data].[Edu on stress]9 g [ASQ Data].[Edu on first aid]< g B@ g[ASQ Data].[Referral]4 g[ASQ Data].[Pass]0 g[ASQ Data].[Language]4 g[ASQ Data].[ID number]5 g[ASQ Data].[Have CSC]4 g[ASQ Data].[Other]1 g[ASQ Data].[Medicaid #]6 gSQ Data].[Adjusted Age]8 gASQ Data!!! Patient Demographics999  G  GLVAL?оz6L H z $ H  j  x * P.........FFFFFFFXl*Xt0[Patient Demographics].[Child's Last Name][Patient Demographics].[Child's first Name][Patient Demographics].[ID number][ASQ Data].[Personal-Social Score][ASQ Data].[Problem Solving Score][ASQ Data].[Walks, runs & climbs like others?][ASQ Data].[Edu on domestic violence][ASQ Data].[Edu on drug awareness][ASQ Data].[Edu on family reading][ASQ Data].[Edu on child support][Patient Demographics].[Child's Last Name][Patient Demographics].[ID number][Patient Demographics].[Child's Last Name][Patient Demographics].[Child's first Name][Patient Demographics].[Child's Last Name][Patient Demographics].[ID number][Everything Query].[Patient Demographics].[ID number] = [ASQ Data].[ID number][Everything Query].[Child's Last Name][Patient Demographics].[ID number] =[ASQ Data].[ID number][Patient Demographics].[Parent's Last Name][Patient Demographics].[Parent's First Name][Patient Demographics].[Work Phone #][Patient Demographics].[Home Telephone][Patient Demographics].[Zip Code][Patient Demographics].[Street Address][Patient Demographics].[Child's Assigned PCP][Patient Demographics].[Birthdate][Patient Demographics].[Child's Last Name][Patient Demographics].[Child's first Name][Patient Demographics].[ID number][ASQ Data].[Feet flat on surface?][ASQ Data].[Use both hands well?][ASQ Data].[Concerns about child's vision?][ASQ Data].[Relationship to Child][ASQ Data].[Mailing Address (if different)][ASQ Data].[Person filling out ASQ][ASQ Data].[Family history of child deafness or hearing impairment?][ASQ Data].[Any medical problems in last several months?][ASQ Data].[Talks like other children?][ASQ Data].[Personal-Social Score][ASQ Data].[Problem Solving Score][ASQ Data].[Walks, runs & climbs like others?][ASQ Data].[Edu on domestic violence][ASQ Data].[Edu on drug awareness][ASQ Data].[Edu on family reading][ASQ Data].[Edu on child support]. YDemogrN7 Yr d Ys d Yt d Yu d Yv dY Y Y Y Y Y Y Y Y Y  YkV  YfQ d YgR dYbN  Yk d Yl dY[I Yq[ YnY  Ys\ d Y 2Y  Y /d Y 02 Y 1 Y 2 Y 32 Y ! 42 Y " 52 Y # 62 Y $ 7 Y % 8 Y& 92 Yh' :d Y( ; Y) < Y* = Y+ > Y, ? Y - @2 Y!. A2 Y"/ B2 Y#0 C Y}f1 cd Y{d2 ld Y&3 l Yyb4 id Y'5 i Y)6 i Y*7 i.Personal Social Ranking.Problem Solving Ranking$Fine Motor Ranking&Gross Motor Ranking*Communication RankingDisciplineLiteracy*Age Specific PamphletSubstance Abuse Safety&Community ResourcesMental Health Community Agency(Family Support Group OtherASQ commentsDiagnosis"Date of DiagnosisCASE NUMBERReferralRe-ReferralASQ&Maternal Depression"High Risk History Custom Drop DownAdjusted AgeHave CSCID numberLanguageCommentsBWalks, runs & climbs like others? 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f,nS7O F8 DateDateValue List'01/01/06';'02/01/06';'03/01/06';'04/01/06';'05/01/06';'06/01/06';'07/01/06';'08/01/06';'09/01/06';'10/01/06';'11/01/06';'12/01/06'd235]` a$b cDate_LabelDateS]BG#O(o05Wcd4e f,n#A8nPracticePracticeValue ListL'Practice 1';'Practice 2';'Practice 3'd235]`a3b cPractice_LabelPractice?A H~&Vo05Wcd4e f,n%yձjDq:sReferralReferralValue Listߴ'Early Intervention';'Speech/Language';'CSC';'HeadStart';'3-5 Pre-School';'ASQ-SE';'Other'd235]`a4b cReferral_LabelRefer K[d _ Z g  ~ ) s  LQPPPPz33ralfAF[Vs؝o05Wchd4e f,n&.NF5Re-ReferralRe-ReferralValue Listߴ'Early Intervention';'Speech/Language';'CSC';'HeadStart';'3-5 Pre-School';'ASQ-SE';'Other'Re_Referrald235]`ha4b c"Re-Referral_LabelRe-Referral"Re_Referral_LabelrWj.Ok6+d2345U7`a@bcdeLabel51"Information Given 41fPHbn)o05Wc$dH0eDf,n!a#Bquu[.Personal Social Ranking.Personal Social RankingValue List@'At Risk';'Borderline';'Typical'.Personal_Social_Rankingd235]`$aX/bDc3f:Personal Social Ranking_Label.Personal Social Ranking:Personal_Social_Ranking_Label#HaXo05WcdH0eDf,nI{lKEWx.Problem Solving Ranking.Problem Solving RankingValue List@'At Risk';'Borderline';'Typical'.Problem_Solving_Rankingd235]`aX/bDc3f:Problem Solving Ranking_Label.Problem Solving Ranking:Problem_Solving_Ranking_LabelFB!B~wo5o05Wc%d+ef,nthDN&$Fine Motor Ranking$Fine Motor RankingValue List@'At Risk';'Borderline';'Typical'$Fine_Motor_Rankingd235]`%a*bc3f0Fine Motor Ranking_Label$Fine Motor Ranking0Fine_Motor_Ranking_LabelӅPEJjo05Wc4d+eTf,nUm C=4G&Gross Motor Ranking&Gross Motor RankingValue List@'At Risk';'Borderline';'Typical'&Gross_Motor_Rankingd235]`4a*bTc3f2Gross Motor Ranking_Label&Gross Motor Ranking2Gross_Motor_Ranking_LabelHm+F} w5o05Wcd+eDf,nU p@Q'XM*Communication Ranking*Communication RankingValue List@'At Risk';'Broderline';'Typical'*Communication_Rankingd235]`a*bDc3f6Communication Ranking_Label*Communication Ranking6Communication_Ranking_Label+ t D O|vI;j2U`,aEbc,i+DisciplineDisciplinec$hEM՟Dޕd235`,aDbc3 Discipline_LabelDiscipline vB'=.aj2U`TaEbvc,i,LiteracyLiteracy HHK'Qd235`TaDbvc3Literacy_LabelLiteracyb3[dcF4oj2U` aEbc,i-*Age Specific Pamphlet*Age Specific Pamphlet*Age_Specific_Pamphletzd6VjFeDɵ5d235` aDbc36Age Specific Pamphlet_Label*Age Specific Pamphlet6Age_Specific_Pamphlet_Label+2KlJ/rj2U`aEb7c,i.Substance AbuseSubstance AbuseSubstance_AbuseG?C\ H VLd235`aDb7c3*Substance Abuse_LabelSubstance Abuse*Substance_Abuse_Labelb5IrvξFj2U`aEb c,i/ Safety Safetyr0:x@+-ƝLd235`aDb c3 K[v1 @ @Safety_Label Safety+M, ή[j2U`xaEbrc,i0&Community Resources&Community Resources&Community_Resources_s L fd235`xaDbrc32Community Resources_Label&Community ResourH( ces2Community_Resources_LabelUSZ(gLT+j2U`aHNb)c,i1Mental HealthMental HealthMental_Healthr:jkOOu%Pd235`aXMb)c&Mental Health_LabelMental Health&Mental_Health_LabelU&uy@f<ߵj2U`aHNbc,i2 Community Agency Community Agency Community_Agencyt)2w%Hs=_Fd235`aXMbc,Community Agency_Label Community Agency,Community_Agency_Labelkd2NvB j2U`aHNbc,i3(Family Support Group(Family Support Group(Family_Support_GroupPfGO$gd235`aXMbc4Family Support Group_Label(Family Support Group4Family_Support_Group_Labels&Cɒ1j2U`aHNbc,i4 Other OthersGId235`aXMbcOther_Label Other 5ԉNvꓠkd2345U7`aIbcde3f333Label78Other Referrals~(CD 3y`<FormFooterteger6Me![id n`umber$ s![patientͬ*BZPС*FormHeaderd LabeForm_Patient DemographicsForm_Patient DemographicsForm_ASQ DataForm_ASQ DataForm_SwitchboardForm_Switchboardst "[2]P'" &!&8 "'ā6Bookmark&/E&. 1BeforeInsert(Cancel As Integer6Me![id n`umber$ s![patientͬ*BZPС*FormHeaderd LabeTypeInfoW2qPaBlob lb PropData (@Vb-W$@12ZPС*V$@12xV$@12W$@12MEX @[LS S(LX(Lv>LLLLLLK[v1 @ @L<\<`DAO( *\G{00025E01-0C  0046}#5.0#0#C:\PROGRAM FILES\C OMMON MICROSOFT SHARED\w350.DLL#Microsoft 3.51 Object Library HUstdole>fstdole^f\^043+[W-^2^WINDOWS\SYSTEM\STDOLE2.TLB# Autom`ation/VBIDE> VBIDECaCE157C5.3Program Files\CommonHShd\VBA6E6EXT .O+G Visual Basic for Applic1s Extensibilpity +@Form_P@en@hem(phicsG2`rm_Padicn Ceogr@phics @CODKWE]UCJDEJXIQUZDWZQJE OL28AOQKWUDW@UCJEU@X@\Q@ZWPZQE@ LBH@1B,7"B(BJ+Bo]DX0`t830Iz* ]HSC$@*&C}0fh4AccessVBAWin16~Win32MacVBA6#karen$DAOstdole`VBIDEAForm_Patient Demographics _EvaluateCombo43_AfterUpdateCombo43_BeforeUpdateCancelCombo47_AfterUpdate"?Combo55_AfterUpdateSRecordsetClone8 FindFirstM=Combo55&BookmarkCCombo57_AfterUpdateCombo57&Command38_ClickE%Err_Command38_Click{ stDocNamez  % td`%`h%%h@% ^(@`bdm_SwitchboarWW0xstLinkCriteriaYChild's first Name5DoCmdƧOpenFormExit_Command38_ClickdMsgBoxRErro Description Combo39_AfterUpdateCombo399&Command59_Click^Err_Command59_Click" id number RunCommand`acCmdSaveRecord>Exit_Command59_Click3Combo62_AfterUpdateUCombo62&Combo70_AfterUpdate,Combo70& Open_Follow_Up_Information_Click$Err_Open_Follow_Up_Information_Click< Patient IDF%Exit_Open_Follow_Up_Information_Clickc6 Form_ASQ DataoForm_BeforeInsertFormspatient demographics|Form_Switchboard Form_Open-Filter;FilterOn& Form_CurrentCaptionxNzu^ItemText FillOptions conNumButtonsdbsK[ @ @ @ǂrst RecordsetstrSQLF intOption8Option1SetFocusVisible CurrentDbS SwitchboardID OpenRecordset|EOF OptionLabel1q) ItemNumberhGMoveNextL!HrU `Q/.9)/)4A.9i..@4a@8@<a@@aGroupHeader2DetailmPersonal_Social_ScorePersonal-Social ScoremProblem_Solving_ScoreProblem Solving ScoremGross_Motor_ScoreGross Motor ScoremCommunication_ScoreCommunication ScoreoAgemChild_s_Last_NameChild's Last NamemChild_s_first_NameChild's first NamemFine_Motor_ScoreFine Motor ScorePageFooterSectionmText24 ReportFooter!Adjusted Age"Medicaid ##Other$HaandleButtonClickExintBtn(conCmdGotoSwitchboardconCmdOpenFormAdd%conCmdOpenFormBrowseconCmdOpenReportconCmdCustomizeSwitchboardbconCmdExitApplicationconCmdRunMacroM conCmdRunCodewconErrDoCmdCancelledHandleButtonClick_Err dbOpenDynaset NoMatch/3Command]Argument=acAdd OpenReport acPreviewo Application*Run_CloseCurrentDatabase3RunMacroXHandleButtonClick_Exitt vbCritical+}l@D@H1@LaI@Pi9@Ti9k  c6fness or hearing impairment?zFamily_history_of_child_deafness_or_hearing_impairment__Labelm7W`ab cek&Anything worry you?&Anything worry you?&Anything_worry_you_d235]`a@X @\   @`i9ttt@dI$$$@hi9ixxx@la...@p 000@ti9|||@xi9 @| 9(((@i9a(xK[N^^ Y B dYME PS<S<S< 00  `  h  2     8    8 @ `  h p        *    0 ,8  h  x    2 4 (8HP8X  xp6 Minimize the database window and initialize the form.< Move to the switchboard page that is marked as the default. Me![A,[ItemNumber] = 0 AND [Argument] = 'Default' (n (pEno`4 Update the caption and fill in the list of options.! B@ "x$v (t&pvwA@zo/ Fill in the options for this switchboard page.# The number of buttons on the form.8]]]]8]P/ Set the focus to the first button on the form,- and then hide all of the buttons on the form9 but the first. You can't hide the field with the focus. "B@  |Option $( OptionLabel $( . Open the table of Switchboard Items, and find* the first item for this Switchboard Page.$.~!SELECT * FROM [Switchboard Items]' , WHERE [ItemNumber] > 0 AND [SwitchboardID]= "'  ORDER BY [ItemNumber];'  ~%.3 If there are no options for this Switchboard Page,= display a message. Otherwise, fill the page with the items. !,There are no items for this switchboard page "(td !Option "$( OptionLabel "$( "x OptionLabel "$(t B@k& Close the recordset and the database. B@B ~B@Boh2 This function is called when a button is clicked.+ intBtn indicates which button was clicked.1 Constants for the commands that can be executed.]]]]0]H]`]x] An error that is special cased.] ]]8- Find the item in the Switchboard Items table1 that corresponds to the button that was clicked.$.~Switchboard Items  ~%.[SwitchboardID]= " AND [ItemNumber]=  B@"< If no item matches, report the error and exit the function. !7There was an error reading the Switchboard Items table.A@< B@B ~B@BzxkpK[vcjKKD OrderByOnDatasheetFontNameDatasheetFontHeightData " Go to another switchboard. KT%[ItemNumber] = 0 AND [SwitchboardID]= " (n Open a form in Add mode. KT "  6B@8 Open a form. KT " 6B@8 Open a report. KT "  6B@ Customize the Switchboard. KT . Handle the case where the Switchboard Manager ) is not installed (e.g. Minimal Install).WZMAIN80.sbm_Entry B@ >GCommand not availabHljhnti@`x onLa@h on4W@d bel4@T @D @4 x@0 8P0x0|`*ct@h chbo@HX Item@T Item@R andW@P `orm_AS@L Form@p< @, u on c@ @ _Lab@ on c@ @ _aid@ irst@ @0 @ H`x@ P h X p hild support_LabeldEdu_on_first_aid_LabelEdu on first aid_Labeld Edu_on_stress_LabelEdu on stress_Labeld Edu_on_computers_LabelEdu on computers_Labeld Edu_on_family_reading_LabelEdu on family reading_Labeld Edu_on_drug_awareness_LabelEdu on drug awareness_Labeld Edu_on_nutrition_LabelEdu on nutrition_LabeldEdu_on_domestic_violence_LabelEdu on domestic violence_LabeldEdu_on_parenting_LabelEdu on parenting_LabelfLine28fLine29 in last several months?8Family history of child deafness or hearing impairment?9Anything worry you?:Person filling out ASQ;Mailing Address (if different)<Telephone=Assisting in ASQ>Date?Relationship to Child@Concerns about child's vision?AHear well?BUse both hands well?CFeet flat on surface?DPatient Demographics.ID numberEBirthdateFChild's Assigned PCPGStreet Addre  H @l ( 8b2@ ` @ P @ @ @ 0 @ , @  @ @( @ @ @ @ @ p $@ 8 :ljhn@ @ @( @@ @X p @p ` @ P @ @ @ 0 @ @  @ @ @0 @H @` @x @ @ @ @ p @ `@ ***@i9@i9@i9)K[ @ @ @ @ @ @ @@i9i@a@a@a  @  ppp@a @a9@aq@a@a@  rrr @ P @ @ @8 0 @P @h  @ @ @ @ @ @ @ @( @@ @Xp @p` @P @@ @0 @ @ @ @ @0 @H @` @x @ @ @ @p @l @\ @L @h@p;$*\Rffff*073bb48fad*\R2*#24*\R2*#2e*\R1*#8f*\R1*#39*\R1*#99*\R1*#98*\R2*#28*\R2*#29*\R2*#2a*\R2*#0*\R0*#14*\R1*#f*\R1*#25*\R1*#d*\R0*#13*\R0*#1a*\R0*#19*\R0*#1v48r<t@zDxH|L~PTpX\`dhlptx| "  < BX8   " : V8X ` "h 6p *    6 4@ @x.A"A (  48 0p *DJ& ("P  :h D <2@H iX &ix ,  ,  0 @ B H 8P 2 8    ( 8 H X h &x    4 8 8*'HFex  K[Z4B  B+  `  p    7  "   <R  0  a8 X p  ax    S "  4 00  `  h  2O     8  V  8 @ `   h p   N     *   + 0 ,8  h  x    2 4 ($8HP8+X  xp6 Minimize the database window and initialize the form.< Move to the switchboard page that is marked as the default.,[ItemNumber] = 0 AND [Argument] = 'Default' (b (do`4 Update the caption and fill in the list of options. 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B@B ~B@Bpzh`, If the action was cancelled by the user for- some reason, don't display an error message." Instead, resume on the next line. > d)There was an error executing the command. A@<hk`iXPAttribute VB_Name = "Form_Switchboard"  Bas0{F29A199B-E7B1-11D4-BF5A-005004D0A12A} |GlobalSpacAIFalse dCreatablTru PredeclaId"Expose_Templat@eDerivCustomizD$Option Comp@ DT  fi ll@?,list of os@@/C = Nz(Me!0Text], ""A#8ljs '@D C'! a%@V\&' TsnR.tons zDqA"Ct cDon]ButB = 8)Dim dbsǝr@FRecordseEstrSQLA S@ngxintcQ ' Set/focuFLfi C),c'Un hide a7`6e@# . You@n't`]x] An error that is special cased.] ]]8- Find the item in the Switchboard Items table1 that corresponds to the button that was clicked.$.rSwitchboard Items  r%.t[SwitchboardID]= " AND [ItemNumber]=  tB@< If no item matches, report the error and exit the function. t!7There was an error reading the Switchboard Items table.A@8 tB@B rB@Bzxkp t" Go to another switchboard. KT%[ItemNumber] = 0 AND [SwitchboardID]= t" (b Open a form in Add mode. 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gV@! gT@  gD@ gPatient Demographics999 >  @ @  @ JkhOJmJfJmYQbmOQ`dUiJfWYMkksYmMWLdJiOJLMOUQbQiJ^fiJMmYMQmdmJ^kSYbO^JkmbJ`QSYbObJ`Q^Jkm`JMid8JO`YbOJmJJMMQkkfJUQkOJmJLJkQkSdi`k `dOo^Qk iQ^JmYdbkWYfkiQfdimk kMiYfmk kvkiQ^ mJL^Qk+kh+MfJmYQbmOQ`dUiJfWYMk+kh+MMd`Ld@D+kh+SfJmYQbmOQ`dUiJfWYMk+kh+iJLMOUQbQiJ^fiJMmYMQmdmJ^kJkhOJmJQqQivmWYbUhoQiv`kvkJMMQkkdL[QMmk`kvkJMQk`kvkdL[QMmk`kvkhoQiYQk`kvkiQ^JmYdbkWYfkfJmYQbmOQ`dUiJfWYMkhoQiv8 hoQiv:!JMMQkk^Jvdom`kvkOLko``JivYbSdokQiOQSYbQO)*+,-./012 3!4"5#6$7%8&9':(;)<*=+>,?-@.A/B0C1D2E3F4G5H6I7J8K  Data ManagementPatient Demographics1 Main SwitchboardDefault% >@@ConnectDatabaseDateCreateDateUpdate FlagsForeignNameIdLvLvExtraLvModule LvPropName OwnerParentIdRmtInfoLongRmtInfoShortTypeniYYIdParentIdName        ;OZ4 #j@ Patient DemographicsASQ DataASQ DataID numberPatient DemographicsID numberhVFLVAL|aEMʾxxxxxSwitchboard ItemsQuery2 Patient DemographicsASQ Data}0b bbK0 0@bA eHY0o=0xx ptAA?H%0HYxb\0H%0 px]xb90H0o90AAPatient Demographics}0b bbK0 0@bA eHY0o=0xx ptAA?H%0HYxb\0H%0 px]xb90H0o90AAjSwitchboardgraphics}0b bbK0 0@bA eHY0o=0xx ptAA?H%0HYxb\0H%0 px]xb90H0o90AAMIndividual ReportCreate data access page in Design viewMacro1 f]3]vcP=*z @ -  } j C 0  m Z G p]I6#r_____________L9įįįįįįįįįįįĀi^Hi^HcGNVLu…*` &qPatient Demographics &qPatient Demographics>; &ASQ DataASQ DataNPatient DemographicsPatient Demographics>` &qPatient Demographics>` &qPatient Demographics>; &ASQ DataASQ DataNPatient DemographicsPatient DemographicslLVAL(MR2RecordLocksODBCTimeoutMaxRecordsRecordsetType FilterOrderByOrderByOnOrientation:     MR2RecordLocksODBCTimeoutMaxRecordsRecordsetType FilterOrderByOrderByOnOrientation:     MR2RecordLocksODBCTimeoutMaxRecordsRecordsetType FilterOrderByOrderByOnOrientation:     MR24ODBCTimeoutMaxRecords" < MR2^OrderByOnColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDefaultValueValidationRuleValidationText FilterOrderByDescription FormatInputMaskCaptionDecimalPlacesRowSource m*$Child's first Name      mk("Child's Last Name      m[Birthdate      me"Street Address      mQCity      m State      o Value List MR2RecordLocksODBCTimeoutMaxRecordsRecordsetType FilterOrderByOrderByOnOrientation:     MR2RecordLocksODBCTimeoutMaxRecordsRecordsetType FilterOrderByOrderByOnOrientation:     MR2RecordLocksODBCTimeoutMaxRecordsRecordsetType FilterOrderByOrderByOnOrientation:     MR24ODBCTimeoutMaxRecords" < MR2@ Title AuthorCompanySubject" ABCD Database& Joe Andrews, MA^ VThe Institute for Health, Science & Society@ 8Child Development InitiativeMR2jAccessVersion BuildAppTitleStartUpForm&StartUpShowDBWindow(StartUpShowStatusBarStartUpMenuBar$AllowShortcutMenusAllowFullMenus(AllowBuiltInToolbars&AllowToolbarChanges$AllowBreakIntoCode AlloMR24ODBCTimeoutMaxRecords" < MR2@ Title AuthorCompanySubject" ABCD Database& Joe Andrews, MA^ VThe Institute for Health, Science & Society@ 8Child Development InitiativeYvcO< N ; M : &  v c O < ) xeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeej j i^HcGNVLu…*j >i^HcGNVLu…*k j i^HcGNVLu…*,\&qPatient Demographicsά&qEverything Query qASQ Data[9k@1JohnSmith01/01/01123 Elm StreetGreensboroNC27401(336) 111-22223332223333112233445LnnbbbbVF?;/GLVALLVALPOMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $H @[ASQ Data].[Communication Score]D <(([ASQ Data].Age="22 months"))Date    6       o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone    4       m #t("Gross Motor Score  L         m #hTotal Score    <       m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting    )    Yes/No   j60Edu on domestic violence    (    Yes/No   jt& Edu on nutrition    '    Yes/No   j~0*Edu on drug awareness    &    Yes/No   j~0*Edu on family reading    %    Yes/No   jt& Edu on computers    $    Yes/No   jn Edu on stress    #    Yes/No   jt& Edu on first aid    "    Yes/No   j|.(Edu on child support    !    Yes/No   j2 Age    :       o Value Listz rLVALX'4 months';'6 months';'12 months';'24 months';'48 months'      0twip  #bComments    *       m #HBWalks, runs & climbs like others?    +       m #:4Talks like other children?    =       m #t("Understand child?    ,       m #Provider    .       o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?    /       m #tnFamily history of child deafness or hearing impairment?    0       m #x,&Anything worry you?    1       m #~2,Person filling out ASQ  $  2       m #B<Mailing Address (if different)    3       m #r& Assisting in ASQ    5       m #|0*Relationship to Child  n  7       m #B<Concerns about child's vision?  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English St.GreensboroNC27405(336) 373-9917507toooooo_XTH33)jlawr091301JasonLawrence00/00/00NC260722222222....$jfjfull040998JoshuaFuller04/09/987-B Huntley Crt.GreensboroNC27406(336) 987-4024DanaFullerttttlffVOK?--#]ccond110800CyrilleConde'11/08/00208 Montrose Dr. Apt CGreensboroNC27407(336) 218-8331Cecileloua946677667N93{{umm]VRF..$ncncorn000000NgadhiCornelius00/00/00NC4444444440000&(xpxpuen102899XitaliPuenteledesma10/28/99NC8888888884444*6cdcdoug061896ChanelDouglas06/18/96NC222222222....$amamont012200AdrianMontano01/22/00NC222222222....$djdjohn042697DestinyJohnson04/26/97NC333333333////%kkkkenn020999KendraKennedy02/09/99NC222222222....$6dstew102700DeontreSteward10/27/00NC169833333333////% bgbgonz120496BarbaraGonzalezsolar12/04/96NC9999999995555+6#epier100600EstherPierre10/06/001911 fern avehigh pointNC27260(336) 884-8764lunidepierre946576539M188sskccSLH<--#)fhfhart032000FreedomHart03/20/00805 carrie landgreensboroNC27405(336) 558-8481latoyastevensonwwwwlddTMI=,,"fkscal110700KadaireScales11/07/00NC330722222222....$[@shall101600SydneyHall10/16/007237 Rolcine RdPleasant GardenNC27313(336) 674-8665NicoleHall451{vvvphhXQM<++!shshill000000SamanthaHill00/00/00NC111111111----#mfmfarr040901MayaFarr04/09/011801 McCormick St.GreensboroNC27406(336) 378-0659MayaFarrppppjddTMI=))Jvfvfish000000VernonFisher00/00/00NC111111111----#n6qmdoug040800MakaylaDouglas04/08/003901 Badenridge Ct.GreensboroNC27407(336) 299-7788LaurenFowler369{{{skk[TPD//%LVALk o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time           o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. 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Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #v("High Risk History        Yes/No   jZ ASQ        Yes/No   jjHealth Fair        Yes/No   j@:Practice Member (health Fair)  p         o # Value List 'Wendover';'High Point';'Devon';'Moses Cone';'HealthServe Eugene';'Healthserve North East'      0twip CASE NUMBER    @  $ General Number !   mRe-Referral   DDBacmccicmcmccl082295556060GCH High Point606048 monthsBBBBBBBBBlcmcmccl082295556060GCH High Point606048 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8Tlcmcmccl082295556060GCH High Point606048 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8Tcleon000000GCH Wendover12 month''''''''''lcmcmccl082295556060GCH High Point606048 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8Tcleon000000GCH Wendoverllcmcmccl082295556060GCH High Point606048 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8Tcleon000000GCH Wendover12 month''''''''''''''''''''''''''''''''''''''Clqmqmand012398English353550GCH Devon504533 monthsFFFFFFFFFFFFFFFFFFFFFFFFFFFTcleon000000GCH Wendover12 month''''''''''''''''''''''''''''''''''''''Clqmqmand012398English353550GCH Devon504533 monthsFFTcleon000000GCH Wendover12 month''''''''''''''''''''''''''''''''''''''ClJzJzami041998English206050GCH Devon556033 monthsFFTcleon000000GCH Wendover12 month''''''''''''''''''''''''''''''''''''''Clkmkmart101498English354050GCH DevonYes, Behavior concerns - child is strong-willed and mean.504027 monthsTTcleon000000GCH Wendover12 month''''''''''''''''''''''''''''''''''''''Cljhjhugh011900English452045GCH Devon604512 monthsFFTcleon000000GCH Wendover12 month''''''''''''''''''''''''''''''''''''''Clmbmbroo122393English401025GCH Devonyes, grabs ears sometimes553512 monthsaaTTTTTTcleon000000GCH Wendover12 month''''''''''''''''''''''''''''''''''''''ClAlAlat112599English503535GCH Devon405012 monthsEETTcleon000000GCH Wendover12 month''''''''''''''''''''''''''''''''''''''Clsasahme091997Other(type in)152560GCH Devon154036 monthsMMTcleon000000GCH Wendover12 month''''''''''''''''''''''''''''''''''''''Cldwdwill121898EnglishSpeech/Hearing504045no, does not speak in sentencesGCH Devonyes, Asthmayes His speech603524 monthsTTTTTcleon000000GCH Wendover12 month''''''''''''''''''''''''''''''''''''''CP]acljljarr102499505045GCH Devon606012 months====================================llaladam121099452530GCH Devon453012 months==========================================================222222..******W8llaladam121099452530GCH Devon453012 months==========================================================222222..******W8llaladam121099452530GCH Devon453012 months==========================================================222222..******W8llaladam121099452530GCH Devon453012 months==========================================================222222..******W8llaladam121099452530GCH Devon453012 months==========================================================222222..******W8llaladam121099452530GCH Devon453012 months==========================================================222222..******W8llaladam121099452530GCH Devon453012 months==========================================================222222..******W8llaladam121099452530GCH Devon453012 months==========================================================222222..******W8llaladam121099452530GCH Devon453012 months==========================================================222222..******W8lkbkbynu112799403540GCH Devon54012 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;000000,,******W8 ljajalle080199352530GCH Devon401012 months==========================================================222222..******W8lejejohn090500604045GCH Devon555012 months==========================================================222222..******W8ldwdwhar101499504530GCH Devon605012 months==========================================================222222..******W8;lbtbtyso080699605055GCH Devon604512 months==========================================================222222..******W8lacchee101799606060GCH Wendover60606 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8K[N"D``N 6 d  h X/,:P%`d ` 0, D)`,(P]4R:@ ,:P!%`d ` 0, D  /)`,6 ,(P]4a,:P!%`d ` 0'%'0%'@%Q,o%$ ` `")`5,(P]4a'%'0%'@%,:P!%`d ` 0Q,o%$ ` `")`5,(P]4S,:P!%`d ` 0'0%'@%Q,o%$ ` ")`5,(P]4~Kp'''''' '@'`'''''' '@'`'''''' '@'`''''' '#`! ` (`6>p `@ `@ `@ $l $`` %ll` +''' :P&N 6 K  V,:P%` L` $ :@%Q,o%$ ,  /`6 ,(P]4 $ L,(P]4N'0%'@%,:P!%`d ` 0Q,o%$ ` ")`5,(P]4L'p'''''' '@'`'''''' '@'`'''''' '@'`''''' ,:P!%`d ` 0, D`#!  (/)`,6@pL `@ `@ `@ ,+''' :P'N 6  d  h X/$l $`` %ll `w +''' :P(N 6  B/ 04blhd$`, `@ `@ `@ pL%88@8r<t@zDxH|L~PTpX\`dhlp I I ( I 8 Ia H I XCancel Iih I9x I!intBtnJrU $`(A`!&$`$`K*mrU~~~~~~~~~~~~~~~B w4p@b+p  a  0 9 i  1 Y !a "!"A"a"IAIkarenForm_Patient Demographics Form_ASQ DataForm_SwitchboardF@C:\PROGRAM FILES\COMMON FILES\MICROSOFT SHARED\VBA\VBA6\VBE6.DLLVBA y 1J_N? 3C:\Program Files\Microsoft Office\Office\MSACC9.OLBAccess  1^F Birthdate CASE_NUMBER=C:\PROGRAM FILES\COMMON FILES\MICROSOFT SHARED\DAO\DAO350.DLLDAO  0FC:\WINDOWS\SYSTEM\STDOLE2.TLBstdole !iWFCC:\Program Files\Common Files\Microsoft Shared\VBA\VBA6\VBE6EXT.OLBVBIDE O$@12R$@12BZPС*Q$@126 LVAL  ?       o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis    A       m #Diagnosis    C       o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jASQ comments    B       m #YN@A@B{ Q"; S @D@_ajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)6ajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ M08$lajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ M08$laajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ M08$ljcjcurr0501299English404045GCH Devon60450ajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ ajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ ajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ ajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ M08$laajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ M0ajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ M08$lNrNrich052500English506055GCH Devonyes, asthma, eczema605505/ajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ aajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ M08$ajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ ajgonz020901Spanish606060GCH High Pointyes, white bump on areola (resolving galactoale)605509/14/016 monthsxxxxnnjjfff444$$$$$ M08$YNLVALing!ASQ Data.CommentsSASQ Data.Walks, runs & climbs like others?1ASQ Data.Fine Motor Score;ASQ Data.Problem Solving Score;ASQ Data.Personal-Social Score'ASQ Data.Total ScoreEASQ Data.Talks like other children?3ASQ Data.Understand child?!ASQ Data.Outcomes!ASQ Data.ProvideriASQ Data.Any medical problems in last several months?ASQ Data.Family history of child deafness or hearing impairment?7ASQ Data.Anything worry you?=ASQ Data.Person filling out ASQMASQ Data.Mailing Address (if different)3ASQ Data.Gross Motor Score#ASQ Data.Telephone7ASQ Data.Communication Score1ASQ Data.Assisting in ASQASQ Data.Date;ASQ Data.Relationship to ChildMASQ Data.Concerns about child's vision?%ASQ Data.Hear well?ASQ Data.Age9ASQ Data.Use both hands well?;ASQ Data.Feet flat on surface?pDCChDD DHD PD@`DxD  D@^  D@^ : D@^ r D@^  D@^  D@^  D@^ 2 D@^ b D@^  D@^  D@^ * D@^ b D@^  D@^  D@^  D@^ :D@^ bD@^ D@^ D@^ D@^ *D@^ bD@^ D@^ D@^ D@^ D@^ :D@^ bD@^ D@^ D@^ D@^ D@^ :D@^ !rD@^ "D@^ #D@^ $D@^ %ZD@^ &D@^ 'D@^ (D@^ ):D@^ *D@^ +D@^ , D@^ -JD@^ .zD@^ /D@^ 0D@^ 1"D@^ 2JD@^ 3D@^ 4BD@^ 5D@^ 6D@^ 7D@^ 8JD@^ 9rD@^ :D@^ ;D@^ < D@^ =JD@^ >D@^ ?D@^ @D@^ A"D@^BASQ Datap3DCCC(/DX3DVDPD`@~sq_fASQ DataxD D-D D-D ( D -D ` D(-D D0-D D8-D D@-D DH-D P DP-D  DX-D  D`-D   Dh-D  P Dp-D  Dx-D D-D D-D (D-D PD-D D-D D-D D-D D-D PD-D D-D D-D D-D D-D (D-D PD-D xD-D D.D D.D  D.D! (D.D" `D .D# D(.D$ D0.D% D8.D& HD@.D' DH.D( DP.D)DX.D* (D`.D+ Dh.D, Dp.D- Dx.D. 8D.D/ hD.D0 D.D1 D.D2 D.D3 8D.D4 D.D5 0D.D6 pD.D7 D.D8D.D9 8D.D: `D.D; D.D< D.D= D.D> 8D/D? D/D@ D/DA D/DB D /D D D( D` D D D D DP D D D DP D D D D(DPDDDDDPDDDDD(DPDxDDDD(D`DDDDHDDDD(DDDD8DhDDDLVAL;gMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date    6       o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone    4       m #t("Gross Motor Score  L         m #hTotal Score    <       m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting    )    Yes/No   j60Edu on domestic violence    (    Yes/No   jt& Edu on nutrition    '    Yes/No   j~0*Edu on drug awareness    &    Yes/No   j~0*Edu on family reading    %    Yes/No   jt& Edu on computers    $    Yes/No   jn Edu on stress    #    Yes/No   jt& Edu on first aid    "    Yes/No   j|.(Edu on child support    !    Yes/No   j2 Age    :       o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'   LVAL   0twip  #bComments    *       m #HBWalks, runs & climbs like others?    +       m #:4Talks like other children?    =       m #t("Understand child?    ,       m #Provider    .       o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?    /       m #tnFamily history of child deafness or hearing impairment?    0       m #x,&Anything worry you?    1       m #~2,Person filling out ASQ  $  2       m #B<Mailing Address (if different)    3       m #r& Assisting in ASQ    5       m #|0*Relationship to Child  n  7       m #B<Concerns about child's vision?  P  8       m #fHear well?    9       m #z.(Use both hands well?    >       m #|0*Feet flat on surface?    ;       m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes    -       o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns          LVAL o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time           o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jjHealth Fair        Yes/No   j@:Practice Member (health Fair)  p         o # Value List 'Wendover';'High Point';'Devon';'Moses Cone';'HealthServe Eugene';'Healthserve North East'      0twip CASE NUMBER    @  $ General Number !   mRe-Referral    ?       o # Value List    K LVAL[   0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis    A       m #Diagnosis    C       o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jASQ comments    B       m #LVALohMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date    6       o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone    4       m #t("Gross Motor Score  L         m #hTotal Score    <       m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting    )    Yes/No   j60Edu on domestic violence    (    Yes/No   jt& Edu on nutrition    '    Yes/No   j~0*Edu on drug awareness    &    Yes/No   j~0*Edu on family reading    %    Yes/No   jt& Edu on computers    $    Yes/No   jn Edu on stress    #    Yes/No   jt& Edu on first aid    "    Yes/No   j|.(Edu on child support    !    Yes/No   j2 Age    :       o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'   YN PPPPPPPPPLLLllererami092400Spanish553560GCH Wendover55454 monthsnoLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLHH>>>>>>::666666((((($ lererami092400Spanish553560GCH Wendover55454 monthsnoLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLHH>>>>>>::666666((((($ W08lllllkpkperr121896English455545GCH Wendover306048 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ W08lkpkperr121896English455545GCH Wendover306048 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ W08blststetlkpkperr121896English455545GCH Wendover306048 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ W08lststett070699English553050noGCH Wendovereczema604020 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJJJFFBBB:::,,((($ W08%ljpjpass100998English405060GCH Wendover604027 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ W08llclcart102600English504550GCH Wendoveryes, cold60554 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIIIIIEEAAAAA6((((($ W08 ldrdray101499English453055NO, Has 3-4 wordsGCH Devoncold604516 months^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^SSSSSSOOKKKKKE::'''#W08 TClscscart021099English505060GCH Wendoveryes, Maternal Cousin Dejun is deaf455524 monthsqqqqqqTClKbKbyer011399English453555GCH Devon605524 monthsFFFFFFTCldbdbatt021700English554025GCH Devon606010 monthsFFFFFFTClzlzloga062899English554050GCH Devon605514 monthsFFFFFFTClQkwils070600English403550GCH Devon50506 monthsToes are balled up337^^^^^^TC l1213English505060GCH WendoverMr. Duck605005/01/01Father12 months^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^SSSKAA==99////!!!!! W08D5 aswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ aswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08lststoml05069635aswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08lststoml050696aswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08lststoml050696355060GCH Wendover605548 months@@@@@@@aaaswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08lststoml0506963550aaswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08lststoml050696355060GCH Wendover605548 months@@@@@@@@@@@@@@@@@@@@@@aaaswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08lststaswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08lesesanch000000Spanish40556aswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08ljmjmoor012099aaswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08lwrwrodr012100Spanish555040GCH High Poaswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08ldwdwill123198English605050GCH High Pointyesyesyes Mom marked yes on aaaaaswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08lararay082796Englishno15525noaaswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08lititatu020897English405055GCH High Paaaswhit091800English605055GCH Devon504504/23/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08]_atbroo022200554050GCH High Point35606 months================================================333333//++++++atbroo022200554050GCH High Point35606 months================================================333333//++++++M88 lmcmcunn112798English353aatbroo022200554050GCH High Point35606 months================================================333333//++++++M88 lmcmcunn112798Engliaaaatbroo022200554050GCH High Point35606 months================================================333333//++++++M88 Plgmatt022800Eaatbroo022200554050GCH High Point35606 months================================================333333//++++++M88 Plgmatt022800English403535GCH Devon556012 months206atbroo022200554050GCH High Point35606 months================================================333333//++++++M88 Plgmatt022800English403535GCH Devon5aatbroo022200554050GCH High Point35606 months================================================333333//++++++M88 Plgmatt022800English403535GCH Devon556012 months206KKatbroo022200554050GCH High Point35606 months================================================333333//++++++M88 Plgmatt022800English403535GCH Devon556012 months206KKKKKKKKKKFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFaatbroo022200554050GCH High Point35606 months================================================333333//++++++M88 Plgmatt022800Eatbroo022200554050GCH High Point35606 months================================================333333//++++++M88 Plgmatt022800English403535GCH Devon556012 monaaaatbroo022200554050GCH High Point35606 months================================================333333//++++++M88lgmatt022800English4aatbroo022200554050GCH High Point35606 months================================================333333//++++++M88lgmatt022800English403535GCH Devon556012 months206KKKKKKKKKKFFFFatbroo022200554050GCH High Point35606 months================================================333333//++++++M88lgmatt022800English4035atbroo022200554050GCH High Point35606 months================================================333333//++++++M88aasalva022500605050GCH High Point60306 months================================================333333//++++++M8 asalva022500605050GCH High Point60306 months================================================333333//++++++M8 lajajohn032699English454560GCH High Point554024 monthsKKKKKKKKKKKKasalva022500605050GCH High Point60306 months================================================333333//++++++M8 lajajohn032699English454560GCH High Poinaaasalva022500605050GCH High Point60306 months================================================333333//++++++M8 lajajohn032699English454560GCH High Point554024 monthsKKaaaasalva022500605050GCH High Point60306 months================================================333333//++++++M8lajajohn032699English4545aasalva022500605050GCH High Point60306 months================================================333333//++++++M8ltttteac030800English604535GCH High Poinaasalva022500605050GCH High Point60306 months================================================333333//++++++M8lsbsbutt000000English505050GCH Wendoveryes, poor weight gasalva022500605050GCH High Point60306 months================================================333333//++++++M8ljjjjohn030299English556045no, he's prematureGCH Wendoveryes, I have oasalva022500605050GCH High Point60306 months================================================333333//++++++M8lrprpine121399Spanish55404asalva022500605050GCH High Point60306 months================================================333333//++++++M8lnonosse110900English45aaasalva022500605050GCH High Point60306 months================================================333333//++++++M8_lahahait111097EnglishConsortium01525no, referred to consortiumGCH Wendoverasalva022500605050GCH High Point60306 months================================================333333//++++++M8_l,kboyd082800English506asalva022500605050GCH High Point60306 months================================================333333//++++++M8_lsmsmorr070398English2aasalva022500605050GCH High Point60306 months================================================333333//++++++M8\\iururaja011600English606060GCH High Point6060no12 monthsOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOlururaja011600English606060GCH High Point6060no12 monthsOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOODD@@@@<<888888((((($ W08ETllllllururaja011600English606060GCH High Point6060no12 monthsOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOODD@@@@<<888888((((($ W08ETC@lcbcbenn052098English353550GCH High Pointyes, teeth6055no33 months[[[[[[[[[[[[[[TTTC@lnlnlope061096SpanishThis score artificially low, family has no puzzles for child and never let her try to use scissors405050GCH High Pointyes, foot pain, mouth odor605548 monthsTC@ldydybar121697English404560GCH Wendoveryes, If she wakes up at six or seven she starts shaking and then she throws up go to sleep then is better. I have only witness it when she wakes up early.355536 monthsTC@lklkle062300English555550GCH Wendover60508 monthssometimes on toesYYYYYYYYYYYYYYTC@lsssstim022399English605560GCH Wendover555524 monthsIIIIIIIIIIIIIITTTC@lqsqshar013000English604545GCH Wendoveryes, diarrhea604512 monthsXXXXXXXXXXXXXXTTC@lkjkjohn122997EnglishConsortiumno, she is not active like that354545GCH Wendoveryes, constipationyes356036 monthsTC@lkvkvida072798English455055noGCH High Pointyes, Speech, mom has concerns about speech555024 months||||||||||||||TC@lxpxpete020599English605050GCH High Point606024 monthsKKKKKKKKKKKKKKTC@lsjsjone122799English505050GCH High Point605512 monthsKKKKKKKKKKKKKKTC@ l@2English606060GCH High Point60604/1/02==============================================================5511------W08 QQQQQQQQQQQQQQQQQQQQQQQQQkltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssslltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLL44lltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLL440lllltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLL440,(((lltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLL440,(lltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLllllllltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLL440,(((lltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLL440,(((WEllllltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLLlltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLLlltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLL44lllltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLLlltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLLlltltorr021699SpanishConsortium352540no, slower than cousinGCH High Point4030no24 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhdddd``\\\\\\LLL440,(((WEPTC!cswswarr000000555060GCH Wendover556012 months@@@@@@@@@@@@@@@@@@lswswarr000000555060GCH Wendover556012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lswswarr000000555060GCH Wendover556012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lswswarr000000555060GCH Wendover556012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8` lseseber100999504560GCH Wendover605512 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lrprperr081599404020GCH Wendover404012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 lpcpchis092899403035GCH Wendover455012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lnenebam071799404560GCH Wendover556012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lncncott000000506050GCH Wendover605512 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 lmsmsche090899454540GCH Wendover603512 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lmmmmitc000000606060GCH Wendover556012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lmemelbo010700GCH Wendover606012 months4444444444444444444444444444444444444444444444444444444444))))))%%!!!!!!W@klmbmbunc081599504040GCH Wendover402512 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lmamalst060999606060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lkskstra090599454540GCH Wendover603512 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lkokowen091099consortium504060GCH Wendover605512 monthsLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLAAAAAA==999999+++++'#W8k!DDDDDDDDDDDDDDDDDDDDDD@@@@@@@@@@acjoicjcjohn000000555045GCH Wendover556024 months@@@@@@@@@@@@@@@@@lcjcjohn000000555045GCH Wendover556024 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8@ lbmlcjcjohn000000555045GCH Wendover556024 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8@ lbmbmcle090498consortium402025GCH Wendover55(336) 273-80905509/21/01mother24 monthsnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnccc[QQM=999999+++++'#W87@lababrad093098454045GCH Wendover505524 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8plcmcmill091799504050GCH Wendover604012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8pplcmcmill091799504050GCH Wendover604012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8pplcmcmill091799504050GCH Wendover604012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8pplcmcmill091799504050GCH Wendover604012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8Vlccccoop100999502525GCH Wendover604012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lbsbspar120399503040GCH Wendover504512 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lboboqui000000605045GCH Wendover604512 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8layayoun072099consortium353045GCH Wendover603512 monthsLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLAAAAAA==999999+++++'#W8lamamody000000605040GCH Wendover505512 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lagageng090199606060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8Ttcomp122699GCH Wendover12 month''''''''''''''''''''''''''''''''''''''CLVAL   0twip  #bComments    *       m #HBWalks, runs & climbs like others?    +       m #:4Talks like other children?    =       m #t("Understand child?    ,       m #Provider    .       o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?    /       m #tnFamily history of child deafness or hearing impairment?    0       m #x,&Anything worry you?    1       m #~2,Person filling out ASQ  $  2       m #B<Mailing Address (if different)    3       m #r& Assisting in ASQ    5       m #|0*Relationship to Child  n  7       m #B<Concerns about child's vision?  P  8       m #fHear well?    9       m #z.(Use both hands well?    >       m #|0*Feet flat on surface?    ;       m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes    -       o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns           22222222I_alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>33alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Blapapete0301984055GCH Higalcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Blapapete0301984alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Blamamoor102099605alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Blamamead061196305alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Blamamead061196305055alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Blamamead061196305055alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Blamamead061196305055alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Blamamead061196305alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Baamcco0508006050alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Baamcco050800605040GCH High Point5055alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Baamcco050800605040GCH High Point5055alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Baamcco0508006050alcunn080498454555GCH High Point604524 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8Baamcco050800605040GCH High Point50556 months================================================333333//++++++M8aalope022800152060GCH Wendover25556 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M83 ++++CCCCCCCCCCCCC]wwwwkcdcdunn000000453545GCH Devon505024 months=========================================================222222..******lcdcdunn000000453545GCH Devon505024 months==========================================================222222..******W8lcdcdunn000000453545GCH Devon505024 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months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8$aklewi060500354535GCH Wendover55404 months;;;akmccr043000505560GCH Wendover60504 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8$aklewi060500354535GCH Wendover55404 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8accort021200453535GCH High Point35556 months================================================333333//++++++M8Zaaswin082300English606050GCH Wendover50506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08aasart071000355040GCH Wendover40556 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8F 333333KKKKKeeeevvvˎʎʎdrdrangljbjbrya090797English455545GCH Wendover606036 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ W08adseal0418005045ljbjbrya090797English455545GCH Wendover606036 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ 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monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH>>>>>>::666666&&&&&"M8atbout082500English6aihud021200consortium505020GCH High Point30406 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH>>>>>>::666666&&&&&"M8atbout0825aihud021200consortium505020GCH High Point30406 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH>>>>>>::666666&&&&&"M8atbout0825aihud021200consortium505020GCH High Point30406 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH>>>>>>::666666&&&&&"M8atbout082500English604055GCH High Point35206 monthsFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF<<<<<<88444444$$$$$ M08ajsmit042699English555055GCH Devonyes, hospital with diarrhea illness 1/01555022 monthsllllllllllllllllllllllllllllllllllllllllllllllllaaaaaa]]YYYYY/$$$$$ M08 Tjreiv072899605555GCH Wendover605512 month;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))C80ajmurr040200605060GCH High Point60554 months================================================333333//++++++M8LVAL o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time           o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. 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Yes/No   j2 Age    :       o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'   lccccoll071100English555550GCH Wendoveryes, eating habits55(336) 691-06046005/14/01mother8 months~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~tttlbb^NJJJJJ6((((($ W08 7llccccoll071100English555550GCH Wendoveryes, eating habits55(336) 691-06046005/14/01mother8 months~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~tttlbb^NJJJJJ6((((($ W08 7lsbsbroo052898English504545GCH WendoverCrystal Gilmore60(336) 275-69425005/14/01mother36 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||qqqi__[KGG6666((((($ W08D7laaaalvalsbsbroo052898English504545GCH WendoverCrystal Gilmore60(336) 275-69425005/14/01mother36 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||qqqi__[lsbsbroo052898English504545GCH WendoverCrystal Gilmore60(336) 275-69425005/14/01mother36 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||qqqi__[lsbsbroo052898English504545GCH WendoverCrystal Gilmore60(336) 275-69425005/14/01mother36 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||qqqi__[Klsbsbroo052898English504545GCH WendoverCrystal Gilmore60(336) 275-69425005/14/01mother36 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||qqqi__[Klsbsbroo052898English504545GCH WendoverCrystal Gilmore60(336) 275-69425005/14/01mother36 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||qqqi__[KGG6666((((($ W08D7laaaalva041700Spanish606060GCH WendoverJeanneth Alvarez60(336) 282-65686005/14/01mother12 months}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}rrrj``\LHH6666((((($ W08D7ldedelsh000000English303530GCH Wendoveryes, craniosynostinscbm404512 monthsddddddddddddddddddddddddddddddddddddddddddddddddddddddddddYYYYYYUUQQQLL6((((($ W88,lhclegr000000English605560GCH Wendoverno, but she do have sickle cell trait50504 months104ttttttttttooooooooooooooooooooooooooooooooooooooooooooooooeeeeeeaa]]]]]6((((($ W08 lObsaun111700English404030GCH WendoverAysley Saunders40(336) 274-09573505/16/01mother6 months79{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{qqqi__[KGG6666((((($ W08D7ltctcart090499555560GCH Wendover506012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ashump092300English606055GCH Wendover606004/20/01mother6 monthsVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVLLLD::66222222$$$$$ M0852LVALj   0twip  #bComments    *       m #HBWalks, runs & climbs like others?    +       m #:4Talks like other children?    =       m #t("Understand child?    ,       m #Provider    .       o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?    /       m #tnFamily history of child deafness or hearing impairment?    0       m #x,&Anything worry you?    1       m #~2,Person filling out ASQ  $  2       m #B<Mailing Address (if different)    3       m #r& Assisting in ASQ    5       m #|0*Relationship to Child  n  7       m #B<Concerns about child's vision?  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monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8lcscsimp070996354555GCH High Point554548 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8lnsnsanc071900554545GCH Wendover60604 months??????????????????????????????????????????????????????????55555511------W8lnsnsanc071900554545GCH Wendover60604 months??????????????????????????????????????????????????????????55555511------W8lnsnsanc071900554545GCH Wendover60604 months??????????????????????????????????????????????????????????55555511------W8 algara041600consortium402020GCH High Point10406 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII??????;;777777'''''#M8llmlmartalgara041600consortium402020GCH High Point10406 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII??????;;777777'''''#M8llmlmaalgara041600consortium402020GCH High Point10406 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII??????;;777777'''''#M8llmlmart0algara041600consortium402020GCH High Point10406 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII??????;;777777'''''#M8llmlmaralgara041600consortium402020GCH High Point10406 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII??????;;777777'''''#M8alaqui051000556055GCH High Point50456 months================================================333333//++++++M8akwils032600455035GCH Wendover50506 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8akphel081200English454540GCH WendoverYes, RSV WheezeYes URI30506 months^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^TTTTTTPPLLLCC2$$$$$ M08,aknguy062300consortium405035GCH High Point25554 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII??????;;777777'''''#M8> 6666666666666666666666ljarr102iMCMCAMP103001English556060Moses Cone FPlMCMCAMP103001English556060Moses Cone FP604503/25/024 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIII??;;777777((((($ W080lljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldfdfloy022899English605lljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldfdflolljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldfdfloy0lljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldfdfloy022899English605050GCH Wendover606024 monthslljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldfdlljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lqfqfralljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lljljarr102499505045GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lqfqfraz062499English605050GCH Devon605018 monthsFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF;;;;;;77333333((((($ W08amgonz000000606060GCH High Point606024 months>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>333333//++++++M8_mbrow122099454050GCH Wendover555012 month;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))K8######kl ycha091100Spanish554550GCH Wendover60556 months525LLLLLLLLLLGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG======99555555'''''#W08l l ycha091100Spanish554550GCH Wendover60556 months525LLLLLLLLLLGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG======99555555'''''#W08l ycha091100Spanish554550GCH Wendover60556 months525LLLLLLLLLLGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG======99555555'''''#W08l(amonj040601Spanish556050GCH Wendover40556 months40LLLLLLLLLLHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH>>>>>>::666666((((($ W08Ilgkgkess032100English453025GCH Wendoveryes, ringwormyes, ringworm555512 monthsgggggggggggggggggggggggggggggggggggggggggggggggggggggggggg\\\\\\XXTTTEE6((((($ W08,Tborte022100Mom will bring it back took home to complete12 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH=======================Clmmart100800Spanish506055GCH HighTborte022100Mom will bring it back took home to complete12 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH=======================Cltptpols112596English305050GCH Tborte022100Mom will bring it back took home to complete12 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH=======================Clsjsjohn030800English454060GCH Tborte022100Mom will bring it back took home to complete12 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH=======================Clbrbratl120896English606060GCH High PointyTborte022100Mom will bring it back took home to complete12 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH=======================Clrmrmart021899EnglishMom declined CSC referral- feels he is doing fine, better than 3 yr. Sister (1/2). Also she says she does not read well and may not have understood all the questions. Mom feel child does not need services but will allow to retest in May at 27 months503530GCH High Point50400TTborte022100Mom will bring it back took home to complete12 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH=======================Clststann012297EnglishDEC254545GCH HighTborte022100Mom will bring it back took home to complete12 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH=======================Clmbmbarr022700English454040GCH TTTTborte022100Mom will bring it back took home to complete12 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH=======================Cl#alugo090900Spanish606060GCH HigTborte022100Mom will bring it back took home to complete12 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH=======================C 4444444444444ismsmark120398English606055GCH High Pointdoesn't eat well at times605512/1/0136 monthsooooooooooooooooooolsmsmark120398English606055GCH High Pointdoesn't eat well at times605512/01/0136 monthsppppppppppppppppppppppppppppppppppppppppppppppppppppppppppeeee[[WWSSS888(lsmsmark120398English606055GCH High Pointdoesn't eat well at times605512/01/0136 monthsppppppppppppppppppppppppppppppppppppppppppppppppppppppppppeeee[[WWSSS888((((($ W08$ltdtdela092500553560GCH Wendover504514 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lltdtdela092500553560GCH Wendover504514 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ltdtdela092500553560GCH Wendover504514 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8altdtdela092500553560GCH Wendover504514 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ltdtdela092500553560GCH Wendover504514 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8asalva022500Spanish556055GCH High Point5550circled no to question Is your child vision okay?12 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzoo<<<<88444444$$$$$asalva022500Spanish556055GCH High Point5550circled no to question Is your child vision okay?12 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzoo<<<<88444444$$$$$asalva022500Spanish556055GCH High Point5550circled no to question Is your child vision okay?12 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzoo<<<<88444444$$$$$asalva022500Spanish556055GCH High Point5550circled no to question Is your child vision okay?12 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzoo<<<<88444444$$$$$asalva022500Spanish556055GCH High Point5550circled no to question Is your child vision okay?12 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzoo<<<<88444444$$$$$ asalva022500Spanish556055GCH High Point5550circled no to question Is your child vision okay?12 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzoo<<<<88444444$$$$$ M08Easvald031400556060GCH Wendover35506 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8asingr030900453550GCH Wendover55504 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8. `````````````xajmurr000000606040GCH High Point60506 months================================================333333//+++++ajmurr000000606040GCH High Point60506 months================================================333333//++++++M8lvfvfish000000ajmurr000000606040GCH High Point60506 months================================================333333//++++++M8lvfvfish000000Enajmurr000000606040GCH High Point60506 months================================================333333//++++++M8lvfvfish000000EnglishDEC30ajmurr000000606040GCH High Point60506 months================================================333333//++++++M8lvfvfish000000EnglishDEC306060GCH Wendoveryes, strep throat605036 monthsaajmurr000000606040GCH High Point60506 months================================================333333//++++++M8lvfvfish000000Engajmurr000000606040GCH High Point60506 months================================================333333//++++++M8lvfvfish000000Engajmurr000000606040GCH High Point60506 months================================================333333//++++++M8lvfvfish000000Engajmurr000000606040GCH High Point60506 months================================================333333//++++++M8lvfvfish000000Englishajmurr000000606040GCH High Point60506 months================================================333333//++++++M8lvfvfish000000EnglishDEC306060GCH Wendovajmurr000000606040GCH High Point60506 months================================================333333//++++++M8laaaaddi000000505ajmurr000000606040GCH High Point60506 months================================================333333//++++++M8Tzkhan081000GCH ajmurr000000606040GCH High Point60506 months================================================333333//++++++M8Tzkhan081000GCH Higajmurr000000606040GCH High Point60506 months================================================333333//++++++M8Tzkhan081000GCH High Point4 month((((((((((((((((((((((((((((((((((((((Catwill041900504050GCH Devon40556 months888888888888888888888888888888888888888888888888......**&&&&&&M89(бTΤG͏C̲WpqɾȺ_ȿ-2ƒc_-)y¼d`\&$nknkase050799NatalieKas&$nknkase050799NatalieKaser05/07/99NC111111111----#&$nknkase050799NatalieKaser05/07/99NC111111111----#0jhjhaye061197J&$nknkase050799NatalieKaser05/07/99NC111111111----#0jhjhaye061197JamiyaHayes06/11/97NC946691222O<<0000000,,,,"@6tctches030398TyrzahChestnut03/03/98NC333333333////%ararose092299AnthonyRoseboro09/22/992729A annmore cirhigh pointNC27260(336) 804-2780tomikiaroseboro946265561S}}sjjZSOC00&[2 dhdhine061599Dante'Hines06/15/99606 Warren St. Apt BGreensboroNC27403(336) 370-0900:Lee AnnGordon{{{{siiYRNB,,"ssssimm053199ShakurraSimmons05/31/991819 Muncey LaneGreensboroNC27401(336) 691-1170iiiiiiiYRNB00&Vkckcart031800KaylaCarter03/18/005808 Harvest SpringsGreensboroNC27406(336) 676-9444iiiiiiiYRNB,,"*mlmlott020601MarquesLott02/06/011915 Miss Ellie Dr.GreensboroNC27405(336) 698-0592RobertaJonesxxxxqhhXQMA,,"tchik010300ToraChikara01/03/00125 Eisenhower Av.GreensboroNC27406(336) 271-6813LeaChiuli497ytttlggWPL@,,":totowen060600TerrellOwens06/06/00307-A Avalon RoadGreensboroNC27401(336) 373-0185WilhelminaSmithzzzzsggWPL@--#jgjgonz000000JasminGonzalez00/00/00NC333333333////%2eaeanas060500EmilyAnast06/05/00PO Box 494McLeansvilleNC(333) 358-8270Sue-EllenAnastkkkkdYYIIE7++!jgood112100JadiaGoodwin11/21/00341-D Henley St.High PointNC27260(336) 989-3902AkuyoKumah250ytttmffVOK?--#cmcmcco101399KierraMcCormick10/13/99NC4444444440000&spine112100SharlynPineda11/21/00NC467722222222....$mvmvick050399MeganVick05/03/99NC.........**** 0aaaarms042099AngeliaArmstrong04/20/99NC5555555551111'epepere121998EverardoPerez12/19/981929 perkins rdGreensboroNC27401(336) 389-0286lauraRochattttmffVOK?..$"zazaust033197ZhaniyaAustin03/31/97920 Dunbar St.GreensboroNC27401(336) 279-1101eeeeeeeUNJ>..$qcmoor092700CamiaMoore09/27/00NC1134////////++++!1dmdmonr080999DontaviusMonroe08/09/99NC4444444440000&(vtran110600VietTran11/06/005 Kildare Woods Ct.GreensboroNC27407(336) 454-9084517jeeeeeeUNJ>))nhnhugh082599NathanHughes08/25/993407-B N. O'Henry Blvd.GreensboroNC27405(336) 621-7177TammyHughes||||tmm]VRF--#&zwood100400ZachaisWoodson10/04/00218C berryman stGreensboroNC(336) 275-8545helenwoodson946574849S538}qqhaaQQMA//%jmjmoor012898JulmetriusMoore01/28/98NC4444444440000&( amamart102398AmeiciaMartin10/23/98NC222222222....$czczava122897CeciliaZavalazino12/28/97NC6666666662222(bjfjfloo060300JoshuaFlood06/03/00NC000000000,,,,"nmnmort010999NatalyaMorton01/08/99NC222222222....$tdixo113000TrinityDixon11/30/00NC498611111111----#5jmamu112300JacobMamun11/23/00NC++++++++''''.\\\\\\\\\\\\\\\_asorr1casasorr100500EnglishConsortium555545GCH Wendover6ldmdmonr080999English604550GCH Wendoveryes, ear infections (constantly)yes, husbands uncle is deafyes, just the ear aches all the time. What can we do about it? Why does it happen so much?6060mom20 monthsuX6(ldmdmonr080999English604550GCH Wendoveryes, ear infections (constantly)yes, husbands uncle is deafyes, just the ear aches all the time. What can we do about it? Why does it happen so much?6060mom20 monthsldmdmonr080999English604550GCH Wendoveryes, ear infections (constantly)yes, husbands uncle is deafyes, just the ear aches all the time. What can we do about it? Why does it happen so much?6060mom20 monthsldmdmonr080999English604550GCH Wendoveryes, ear infections (constantly)yes, husbands uncle is deafyes, just the ear aches all the time. What can we do about it? Why does it happen so much?6060mom20 monthsuX6((((($ W08< lvtran110600English606060GCH WendoverThuy Tran60(336) 454-90845506/11/01Aunt6 months517xxxxxxxxxxssssssssssssssssssssssssssssssssssssssssssssssssiiicYYUEAA6666((((($ W08D7lnhnhugh082599English505550GCH WendoverTammy Hughes60(336) 621-71775506/11/01mother20 monthsyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyynnnf\\XHDD6666((((($ W08D7Pljmjmoor012898English505055GCH Wendover605506/01/01mother36 months[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[PPPH>>::666666((((($ W085lababuer101400English606060GCH Wendover55608 monthsHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH>>>>>>::666666((((($ W08lamamart102398English606060GCH Wendover606006/06/0124 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08lczczava122897English206055GCH Wendover555536 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ W08lnmnmort010999English455060yes, sometimes you can hear everything she say other times you can'tGCH Wendover605024 months||||||nnn(($ W00l jmamu112300English405555GCH Wendover454506/04/016 months265WWWWWWWWWWRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRHHHH>>::666666((((($ W08Tjrori053100C LVALhD' Rk h W?RRRR $RRRR<RRhRRRR@R@R@R@R@R$RRRR<R      d =Switchboard Items.SwitchboardID!Switchboard Items7Switchboard Items.ItemNumber3Switchboard Items.ItemText1Switchboard Items.Command3Switchboard Items.ArgumentRR RxR PR @RRz$RcRRR<RSwitchboard ItemsPRR(R`RPRV6{r@~sq_fSwitchboardRRR hRR RR RR RRRhRRRR $RcRRR<RSwitchboard Items $RXR R`R RhR RpR <RxRRhRRRR RRR PR8RPRhRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR8RR`R R`R HR`R R`R HR`R Rz RRRءRH R RxR RR RR(RRH R R  R R d(R<xRRRRRH R R R R(R`R!Switchboard ItemsRPrimaryKeyRRv 8RR RRRRqRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRR)RSwitchboard ItemsPrimaryKeyRR8RR8RRRRpRRR`RLVAL )D?h@h` `t?dhCd    : r    : Z    R    *RR *Rz*b J*:j:2r:b:  ( `    ( H x   @ x   @@p@hP8pp(X( `(P(x                                                                     : r    : Z    R    *RR *Rz*b J*:j:2r:b:k  f d g d h d b S  Z [ \ ^ d J d K d L d M d N d P A d B 4 d C 6 d ; 8 d < ?  2    d  2  d  2                    2  2  2  2      2               2 ! 2 " 2 #  $ 2 %  &  '  ( 2 )  *  )ASQ Data.ASQ commentsASQ Data#ASQ Data.Diagnosis3ASQ Data.Date of Diagnosis'ASQ Data.Re-Referral'ASQ Data.CASE NUMBER;ASQ Data.blue sheet respondent%ASQ Data.Blue SheetASQ Data.ASQ'ASQ Data.Health FairKASQ Data.Practice Member (health Fair)9ASQ Data.Tranportation Action1ASQ Data.Headstart Action1ASQ Data.Nutrition Action-ASQ Data.Housing Action'ASQ Data.Edu Action;ASQ Data.Phone Call to Parent?%ASQ Data.Goals Text9ASQ Data.Want Head Start Info#ASQ Data.Best Time-ASQ Data.Personal Goals)ASQ Data.Edu Concerns1ASQ Data.Housing Concerns+ASQ Data.Nutr Concerns%ASQ Data.Head Start+ASQ Data.Trans Conerns)ASQ Data.Adjusted AgeASQ Data.Other!ASQ Data.Have CSC#ASQ Data.ID number!ASQ Data.LanguageASQ Data.Pass!ASQ Data.Referral9ASQ Data.Edu on child support1ASQ Data.Edu on first aid+ASQ Data.Edu on stress1ASQ Data.Edu on computers;ASQ Data.Edu on family reading;ASQ Data.Edu on drug awareness1ASQ Data.Edu on nutritionAASQ Data.Edu on domestic violence1ASQ Data.Edu on parenting!ASQ LVAL o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time           o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jjHealth Fair        Yes/No   j@:Practice Member (health Fair)  p         o # Value List 'Wendover';'High Point';'Devon';'Moses Cone';'HealthServe Eugene';'Healthserve North East'      0twip CASE NUMBER      $ General Number !   mRe-Referral           o # Value List     LVAL   0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jASQ comments           m #v("High Risk History        Yes/No   j BBBBBBBBBBBBBBBBBBBBBBBBBBBBBB a idpdpaz091499403545GCH Wendover253014 months????????????????????????????? ldpdpaz091499403545GCH Wendover253014 months??????????????????????????????????????????????????????????44444400,,,,,,W8lctcta ldpdpaz091499403545GCH Wendover253014 months??????????????????????????????????????????????????????????44444400,,,,,,W8 ldpdpaz091499403545GCH Wendover253014 months??????????????????????????????????????????????????????????44444400,,,,,,W8 ldpdpaz091499403545GCH Wendover253014 months??????????????????????????????????????????????????????????44444400,,,,,,W8 ldpdpaz091499403545GCH Wendover253014 months??????????????????????????????????????????????????????????44444400,,,,,,W8 ldpdpaz091499403545GCH Wendover253014 months??????????????????????????????????????????????????????????44444400,,,,,,W8lctctall000000Speech/Hearing401035GCH Wendover601014 monthsPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPEEEEEEAA======/////+'###lllctctall000000Speech/Hearing401035GCH Wendover601014 monthsPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPEEEEEEAA======/////+'###lllctctall000000Speech/Hearing401035GCH Wendover601014 monthsPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPEEEEEEAA======/////+'###Wlctctall000000Speech/Hearing401035GCH Wendover601014 monthsPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPEEEEEEAA======/////+'###W8lcmcmill091799504050GCH Wendover604014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 lccccoop100999502525GCH Wendover604014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lboboqui000000605045GCH Wendover604514 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lamamart092599553545GCH Wendover154514 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8@Tnfrie091896GCH High Point24 month))))))))))))))))))))))))))))))))))))))CLVALVD DVD DVD  DVD  DVD  DVD  DVD  DVD DVD DVD HDVD HDVD HDVD HDVD HDVD HDVD HDVD HDVD HDVD HDVD HDVD HDVD HDVD HDVD HDVD HDVD  HDVD! 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HCVC" HCVC# HCVC$ HCVC% HCVC& HCVC' HCVC( HCVC) HCVC* Cz dChCdCh^xCGC(HCWC`HCWCHCWCHCWCICWC@ICXCxICXCIC XCIC0XC JC@XCXJCPXCJC`XCJCpXCKCXC8KCXCpKCXCKCXCKCXCLCXCPLCXCLCXCLCYCLCYC0MC YChMC0YCMC@YCMCPYCNC`YCHNCpYCNCYCNCYCNCYC(OCYC`OCYCOCYCOCYCPCYC@PCZCxPCZCPC ZCPC0ZC QC@ZCXQCPZCQC`ZCQCpZCRCZC8RCZCpRCZCRCZCRCZCSCZCPSCZCSCZCSC[CSC[C0TC [ChTC0[CTC@[CTCP[CUC`[CHUCp[CUC[CUC[CUC[C(VC[C`VC[C GC d(HC d`HC dHCHC IC@ICxICIC dIC d JC dXJC dJC dJC dKC8KC dpKCKC dKCLC dPLCLC dLCLC0MC 2hMCMCMC dNC 2HNC dNC 2NCNC(OC`OCOCOCPC@PCxPCPC PC  QC 2XQC 2QC 2QC 2RC 8RC pRC 2RC RC SC PSC SC SC SC 20TC 2hTC 2TC TC 2UC HUC UC UC 2UC (VC `VC4`bChbCpbCxbCbCbCbCbCbCbCbCbCbCbCbCbCbCbCbCbCcCcCcCcC cC(cC0cC8cC@cCHcCPcCXcC`cChcCpcCxcCcCcCcCcCcCcCcCcCcCcCcCcCcCcCcCcCdCdCdCdC dC(dC0dC8dC@dCHdCPdCXdC`dChdCpdCGC(HC`HCHCHCIC@ICxICICIC JCXJCJCJCKC8KCpKCKCKCLCPLCLCLCLC0MChMCMCMCNCHNCNCNCNC(OC`OCOCOCPC@PCxPCPCPC QCXQCQCQCRC8RCpRCRCRCSCPSCSCSCSC0TChTCTCTCUCHUCUCUCUC(VC`VCVCASQ Data ddC :eCPatient DemographicsASQ DataEdu on first aid0eCCv xhC hC8hCCfCfqCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfCfChC (CChChC8iCeCASQ Data7Patient Demographic LVALN11mD  pb ` N? h @b8b d  2  2  2 ;Patient Demographics.ID number'Patient DemographicsMPatient Demographics.Child's first NameKPatient Demographics.Child's Last Name;Patient Demographics.BirthdatePH8Q@8h xD bxD xD xD+Patient Demographics  `rL:@ Query2h h p ( 0xC[Patient Demographics].[ID number] U[Patient Demographics].[Child's first Name]pS[Patient Demographics].[Child's Last Name]?[Patient Demographics].Birthdate0xD bxD xD xD+Patient Demographics   b    ^  p0 x 8HXhx                              ` ` ` ` z X`Dhp( d 2 2 2(808@H(`'Patient Demographics 2 dZip CodePrimaryKeyv xxqxxxxxxxxxxxxxxxxxxxxxxxxxxxxp `/hPatient DemographicsPrimaryKeyhxP`LVALY/mD | * 8b !O?|  | | @|  4J| | | Z| | | :| r| | | 2| z| | 4 | | | 0| p| | | H| | | | P| | 4`| `| `| `| `| `| `| `| `| `| `| `| `| 4J| | | Z| | | :| r| | | 2| z| |  d  2  2  2  2  2  2  2  2   2   2   2   2 ;Patient Demographics.ID number'Patient DemographicsMPatient Demographics.Child's first NameKPatient Demographics.Child's Last Name;Patient Demographics.BirthdateQPatient Demographics.Child's Assigned PCPEPatient Demographics.Street Address1Patient Demographics.City3Patient Demographics.State9Patient Demographics.Zip CodeEPatient Demographics.Home TelephoneAPatient Demographics.Work Phone #OPatient Demographics.Parent's First NameMPatient Demographics.Parent's Last Name |   | |  |  | ?-U@| | J| H&D | H&D  | H&D Z| H&D | H&D | H&D :| H&D r| H&D | H&D | H&D 2| H&D z| H&D | H&D+ Patient Demographics |    |  | | | rL:@1~sq_fPatient Demographics|  | |  | |  | |  0| |  p| |  | |  | |  H| |  | |   | |   | |   P| |   | |  | | | 0| p| | | H| | | | P| | J| H&D | H&D  | H&D Z| H&D | H&D | H&D :| H&D r| H&D | H&D | H&D 2| H&D z| H&D | H&D+ Patient Demographics J| |  | |  | |  Z| |  | |  | |  :| |  r| |  | |  | |  2| |  z| |  | |  | | | 0| p| | | H| | | | P| |  | P| | | 8| p| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |  | `| | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | z 0| X | `| (D| | | | @| | x| | | | | |  | | X| | | (| | 8| | H| 8| X| p| h|  d|  2|  2@|  2x|  2|  2|  2 |  2X|  2|  2|  2|  28|  2p| \4| | | | | | | | | | | gLVALwsASQ DataCeCxhC[CxhCCfChChChC iCVC` @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @&^&_&`&a&b&c&d&e&f&g&h& i& j& k& l& m&n&o&p&q&r&s&t&u&v&w&x&y&z&_&_&_&_&_& _&!_&"_&#_&$_ &%_ &&_ &'_ &(_ &)_&*_&+_&,_&-_&._&/_&0_&1_&2_&3_&4_&5_&6_&7_&8_&_&_&\*_ *_"*_#*_!<_\<__<_`<_^<_a<_b<_]L_L_L_L_L_L_L_L_L_L_L_L_L_L _L _L _L _L _L_L_L_LL_MM#M$M%M&M'M(M)M*M+M,M-M.M /M 0M 1M 2M3MN_N_N_N_]z]|]}]{]{]{]{]{&@ xo {s}O~YNLVALSxSSS SHSS@SSSSHSpSSSSHSSSS S S^  S^ : S^ r S^  S^  S^  S^ 2 S^ r S^  S^  S^ : S^ r S^  S^  S^  S^ JS^ rS^ S^ S^  S^ :S^ rS^ S^ S^ S^ *S^ JS^ rS^ S^ S^ S^  S^ JS^ !S^ "S^ #S^ $*S^ %jS^ &S^ 'S^ ("S^ )JS^ *S^ +S^ ,S^ -ZS^ .S^ /S^ 0 S^ 12S^ 2ZS^ 3S^ 4RS^ 5S^ 6S^ 7"S^ 8ZS^ 9S^ :S^ ;S^ <S^ =ZS^ >S^ ?S^ @S^ A2S^BASQ Data S AS  S(AS : S0AS r S8AS S@AS SHAS  SPAS 2 SXAS r S`AS ShAS SpAS : SxAS r SAS SAS SAS SAS JSAS rSAS SAS SAS SAS :SAS rSAS SAS SAS SAS *SAS JSAS rSBS SBS SBS SBS S BS JS(BS S0BS S8BS S@BS *SHBS jSPBS SXBS S`BS "ShBS JSpBS SxBS SBS SBS ZSBS SBS SBS SBS 2SBS ZSBS SBS RSBS SBS SBS "SBS ZSBS SBS SBS SCS SCS ZSCS SCS S CS S(CS 2S0CS S S( S` S S S S S` S S S( S` S S S S8S`SSSS(S`SSSSS8S`SSSSS8SpSSSSXSSSS8SSSSHSxSSS SHSS@SSSSHSpSSSSHSSSS S SfS[SC `S8SHSXShSxS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS8CSS S`iS8aSCMHSVSk HSVSf HSVSg HSVSh SVSb HSVSS SVS[ SVSq SVSn HSVS^ HSVSJ HSVSK HSVSL HSVSM HSVSN SVSP HSVSA SVSB HSVS4 SVSC HSVS6 SVS; HSVS8 SVS< SVS? HSVS SVS SVS HSVS HSVS HSLVALMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   j2 Age           o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'   LVAL   0twip  #bComments           m #HBWalks, runs & climbs like others?           m #:4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns          LVAL o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time           o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   j@:Practice Member (health Fair)  p         o # Value List 'Wendover';'High Point';'Devon';'Moses Cone';'HealthServe Eugene';'Healthserve North East'      0twip CASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Heari? LVALO ng';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jASQ comments           m #v("High Risk History        Yes/No   jLVALVS HSVS SVS SVS  SVS  SVS  SVS  SVS  SVS SVS SVS HSVS HSVS HSVS HSVS HSVS HSVS HSVS HSVS HSVS HSVS HSVS HSVS HSVS HSVS HSVS HSVS  HSVS! HSVS" HSVS# HSVS$ HSVS% HSVS& HSVS' HSVS( HSVS) HSVS* Sz dShSdS^SHS8HSWSpHSWSHSWSHSWSISXSPISXSIS XSIS0XSIS@XS0JSPXShJS`XSJSpXSJSXSKSXSHKSXSKSXSKSXSKSXS(LSXS`LSXSLSYSLSYSMS YS@MS0YSxMS@YSMSPYSMS`YS NSpYSXNSYSNSYSNSYSOSYS8OSYSpOSYSOSYSOSYSPSZSPPSZSPS ZSPS0ZSPS@ZS0QSPZShQS`ZSQSpZSQSZSRSZSHRSZSRSZSRSZSRSZS(SSZS`SSZSSS[SSS[STS [S@TS0[SxTS@[STSP[STS`[S USp[SXUS[SUS[SUS[SVS[S8VS[SpVS[S HS d8HS dpHS dHSHS ISPISISIS dIS d0JS dhJS dJS dJS dKSHKS dKSKS dKS(LS d`LSLS dLSMS@MS 2xMSMSMS d NS 2XNS dNS 2NSOS8OSpOSOSOSPSPPSPSPS PS 0QS 2hQS 2QS 2QS 2RS HRS RS 2RS RS (SS `SS SS SS TS 2@TS 2xTS 2TS TS 2 US XUS US US 2VS 8VS pVS4pbSxbSbSbSbSbSbSbSbSbSbSbSbSbSbSbSbSbScScScScS cS(cS0cS8cS@cSHcSPcSXcS`cShcSpcSxcScScScScScScScScScScScScScScScScSdSdSdSdS dS(dS0dS8dS@dSHdSPdSXdS`dShdSpdSxdSdSHS8HSpHSHSHSISPISISISIS0JShJSJSJSKSHKSKSKSKS(LS`LSLSLSMS@MSxMSMSMS NSXNSNSNSOS8OSpOSOSOSPSPPSPSPSPS0QShQSQSQSRSHRSRSRSRS(SS`SSSSSSTS@TSxTSTSTS USXUSUSUSVS8VSpVSVSASQ Data ddS ;eSPatient DemographicsASQ DataEdu on first aid@eSSv hS0hSHhSSfSfqSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfSfShS 8CShShSHiSeSASQ Data7Patient YN vccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccPDDDD D D D DDDDDDDDDDDDD$D% D& D' D( D) D* D+ D, D- D. D5 D6 D7D8D9D:D;D<D=D>D?D@GGGGGGGGGD/D0D1DNDODPGVGWGX!DZ!D[!D\!GY&V&V&V'V'V'V(V(V(V)V)V)V*V*V*V*V1V1V1V2V2V2V2V3V3V3V3VG G GGG G G GGGGGGDMGGGGGG9G9G9G>G>G >G!VDDDD DD DDDD!D"D#J TJ T<7=c=jYSaWge?_NEʙ?DQMI`b47X  w8\O@cP4MA.,Xtœ NgtVt2V ;mN<ɷr K K Kw8\O@cP4MA.,Xtœ NgtVt2V ;mN<ɷrK Kj Kj Ki^HcGNVLu…*>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>44444400,,,,,,M8akcros040700555555GCH High Point60556 months================================================333333//++++++M8ijscEnglish303040GCH High Pointyes, cold604512 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK@@@@@@<<88888-T08  77777777HHailtltimm000000556060GCH Wendover605548 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511---alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lmsmsalg110999SpanishOnly a repeat ASQ for problem solving andalruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lmrmruto06alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lmrmruto061500alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lmrmruto061500alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lmrmruto06150alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lmmmmitc00000alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lmmmmitc000000606060alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lmmmmitc000000alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lmmmmitc0000alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08amgonz0000004alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08amgonz0000004alruss081100English505050GCH Wendover35556 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08amgonz000000405545GCH High Point55406 months================================================333333//++++++M8amgonz000000606060GCH Wendover606024 months<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<111111--))))))M8amgomi081600English604560GCH Wendoveryes, cold60556 monthsOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOEEEEEEAA=====2$$$$$ M08  lscscisn030100Spanish555560GCH Wendover60553/1/0224 months946432959T]]]]]]]]]]]QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQFFFF>>::666666((((($ W08lscscisn030100Spanish555560GCH Wendover605503/01/0224 months946432959T___________SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08lslslee081298505055GCH Wendover604024 months??????????????????????????????????????????????????????????44444400,,,,,,W8asjavi020600606060GCH High Point60456 months=================lslslee081298505055GCH Wendover604024 months??????????????????????????????????????????????????????????44444400,,,,,,W8alslslee081298505055GCH Wendover604024 months??????????????????????????????????????????????????????????44444400,,,,,,W8alslslee081298505055GCH Wendover604024 months??????????????????????????????????????????????????????????44444400,,,,,,W8alslslee081298505055GCH Wendover604024 months??????????????????????????????????????????????????????????44444400,,,,,,W8alslslee081298505055GCH Wendover604024 months??????????????????????????????????????????????????????????44444400,,,,,,W8alslslee081298505055GCH Wendover604024 months??????????????????????????????????????????????????????????44444400,,,,,,W8asjavi020600606060GCH High Point60456 months================================================333333//++++++M8lshshall100899455555GCH Wenasjavi020600606060GCH High Point60456 months================================================333333//++++++M8lshshall100899455555GCH Wendover605012 months@@@@@@@@@asjavi020600606060GCH High Point60456 months================================================333333//++++++M8lshshall100899455asjavi020600606060GCH High Point60456 months================================================333333//++++++M8asgate041000Englishasjavi020600606060GCH High Point60456 months================================================333333//++++++M8asgate041000EnglishConsortium304025GCH High Point5504/17/0012 monthsYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYNNNNDDBB@@@@@@00000,($$$M8QLVALaDemographicsASQ DataSeShS[ShSSfShShShS0iSVS_93ϣϟTΏ2vͽYU˔3g lɿȻȷXǙGƊƷGC?ă"ĿSÞL+zduar060700ZenoPhu06/07/00NC5291,,,,,,,,((((7zduar060700ZenoPhu06/07/00NC5291,,,,,,,,((((7valon061200VonersaAlonis06/12/00NC512722222222....$tgrif031400TyrikGriffin03/14/00NC502611111111----# # 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 $ 2 %  &  '  ( 2 )  *  )ASQ Data.ASQ commentsASQ Data#ASQ Data.Diagnosis3ASQ Data.Date of Diagnosis'ASQ Data.Re-Referral'ASQ Data.CASE NUMBER;ASQ Data.blue sheet respondentASQ Data.ASQ7ASQ Data.Maternal Depression3ASQ Data.High Risk HistoryKASQ Data.Practice Member (health Fair)9ASQ Data.Tranportation Action1ASQ Data.Headstart Action1ASQ Data.Nutrition Action-ASQ Data.Housing Action'ASQ Data.Edu Action;ASQ Data.Phone Call to Parent?%ASQ Data.Goals Text9ASQ Data.Want Head Start Info#ASQ Data.Best Time-ASQ Data.Personal Goals)ASQ Data.Edu Concerns1ASQ Data.Housing Concerns+ASQ Data.Nutr Concerns%ASQ Data.Head Start+ASQ Data.Trans Conerns)ASQ Data.Adjusted AgeASQ Data.Other!ASQ Data.Have CSC#ASQ Data.ID number!ASQ Data.LanguageASQ Data.Pass!ASQ Data.Referral9ASQ Data.Edu on child support1ASQ Data.Edu on first aid+ASQ Data.Edu on stress1ASQ Data.Edu on computers;ASQ Data.Edu on family reading;ASQ Data.Edu on drug awareness1ASQ Data.Edu on nutritionAASQ Data.Edu on domestic violence1ASQ Data.Edu o ....HHHHHHGGGGGGGkddddool090296English455060GCH Wendoveryes, very sensitive60(336) 475-98775009/21/01mother60 monthslddddool090296English455060GCH Wendoveryes, very sensitive60(336) 475-98775009/21/01mother60 monthsuuumcc_OKKK666((((($ W08$7lzdzdunl011497506060no, more advanced405548 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222222Wlzdzdunl011497506060no, more advanced405548 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222222Wlzdzdunl011497506060no, more advanced405548 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222222Wlzdzdunl011497506060no, more advanced405548 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222222Wlzdzdunl011497506060no, more advanced405548 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222222Wlzdzdunl011497506060no, more advanced405548 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222222Wlkakarri101299552055GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ajlond022200English553035GCH High Pointyes, seizures404012 monthsVVVVVVVVVVVVVVVVVVVVVVVVVVlkakarri101299552055GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ajlond022200English553035GCH High Pointyes, seizures404012 monthsVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVKKKKKKGGCCCCC4$$$$$ M08 Zljcjcald000000English505035GCH Wendoverwhether or not he will outgajlond022200English553035GCH High Pointyes, seizures404012 monthsVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVKKKKKKGGCCCCC4$$$$$ M08 Zaerome052300606055GCH Wendover60606 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8adhern081300000GCH Wendover25406 months555555555555555555555555555555555555555555555555++++++''######M8atbroo022200English404030GCH High Point604012 monthsGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG<<<<<<88444444$$$$$ M08fcSaSaraSaifalnasrJapoGCH Wendover3 p.m.High SchoolWICBBBBlSaSaraSaifalnasrJapoGCH Wendover3 p.m.High SchoolWICBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB==00((((((((((((((((((((((((((WP@lAnAnaArellanocualquieraInstituto Superior TecnicoDeblSaSaraSaifalnasrJapoGCH Wendover3 p.m.High SchoolWICBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB==00((((((((((((((((((((((((((WP@lFrFranHawkilSaSaraSaifalnasrJapoGCH Wendover3 p.m.High SchoolWICBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB==00((((((((((((((((((((((((((WP@lTeTerryPressleyafternoonHigh School-------------------------------------------- WPllullTeTerryPressleyafternoonHigh School-------------------------------------------- WPlepepoll022099English453560GCH Wendover606024 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ W080Tsmira000000Spalllepepoll022099English453560GCH Wendover606024 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ W080Tsmira000000Spanishdid not complete questionnaireGCH Wendover12 monthsQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQFFFFFFFFFFFFFF888888888C0lkikizaq102498English555555GCH WendoverteetTsmira000000Spanishdid not complete questionnaireGCH Wendover12 monthsQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQFFFFFFFFFFFFFF888888888C0ladadoug121500English6050Tsmira000000Spanishdid not complete questionnaireGCH Wendover12 monthsQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQFFFFFFFFFFFFFF888888888C0llmabra092400English503030TTsmira000000Spanishdid not complete questionnaireGCH Wendover12 monthsQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQFFFFFFFFFFFFFF888888888C0lmtmtole021700Spanish4560Tsmira000000Spanishdid not complete questionnaireGCH Wendover12 monthsQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQFFFFFFFFFFFFFF888888888C0lytytogb042097Liberiannot referred recemmonded 4 year program public school. Recent immigrant form Liberia no puzzles, no scissors, etc. to use Has never been to a playground also. 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monthsAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W80lllnwnwalc072500304550GCH High Point50454 monthsAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W80кaahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 monthsaahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{aahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{kggWNN2$$$$$ Maahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 monthsaahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{aaahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{kggWNN2$$$$$ aahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{kggWNN2$aahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{kggWNN2$$$$$ M08l7aahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{kggWNN2$aahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{kggWNN2$$$$$ aahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{kggWNNaaaahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 monthsaahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{kggWNN2$$$$$ M08l7,lAcAcott071598English305060No, Can't understand somethings she says. I have heard this caahami021001English555550GCH Wendoveryes, skin very dry, excemayes, #6Akira Hamilton60(336) 315-53256009/17/01mother6 months{kggWNN2$$$$$ M08l7,  ctctcart090499English606055GCH Devon606016 monthsFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFltctcann000000405040GCH Wendover605012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lltctcann000000405040GCH Wendover605012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ltctcann000000405040GCH Wendover605012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ltctcann000000405040GCH Wendover605012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ltctcann000000405040GCH Wendover605012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8aCgodi080800Spanish5060ltctcann000000405040GCH Wendover605012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8aCgoltctcann000000405040GCH Wendover605012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ltctcann000000405040GCH Wendover605012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ltctcann000000405040GCH Wendover605012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8aCgodi080800Spanish506060GCH Wendoveryes, ear infection60606 monthsXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXNNNNNNJJFFFFF2$$$$$ M08 lbgbaCgodi080800Spanish506060GCH Wendoveryes, ear infection60606 monthsXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXNNNNNNJJFFFFF2$$$$$ M08 aCgodi080800Spanish506060GCH Wendoveryes, ear infection60606 monthsXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXNNNNNNJJFFFFF2$$$$$ M08 aCgodi080800Spanish506060GCH Wendoveryes, ear infection60606 monthsXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXNNNNNNJJFFFFF2$$$$$ M08 laCgodi080800Spanish506060GCH Wendoveryes, ear infection60606 monthsXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXNNNNNNJJFFFFF2$$$$$ M08 aaharr090700English504045GCH High Point50506 monthsFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF<<<<<<88444444$$$$$ M08$losostol070899English504060GCH WendoverKendra Smith55(336) 275-27576008/22/01mother36 monthsyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyynnnf\\XHDD6666((((($ Wlosostol070899English504060GCH WendoverKendra Smith55(336) 275-27576008/22/01mother36 monthsyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyynnnf\\XHDD6666((((($ W08D7losostol070899English504060GCH WendoverKendra Smith55(336) 275-27576008/22/01mother36 monthsyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyynnnf\\XHDD6666((((($ W08losostol070899English504060GCH WendoverKendra Smith55(336) 275-27576008/22/01mother36 monthsyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyynnnf\\XHDD6666((((($ W08D7pllosostol070899English504060GCH WendoverKendra Smith55(336) 275-27576008/22/01mother36 monthsyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyynnnf\\XHDD6666((((($ W08D7plgvgvasq0818002555330GCH Wendovermucha diaforecis (suda mucho)356008/01/01yes, Aveces amanecen langanasos sus ojos my poquito pero12 months``VVRRNNN///!!!!!W08$U`lrgrguth083099English503560GCH WendoverRichard Guthrie5060Joni Lee Guthrie (mother)08/21/01father24 months|||tjOKKGG6666((((($ W08D=lkrkrodr122297Spanish506045GCH WendoverMaria Rodriguez60(336) 698-99495508/21/01mother36 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||qqqi__[KGG6666((((($ W08D7lcmcmurr073197English606060GCH Wendoverspeech, pronunciation of wordsDeidre Murray60(336) 988-46056008/20/01mother48 months}}yieeV666((((($ W08d7ltdtdix111998English454045GCH WendoverEdna Dix40(336) 697-11546003/12/01mother24 monthsttttttttttttttttttttttttttttttttttttttttttttttttttttttttttiiiaWWSC??5555'''''#W08D70lmdmdiaz020899Spanish603050GCH WendoverBeatriz Borbon60(336) 856-19734008/17/01mother24 months{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{ppph^^ZJFF6666((((($ W08D7lawawaha032800English504055GCH Wendover606016 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ W88ljhjhago122095English454555GCH Wendover505060 monthsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII>>>>>>::666666((((($ W08LVAL\bhDKLX{R1LX{ zW?@pR1X{R1PR1pR1PR10PR1 <* R1` R1 R1 R1 R1* R1R R1r R1 R1 R1 R1B R1z R1 R1 R12 R1z R1 R1 R12 R1j R1 R1 R1R1bR1R1R1R1ZR1R1"R1bR1R1R1R1RR1R1R1R1:R1bR1R1R1R1R1R1BR1R1R1"R1ZR1R1R1R1bR1R1 R1` R1x R1 R1 R1 R1@ R1` R1 R1 R1 R10 R1h R1 R1 R1 R1h R1 R1 R1 R1X R1 R1 R1R1PR1R1R1R1HR1R1R1PR1R1R1R1@R1xR1R1R1(GR1PR1pR1R1R1xR1R1R1XR1R1R10R1hR1R1R18R1R1H R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R1 R]1 R1 R1 R1 R1 R1 R1 R1 R1 R10R10R10R10R10R10R10R10R10R10R10R10R10R1* R1 R1 R1 R1* R1R R1r R1 R1 R1 R1B R1z R1 R1 R12 R1z R1 R1 R12 R1j R1 R1 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Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        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Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jASQ comments           m #v("High Risk History        Yes/No   jx,&Maternal Depression           m #RRRRRRRRRRRRRRRRRRagaijpjpuli120398Spanish455050GCH Wendover50502/1/0236 monthsQQQQQQQQQQQQlljpjpuli120398Spanish455050GCH Wendover505002/01/0236 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W080lagagers081500English404040GCH High Point4ljpjpuli120398Spanish455050GCH Wendover505002/01/0236 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08ljpjpuli120398Spanish455050GCH Wendover505002/01/0236 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W080lagagers081500English404040GCH High Point404008/15/0012 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08ljpjpose101899553545GCH Wendover504012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbost011299English4535ljpjpose101899553545GCH Wendover504012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbost011299English453ljpjpose101899553545GCH Wendover504012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdboljpjpose101899553545GCH Wendover504012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lipiljpjpose101899553545GCH Wendover504012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8lipipark010897English455555GCH WendoverTifferney Parker55(336) 275-90425505/10/01mother48 months}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}rrrj``\LHH6666((((($ W08D7ltsing112100English403045GCH Wendover40(336) 373-99174505/10/01mother6 monthsno, not yet507||||||||||wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwjj```XNNJ:666666((((($ W087ljlawr091301English555555GCH Wendover555004/11/016 months260WWWWWWWWWWRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRHHHH>>::666666((((($ W08 Tjfull0409986 monthsCljfjfull040998English604055GCH WendoverDana Fuller40(336) 987-40245505/09/01mother36 monthsxxxxxxx Tjfull0409986 monthsC 2222222222aiaeaeadd042100English553530GCH Devonyelqmdoug040800English605560GCH Wendover606009/07/0116 months369XXXXXXXXXXSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08laeaeadd042100English553530GCH Devonyes, doesn't hold cup or bottle504504/23/0112 monthsqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqffff\\XXTTT333((((($ laeaeadd042100English553530GCH Devonyes, doesn't hold cup or bottle504504/23/0112 monthsqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqffff\\XXTTT333(laeaeadd042100English553530GCH Devonyes, doesn't hold cup or bottle504504/23/0112 monthsqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqffff\\XXTTT33laeaeadd042100English553530GCH Devonyes, doesn't hold cup or bottle504504/23/0112 monthsqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqffff\\XXTTT333(laeaeadd042100English553530GCH Devonyes, doesn't hold cup or bottle504504/23/0112 monthsqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqffff\\XXTTT333(laeaeadd042100English553530GCH Devonyes, doesn't hold cup or bottle504504/23/0112 monthsqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqffff\\XXTTT333((((($ W08$lntnturn061898405060GCH High Point605024 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8lntnturn061898405060GCH High Point605024 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8lmmmmari010399506055GCH Wendover605024 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8agmill000000353530GCH Wendover45456 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8$ldwdwill04260060606agmill000000353530GCH Wendover45456 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8$ldwdwill0426006060agmill000000353530GCH Wendover45456 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8$amsale012800404555GCH High Point40506 months================================agmill000000353530GCH Wendover45456 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8$amsale012800404555GCH High Point40506 months================================================333333//++++++M8`LVALnWVnWB HnWVnW4 nWVnWC HnWVnW6 nWVnW; HnWVnW8 nWVnW< nWVnW? HnWVnW nWVnW nWVnW HnWVnW HnWVnW HnWVnW HnWVnW nWVnW nWVnW  nWVnW  nWVnW  nWVnW  nWVnW  nWVnW nWVnW nWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW HnWVnW  HnWVnW! 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months384FFFFFFFFFFAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W8@lmmalle021500consortiumBeen relmkhan060300553540GCH High Point40506 months384FFFFFFFFFFAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W8@lmkhan060300553540GCH High Point40506 months384FFFFFFFFFFAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W8lmkhan060300553540GCH High Point40506 months384FFFFFFFFFFAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W8lmkhan060300553540GCH High Point40506 months384FFFFFFFFFFAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W8lmkhan060300553540GCH High Point40506 months384FFFFFFFFFFAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W8lmkhan060300553540GCH High Point40506 months384FFFFFFFFFFAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W8lmkhan060300553540GCH High Point40506 months384FFFFFFFFFFAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W8lmkhan060300553540GCH High Point40506 months384FFFFFFFFFFAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W8@lEknguy062300553540GCH High Point30506 months325FFFFFFFFFFAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA77777733//////W8l4kcrosb040700consortium505535GCH High Point55556 months308SSSSSSSSSSNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNDDDDDD@@<<<<<<,,,,,($ W8cjdjdiaz081799556045GCH High Pointljdjdiaz081799556045GCH High Point555512 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8llljdjdiaz081799556045GCH High Point555512 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8lljdjdiaz081799556045GCH High Point555512 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8ljdjdiaz081799556045GCH High Point555512 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8ljbjbald100399506060GCH High Point606012 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8 (lbpbprat102499405545GCH High Point604012 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W80lbjbjavi082599605560GCH High Point602512 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8lapaphan000000505555GCH High Point605512 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W80lalalope103099455035GCH High Point603512 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8lababurd091699555545GCH High Point605012 monthsBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB77777733//////W8abbuen022100506050GCH High Point45506 months================================================333333//++++++M8lzduar060700English556050GCH Higabbuen022100506050GCH High Point45506 months================================================333333//++++++M8lvalon061200555540aaaaabbuen022100506050GCH High Point45506 months================================================333333//++++++M8lrrodr040700605050GCH High Point50506 months435FFabbuen022100506050GCH High Point45506 months================================================333333//++++++M8lrrodr040700605050abbuen022100506050GCH High Point45506 months================================================333333//++++++M8Zi\lgarc101900Spanish606060GCH High Point506005/18/016 months348YYYYYYYTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTl\lgarc101900Spanish606060GCH High Point506005/18/016 months348YYYYYYYYYYTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTJJJJ@@<<888888((((($ W08TSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8laeaemor110797EnglishDEC404050GCH HiTSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8lstown111700EnglishConsortium301545GCH High Pointyes, not standing253505/18/016 monthsno, siTSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8ldsmit101500English606050GCH High PTTSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8lkbkbrow050598EnglishConsortium203050GCH Wendoveryes, Eczema, AsthmaKimberly Brown2505 Davie Drive60(336) 632-TSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8l2kcoun110800English504560GCH WendoverErika Council2006 Apt. K Cedar Fork Dr. Greensboro, NC 2740755(336) 292-9229TSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8lmhmherb011398English305060no, most children his age that we be around talk mor like a TSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8lhmhmcca000000English6060TSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8llclclin052399English403040GCH Wendoveryes, congestionyes,Laura stays congested a lot & how will that affect her & what's the reason for this continous problem?Stephanie Clinton307 Huffman Street Greensboro, NC 2740145(336) 854-TSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8levevinc031300English505050GCH Wendoveryes, ear infectionMonica Corpening50(336) 375-435950TSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8ljdjdill020598556060yes, has a rash onTSpanish606060GCH High Point506005/18/016 monthsCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC9999//++'''''' C 8LVALtMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   j2 Age           o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'   LVAL   0twip  #bComments           m #HBWalks, runs & climbs like others?           m #:4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns          LVAL o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time           o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   j@:Practice Member (health Fair)  p         o # Value List 'Wendover';'High Point';'Devon';'Moses Cone';'HealthServe Eugene';'Healthserve North East'      0twip CASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Heari? LVALO ng';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jASQ comments           m #v("High Risk History        Yes/No   jLVAL/fnWfnqWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWfnWhnW 8CnWhnWhnWHinWenWASQ Data7Patient DemographicsASQ DatanWenWhnW[nWhnWnWfnWhnWhnWhnW0inWVnWLVALtMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   j2 Age           o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'   LVAL   0twip  #bComments           m #HBWalks, runs & climbs like others?           m #:4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns          LVAL o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time           o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   j@:Practice Member (health Fair)  p         o # Value List 'Wendover';'High Point';'Devon';'Moses Cone';'HealthServe Eugene';'Healthserve North East'      0twip CASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Heari LVAL ng';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jASQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j [[[[[[[Ϸηηηηηηaaeaaeddy042100604550GCH Devon55506 months88888888888888888888888888888888888888aaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lnjnjone050100aaaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lnjnjone050100English404060GCH Wendoveryes, her brain problemsyes, her brain, need more information abaaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lhchclar030499English503555no, somethings I don't understandGCH WendoverAnna Jaaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lhchclar030499English503555no, somethings I don't understandGCH Wendaaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lhchclar030499English503555no, somethings I don't understandGCH Wendoaaaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lhchclar030499English503555no, somaaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lhchclar030499English503555no,aaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lhchclar030499English503555no, somethings I don't understandGCH WendoverAnaaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lhchclar030499English503555no,aaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lhchclar030499English503555no, somethings I don't understandGCH aaaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8lhchclar030499English503555no, somethings I don't understandGCH WendoverAnna Jo Clark50(336) 230-08aaeddy042100604550GCH Devon55506 months888888888888888888888888888888888888888888888888......**&&&&&&M8TCTCYN 4::::lckbkburn091699English504060GCH Wendover556009/17/012lkgkglad060301English403060GCH High Point454001/15/026 monthsTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTJJJJ@@<<888888((((($ W08lkgkglad060301English403060GCH High Point454001/15/026 monthsTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTJJJJ@@<<888888((((($ W08TTlgoin060900GCH Wendover6 months''''''''''''''''''''''''''''''''''''''Cljpach092300Spanish354050GCH High Pointyes, fever40556 months275[[Tlgoin060900GCH Wendover6 months''''''''''''''''''''''''''''''''''''''Cl xmart092600English505055GCH High Pointyes, not crawling yet40456 months524ffTlgoin060900GCH Wendover6 months''''''''''''''''''''''''''''''''''''''Cljspen082596Spanish405050GCH High Point45606 months284OOOOOOOOOOJJTlgoin060900GCH Wendover6 months''''''''''''''''''''''''''''''''''''''Cljspen082596Spanish405050GCH High Point45606 months284OOTlgoin060900GCH Wendover6 months''''''''''''''''''''''''''''''''''''''Clygygord031799English455055GCH High Point556024 monthsKKTlgoin060900GCH Wendover6 months''''''''''''''''''''''''''''''''''''''Clvvvvila021499English454545GCH High Pointasthma50Tlgoin060900GCH Wendover6 months''''''''''''''''''''''''''''''''''''''Clvvvvila021499English454545GCH High Pointasthma50Tlgoin060900GCH Wendover6 months''''''''''''''''''''''''''''''''''''''Clvvvvila021499English454545GCH High Pointasthma505524 monthsSSTlgoin060900GCH Wendover6 months''''''''''''''''''''''''''''''''''''''Casingr030900English606060GCH WendoverYes, Ear infeTlgoin060900GCH Wendover6 months''''''''''''''''''''''''''''''''''''''Casingr030900English606060GCH WendoverYes, Ear infection, stomach virusyes, bow legs, in-toeing Position of feet606012 monthsUU2$$$$$ M08,ascrow000000556050GCH Wendover55606 months;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;111111--))))))M8TEnglish605060GCH WendoverYes, Virus602012 monthsQQQDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD9999995511111% C 8  LVAL ism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jASQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   jr& Custom Drop Down           m #anrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,ljrjrori053100MorningUniversity, Technical CollegeHe's only 3 months. I want his mind to expandA. Sent info by mailErica Kingstonanrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,ljrjrori053100MorningUniversity, Technical CollegeHe's onanrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,anrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,ljrjrori053100aanrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,lmcmchau061697EnglishUncertain how accurate - questions read and answered by 10 year sister anrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,ldmend121000SpanishNot referred - seems ok to anrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,lmwataanrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,lncncraw0anrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,anrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,l@atrin120800Spanish555035GCH Wendanrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,lsvsvald060199English404060GCanrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,ljsaanrodr030200SpanishConsortium253030GCH High Pointyes,yes, ears04012 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWWWSSQQQFF@00000,($$$M8,LVALodhD?PiS;@Pic  ?8eSPiS8CSeS  S S: Sr S S S S2 Sr S S S: Sr S S S SJSrSSS S:SrSSSS*SJSrSSSS SJSSSS*SjSSS"SJSSSSZSSS S2SZSSRSSS"SZSSSSSZSSSS2S S S( S` S S S S S` S S S( S` S S S S8S`SSSS(S`SSSSS8S`SSSSS8SpSSSSXSSSS8SSSSHSxSSS SHSS@SSSSHSpSSSSHSSSS S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S: Sr S S S S2 Sr S S S: Sr S S S SJSrSSS S:SrSSSS*SJSrSSSS SJSSSS*SjSSS"SJSSSSZSSS S2SZSSRSSS"SZSSSSSZSSSS2Sk  f d g d h d b S  [ q n ^ d J d K d L d M d N d P A d B 4 d C 6 d ; 8 d < ?  2    d  2  d  2                    2  2  2  2      2               2 ! 2 " 2 #  $ 2 %  &  '  ( 2 )  *  )ASQ Data.ASQ commentsASQ Data#ASQ Data.Diagnosis3ASQ Data.Date of Diagnosis'ASQ Data.Re-Referral'ASQ Data.CASE NUMBER;ASQ Data.blue sheet respondentASQ Data.ASQ7ASQ Data.Maternal Depression3ASQ Data.High Risk HistoryKASQ Data.Practice Member (health Fair)9ASQ Data.Tranportation Action1ASQ Data.Headstart Action1ASQ Data.Nutrition Action-ASQ Data.Housing Action'ASQ Data.Edu Action;ASQ Data.Phone Call to Parent?%ASQ Data.Goals Text9ASQ Data.Want Head Start Info#ASQ Data.Best Time-ASQ Data.Personal Goals)ASQ Data.Edu Concerns1ASQ Data.Housing Concerns+ASQ Data.Nutr Concerns%ASQ Data.Head Start+ASQ Data.Trans Conerns)ASQ Data.Adjusted AgeASQ Data.Other!ASQ Data.Have CSC#ASQ Data.ID number!ASQ Data.LanguageASQ Data.Pass!ASQ Data.Referral9ASQ Data.Edu on child support1ASQ Data.Edu on first aid+ASQ Data.Edu on stress1ASQ Data.Edu on computers;ASQ Data.Edu on family reading;ASQ Data.Edu on drug awareness1ASQ Data.Edu on nutritionAASQ Data.Edu on domestic violence1ASQ Data.Edu o&93ϥKΗ@͘=͞Cˏ:ʎɝFBȅȁ%Ȉ;ƍ=9ņ-jķ`í^«Tcscstcscstev082896Connercscstev082896Conner,Steven08/28/96NC222222222....$2, cmcmcca092396CalebMcCaslin09/23/96NC222222222....$2bjbjame101896BerthaJamez10/18/96NC000000000,,,,"awawill042996AshelyWilliams04/29/96NC333333333////%asasaun040796AquoneSanders04/07/96NC222222222....$alalock000000AloraLocklearNC((((((((($$$$$&ababivi012196AljariqBivins01/21/96NC222222222....$zrzrich112598ZakielRichmond11/25/98NC333333333////%2zazahma102898ZohaibAhmad10/28/98NC000000000,,,,"totobri122397TadeO'brianWest12/23/97NC4444444440000&tmtmart010898TyshymMartin01/08/98NC111111111----#tgtglad031298TadariusGladney03/12/98NC4444444440000&0sjsjess060498Salazv-Hernendez,Jessica06/04/98NC=========9999/&2rnrndiz110798RitaNdizihiwe11/07/98NC222222222....$rhrhern122797RaulHernandez12/27/97NC222222222....$ososize070598OliviaSizemore07/05/98NC333333333////%46mlmlitt000000MonquiseLittleNC)))))))))%%%%%0mcmcayo111998MarioCayo11/19/98NC.........**** lmlmcfa052198IeshaMcfadden05/21/98NC222222222....$llitt091598LaeQuanLittle9/15/98NC------))))  lklkyra092398KyraLewis09/23/981407 w english sthigh pointNC27260(336) 841-1506henriettalewisvvvvoddTMI=** lflforr102797LadiamondForrest10/27/97NC5555555551111'lalaow100898LadaisaAow10/08/98NC.........**** lkwkwash022198KumissaWashington2/21/98NC946390304QAA55555551111(@47jsjsalg012398JosueSalgado1/23/98NC000000000,,,,#.jbjburd082498JessicaBurdette08/24/98NC4444444440000&6 1ihiharr081998IvyHarrington08/19/98449 meridith sthigh pointNC(336) 883-4671945899385Rkk_____OOK?..$Biaiasla030798IqraAslan03/07/98NC.........**** hwhwats092198HakisWatson09/21/98NC000000000,,,,"hkhkhan052898HonzaKhan05/28/98NC.........**** 2gsgsant101398GumaroSantibanez10/13/98NC5555555551111'gbgbria072698Gahima,Brian07/26/98NC111111111----#fhfhern100698FneydaHernandez10/06/98NC4444444440000&dsdstew072998DestinySteward07/29/98314C brentwood sthigh pointNC27260(336) 889-8737annastewardxxxxoiiYRNB//%$djdjenn041098DevonteJennings04/10/98NC4444444440000&dbdboll000000DouenBollordNC'''''''''#####4%xclclitt111397CodyLittle11/13/97NC/////////++++!Bbdbdequ042598BobbyDeqram04/25/98NC000000000,,,,"0avavalv072998AdvionValverdecea07/29/98NC6666666662222(2asasire081898AishahSires08/18/98NC000000000,,,,"apapete030198AlexisPeterson03/01/98NC333333333////%apapeak071698AronttePeak07/16/98NC000000000,,,," YN  LVAL MR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   j2 Age           o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'   LVAL   0twip  #bComments           m #HBWalks, runs & climbs like others?           m #:4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns          LVAL o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time           o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        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Speller60(336) 279-851440ackoun122700English604025GCH Wendover45506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08LVAL]MR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   j2 Age           o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'   YN aajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/01ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ M08Dlqhajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ ajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ M08Dajbeni012001Spanish555560GCH WendoverDolores Benito Rosete35(336) 856-18436007/16/016 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkkaa]MII2222$$$$$ M08Dasgate041000251515GCH High Point35456 months================================================333333//++++++M8$LVAL   0twip  #bComments           m #HBWalks, runs & climbs like others?           m #:4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns          _aorti0i+aorti050601English556050Moses Cone FP45(336) 474-15496011/19/01mother6 months43ool+aorti050601English556050Moses Cone FP45(336) 474-15496011/19/01mother6 months43ooooooooookkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkaaaYOOK;777777((((($ l+aorti050601English556050Moses Cone FP45(336) 474-15496011/19/01mother6 months43ooooooooookkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkaaaYOOK;777777(((((l+aorti050601English556050Moses Cone FP45(336) 474-15496011/19/01mother6 months43ooooooooookkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkaaaYOOK;777777((((($ W087@ajhern0130005055l+aorti050601English556050Moses Cone FP45(336) 474-15496011/19/01mother6 months43ooooooooookkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkaaaYOOK;777777((((($ W087@ajhern013000505550GCH High Point50506 months================================================333333//++++++M8@lrgonz112500Spanish606060GCH Wajhern013000505550GCH High Point50506 months================================================333333//++++++M8@lslope120800Spanish506060GCH WendoverPaula Lopez50(33aajhern013000505550GCH High Point50506 months================================================333333//++++++M8@lgnune120100Spanish55603ajhern013000505550GCH High Point50506 months================================================333333//++++++M8@lbsbsmit051900English605560GCH WendoverGermaine Smith60(336) 3ajhern013000505550GCH High Point50506 months================================================333333//++++++M8@lnlowe122100English355560GCH Wendoveryes, upper respiratoryChiffany Bradley(336) 6aajhern013000505550GCH High Point50506 months================================================333333//++++++M8@lcpcport050899English504050GCH Wendover40(336) 852-ajhern013000505550GCH High Point50506 months================================================333333//++++++M8@ljcjchan011000Spanish605560no, because family memberspeak several languageGCH WendoverYu Ling Chang60(336) 8aajhern013000505550GCH High Point50506 months================================================333333//++++++M8@ltytyate061299English503050no, I have heard some toddlers talk better than herGajhern013000505550GCH High Point50506 months================================================333333//++++++M8@LVAL" o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time           o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'AutYN!!m LVAL} ism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jASQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip   acpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKacpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English505560Moses Cone FP555507/26/01mom6 monthsTTTTTTTTTTTTTTTTTTTTTTTTTTacpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English505560Moses Cone FP555507/26/01momacpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English505560Moses Cone FP55aacpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English505560Moses Cone FP5acpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English505560Moses Cone FP555507/26acpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English5055acpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English505acpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English505560Moses Cone FP555507/acpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English505560Moses Cone FP555507/26/01mom6 monthsTTTTTTacpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English50556aacpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English505560Moses Cone FP555507/26/01momacpott102100English504540GCH Devon555005/11/016 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAA7733//////$$$$$ M08acmilt120600English505560Moses Cone FP555507/26/01mom6 monthsTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTJJJE;;77333333$$$$$ M085P LVALN..mD | ) \b ` N?p| |  | | 5G | R| | | (| h| | | | | R| |  d  2  2 ;Patient Demographics.ID number'Patient Demographics;Patient Demographics.BirthdateKPatient Demographics.Child's Last Name| | | | | F%U@| | | 4xD R| 4xD | 4xD+Patient Demographics|  | | | | N|zB*@bday querry|  | |  | |  (| | C[Patient Demographics].[ID number]| ?[Patient Demographics].Birthdate| S[Patient Demographics].[Child's Last Name](| | 4xD | 4xD R| 4xD+Patient Demographics | |  | |  | | | (| |  | | X|  | 8| H| X| h| x| | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | |  | | | | |  | |  | |  | |  | z | | | zD| p| | (| | 8|  dp|  2|  2| 4 | | | p| | | | 'Patient Demographics 2@|  dX| Zip CodePrimaryKeyx| | v | `| 5  05G| | |q | | | | | | | | | | | | | | | | | | | | | | | | | | | | @|  | `|  | | /| Patient Demographics| |  | | | H| | |  2| | 2@ | |  | | `| | | |   | | | K[1b N  : k & W  C t/Assisting_in_ASQRelationship_to_ChildConcerns_about_child_s_vision_ P$@12W$@12ZPС*V$@12Option1BC7?VerticalShadowBoxLabel2Option2 OptionLabel1Option3 OptionLabel3Option4 OptionLabel4Option5 OptionLabel5Option6 OptionLabel6Option7 OptionLabel7Option8 OptionLabel8HorizontalHeaderBoxLabel1DC7?Picture Form_Open Form_Current FillOptionsHandleButtonClick  X[ItemNumber] = 0 AND [Argument] = 'Default'  ItemText  Option1ASQSetFocus OptionVisible OptionLabel BSELECT * FROM [Switchboard Items] X WHERE [ItemNumber] > 0 AND [SwitchboardID]= SwitchboardID . ORDER BY [ItemNumber];qm.1m. XThere are no items for this switchboard page OptionLabel1Caption ItemNumberSm.Qm. "Switchboard Items [SwitchboardID]= $ AND [ItemNumber]= nThere was an error reading the Switchboard Items table. Command J[ItemNumber] = 0 AND [SwitchboardID]= Medicaid_ID Argument $WZMAIN80.sbm_Entry ,Command not available. Unknown option. 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ORDER BY [ItemNumber];qm.1m. XThere are no items for this switchboard page OptionLabel1Caption ItemNumberSm.Qm. "Switchboard Items [SwitchboardID]= $ AND [ItemNumber]= nThere was an error reading the Switchboard Items table. Command J[ItemNumber] = 0 AND [SwitchboardID]= Argument $WZMAIN80.sbm_Entry ,Command not available. Unknown option. RThere was an error executing the command.&x12&x12&x12Form_BeforeInsert (patient demographics(aN? id numberBeforeInsert (patient demographics(aN? id number id number,Command not available. Unknown option. RThere was an error executing the command.&x12&x12&x12Form_BeforeInsert (patient demographics(aN? id numberBeforeInsert (patient demographics(aN? id number id numberVerticalShadowBoxLabel2Option2 OptionLabel1Option3 OptionLabel3Option4 OptionLabel4Option5 OptionLabel5Option6 OptionLabel6Option7 OptionLabel7Option8 OptionLabel8HorizontalHeaderBoxLabel1DC7?Picture Form_Open Form_Current FillOptionsHandleButtonClick  X[ItemNumber] = 0 AND [Argument] = 'Default'  ItemText  Option1SetFocus OptionVisible OptionLabel BSELECT * FROM [Switchboard Items] X WHERE [ItemNumber] > 0 AND [SwitchboardID]= SwitchboardID . ORDER BY [ItemNumber];qm.1m. XThere are no items for this switchboard page OptionLabel1Caption ItemNumberSm.Qm. "Switchboard Items [SwitchboardID]= $ AND [ItemNumber]= nThere was an error reading the Switchboard Items table. Command J[ItemNumber] = 0 AND [SwitchboardID]= Argument $WZMAIN80.sbm_Entry ,Command not available. Unknown option. RThere was an error executing the command.&x12&x12&x12Form_BeforeInsert (patient demographics(aN? id number id number$`l$A`p$`Q?9'T U5 5 5 5 5 5555555555555555555 5!5"5#5%5&5'5(5)5*5+5,5-5.;;;;; ; ; ; ; ;;;;;;;;;;;;;;;;;; ;!;";#;$;%;&;';(;);*;+;,;-;.;/;0;1;2;3;5;6;7;8ccccccccc c c c c ccccccccccccccccccc c!c"c#c$c%c&c'c(iiiiiiiii i i i i iiiiiiiiiiiiiiiiiii i!i"i#i$i%nnnnnnnnnn n n n n nnnnnnnnnnnnnnnnnnn n!n"n#n$n&n'n(n)n*n+n,n-n.n/n0n1n3n4n5  !"#$%&'  !"#$%&'()*+,-./01234  !"#$%&'()*+,-./01234  !"#$%&'()*+,-  !"#$%&')*+,-  !"#$%'()  !"#  !"#$%&'()*+,-./01234  !"#$%&'  !"  !"#$%&'()*+,-./0123  !"#$%&'()*+,-./0123   !"#$%&'()*+,-./012  !"#$%&'(  !"#$%&'(  !"#$%&'()*+  !"#  !"#$%&'()*+,-./0123  !"#$%&' !" !"#$%&'  !"#$%'()  !"#  !"#$%&'()*+,-./01234  !"#$%&'  !"  !"#$%&'()*+,-./0123 # LVAL Z| | | | @| x| | |  | X| | | | 8| p| | 'Patient Demographics 2|  d| Zip CodePrimaryKey| | v | | | | P| P|q P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| P| H |  | X | 8 | | /@| Patient DemographicsPrimaryKey| @| | x| | | P| X | ( | X | | | YN  LVAL02MR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   j2 Age           o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'   LVAL3   0twip  #bComments           m #HBWalks, runs & climbs like others?           m #:4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns          LVAL o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time           o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Aut]cmpmpere040396Spanish604060GCH lmpmpere040396Spanish604060GCH High Point556006/23/0160 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08lnwnwith011896English455060GCH High Pointunsurelmpmpere040396Spanish604060GCH High Point556006/23/0160 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08lmpmpere040396Spanish604060GCH High Point556006/23/0160 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08lnwnwith011896English455060GCH High Pointunsureyes, hearingSwindell Curtain60(336) 885-36074506/23/01grandmotherno60 monthsxxtd``N@88((((($ W08t lslslin000000English355035GCH High Point505048 monthsJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ??????;;777777'''''#W08 lbcgrah000000English356045GCH High Point405006/26/016 months98XXXXXXXXXXTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTJJJJ@@<<888888((((($ W08ljbjbeth103000English454550GCH High PointTameka Johnson40(336) 275-32355506/26/01mother8 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||rrrj``\LHH8888((((($ W08D7lgzgzamo011101English606060GCH High Pointyes, ear infectionyes, the little red bump near her eye (hemangiama)555506/21/014 monthsLL8((((($ W08,lrnrnort100296EnglishReceives S&L therapy452540GCH High Point203006/23/0154 monthskkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk````VVRRNNNNNN>>>>>:622W0:lblbluna022596English4560GCH High Point455006/23/0160 monthsQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQFFFF<<88444444$$$$$ W000lckcknox011796English353560GCH High Point504506/23/0160 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08llelesca062099SpanishSpeech/Hearing555540no Written in spanishno, written in spanishGCH High Pointyes, written in spanishyes, written in spanish551006/25/0124 monthsllelesca062099SpanishSpeech/Hearing555540no Written in spanishno, written in spanishGCH High Pointyes, written in spanishyes, written in spanish551006/25/0124 monthswggO8840,,,W-_ahunt1aahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSaaahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085ldcdcast061296Spanish605550GCH High Pointaahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 lmbmbenn081796aahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 lawawill050796aahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 lmrmrive083096English305550GCH High Point406006aahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 lkmaahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 lSrSreye021296aahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 laaaahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 lsfsflow092296aahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 lamamill032896eeSpeech and Hearing here at Fun Fair. Discussed appropriate developmental tools to use with child to enhance fine motor skills. Encouraged mom to put in Preschool program305055no, stutters a lotGCH High Point60aahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 lkakarms122695aahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 lacaconn081395aahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085 lasastud062596aaahunt122500English555550GCH Wendover456007/06/01mom6 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSIIID::66222222$$$$$ M085,\\\\\\\\]cdbidbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrad093096201055GCH Devon604ldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrad0930962010ldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrad093096201055GCH Devon604048 months==========================================================222222..******ldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrad093096201055GCH Devon604048 months=============================lldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrad093096201ldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrad09309ldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrad093096201055GCH Devon604048 months=ldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrad093096201055GCH Dellldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrad093096201055GCH Devon6ldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrad093096201055GCH Devon604048 monthldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8ldbdbrow111199556060GCH Wendover606012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8Tdrice060100C_ailwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------llwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llflforrllwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llflllwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llflforr1027976050GCH High Point606024 months>>>>>>>>>>>>>>>>>>>llwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llflforr1027976050GCH High llwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llflforrlllwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llflforr1027976050GCH High Point606024 months>>llwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llflforr1027976050GCH High Point606024 mollwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llflforr1027976050GCH High Point606024 months>>>>>>>>>>>>>>>>>>>>>lllwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llfllllwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llflforr10279llwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8llwlwise000000555560GCH Wendover606048 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8Tpwill081300yes, ear infectionsyes, breathing and herrier( her jumping at loud sounds and breathing)yes, loud sound causes her to jump8 monthsyes, most timekkkkkkkkkk$$C(YNXX  Zadrojo120700Spanish456045GCH WendoverAlejaadrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ M0adrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ M08D7l3kcros040700adrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ M08D7l3kcros040700Eadrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ M08D7l3kcros040700English454025GCH High Point503512 monthsno, Kesean often adrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ adrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ M08D7l3kcros040700English454025GCH High Point50351adrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ Madrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ M08D7l3kcros040700Engadrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ M08D7l3kcros040700English454025GCH High aadrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ M08D7adrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ M08D7l3kcros040700English454025adrojo120700Spanish456045GCH WendoverAlejandra Rojo40(336) 316-04254006/19/01mother6 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvllldZZVFBB2222$$$$$ M08D7Tjchan110700Spanishmom, no high school unable to doGCH High Point06/28/016 months^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^TTTTJJJJJJJJJJ:::::::::C0Z]akcail112500English555045GCH High Pointyes, his circumcision404005/25/016 monthsggggggggggggggggakcail112500English555045GCH High Pointyes, his circumcision404005/25/016 monthsgggggggggggggggggggggggggggggggggggggggggggggggg]]]]SSOOKKK444$$$$$ M08$lakcail112500English555045GCH High Pointyes, his circumcision404005/25/016 monthsgggggggggggggggggggggggggggggggggggggggggggggggg]]]]SSOOKKK444$$$$$ M08$ljmjmick121098EnglishDECParent does not want services at this time155555Health akcail112500English555045GCH High Pointyes, his circumcision404005/25/016 monthsgggggggggggggggggggggggggggggggggggggggggggggggg]]]]SSOOKKK444$$$$$ M08$ljmjmick121098EnglishDECParent does not want services at this time155555Healakcail112500English555045GCH High Pointyes, his circumcision404005/25/016 monthsgggggggggggggggggggggggggggggggggggggggggggggggg]]]]SSOOKKK444$$$$$ M08$lnmnmack092100English506055Health Serve aakcail112500English555045GCH High Pointyes, his circumcision404005/25/016 monthsgggggggggggggggggggggggggggggggggggggggggggggggg]]]]SSOOKKK444$$$$$ M08$ltbtbloc0061299EnglishConsortium453050GCH High PointHe is an asthmatic and has seizures & hes is much smaller than all toddlers his ageyes, His height and weight his disability to talk and him not attempting to go to the pottyErica Murphy60(336) 889-69271007/09/01motheraaakcail112500English555045GCH High Pointyes, his circumcision404005/25/016 monthsgggggggggggggggggggggggggggggggggggggggggggggggg]]]]SSOOKKK444$$$$$ M08$lakcail112500English555045GCH High Pointyes, his circumcision404005/25/016 monthsgggggggggggggggggggggggggggggggggggggggggggggggg]]]]SSOOKKK444$$$$$ M08$ljljluca081196English455555akcail112500English555045GCH High Pointyes, his circumcision404005/25/016 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Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   j2 Age           o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'   ailflfink041998English455055GCH Wendoveryes, tubes in earsyes, wakes frequently at night606007/09/0136 months||||rrnnjjjJ <ljbrai122400English605560GCH Wendoveryes, failed hearing test x2 and is being referred to ENT555507/10/016 months229xxttppp666((((($ W08$lkwkwalk020600Engl <ljbrai122400English605560GCH Wendoveryes, failed hearing test x2 and is being referred to ENT555507/10/016 months229xxttppp666((((($ W08$lkwkwalk020600English606060GCH Wendover606007/11/0116 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08 ltktkoge042398English455055GCH Wendoveryes, strep throatyes nosebleeds505507/19/0136 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvkkkkaa]]YYYII6((((($ W08,0lnfnfink041998English355055GCH Wendoveryes, tubes in earsyes infrequent nose bleeds606007/09/0136 monthsxxxxnnjjfffJJ6((((($ W08,ldndneal011000English554550GCH Wendover455007/13/0118 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08ldcherb011501English555525GCH Wendoveryes, heart murmorr405507/17/016 months100kkkkkkkkkkffffffffffffffffffffffffffffffffffffffffffffffff\\\\RRNNJJJ666((((($ W08$ljrjreye051596Spanish402035GCH WendoverTabina Reyes60(336) 273-08425007/10/01mother60 monthsyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyynnnf\\XHDD6666((((($ W08D7lsmsmurr012996English405550GCH Wendoveryes, weight45(336) 274-42974007/10/01mother60 monthsxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxmmme[[WGCCC666((((($ W08$7llglgonz100199Spanish254030GCH Wendoveryes, los oldosno, el lostreneyes sequede sin respiacous. 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Commerce Ave.High PointNC27260(336) 889-6927EricaMurphy~wwg`\P88.zwzwarr071000ZeynabWarraich07/10/00NC333333333////%h wtayl112900WilsonTaylor11/29/00NC521611111111----#a@Cawigg012401AleaWiggins01/24/01NC67400000000,,,,"zharm122600ZariaHarmon12/26/001801 ferndale sthigh pointNC27260(336) 989-6641santinaharmon946638805N531vvneeUNJ>,,"-Fkpage020701KameronPage02/07/01NC326500000000,,,,"rsrsqui071498RichardSquires07/14/98NC333333333////%blblope100700BrandonLopezTovar10/07/00225 charles sthigh pointNC27260(336) 889-0813AlejandroTovar946578286Q|{tiiYRNB22([LVALMQ Data.CommentsSASQ Data.Walks, runs & climbs like others?1ASQ Data.Fine Motor Score;ASQ Data.Problem Solving Score;ASQ Data.Personal-Social Score'ASQ Data.Total ScoreEASQ Data.Talks like other children?3ASQ Data.Understand child?!ASQ Data.Outcomes!ASQ Data.ProvideriASQ Data.Any medical problems in last several months?ASQ Data.Family history of child deafness or hearing impairment?7ASQ Data.Anything worry you?=ASQ Data.Person filling out ASQMASQ Data.Mailing Address (if different)3ASQ Data.Gross Motor Score#ASQ Data.Telephone7ASQ Data.Communication Score1ASQ Data.Assisting in ASQASQ Data.Date;ASQ Data.Relationship to ChildMASQ Data.Concerns about child's vision?%ASQ Data.Hear well?ASQ Data.Age9ASQ Data.Use both hands well?;ASQ Data.Feet flat on surface?hoCC`oDo@o Ho@Xopo's  o@^n?J o@^ w: o@^Agr o@^bo o@^ds o@^- o@^ f2 o@^ sr o@^? o@^_  o@^ " o@^| Z o@^to  o@^ D  o@^Te o@^d*2o@^ ^Zo@^x_o@^_o@^ o@^ "o@^ Zo@^ o@^ o@^ o@^ o@^ 2o@^ Zo@^ o@^ o@^ o@^ o@^ 2o@^ !jo@^ "o@^ #o@^ $o@^ %Ro@^ &o@^ 'o@^ ( o@^ )2o@^ *o@^ +o@^ ,o@^ -Bo@^ .ro@^ /o@^ 0o@^ 1o@^ 2Bo@^ 3o@^ 4:o@^ 5zo@^ 6o@^ 7 o@^ 8Bo@^ 9jo@^ :o@^ ;o@^ <o@^ =Bo@^ >o@^ ?o@^ @o@^ Ao@^BASQ Datah3oCCC /oP3oVoHo@@~sq_fASQ Datapo o-o o-o ( o-o ` o -o o(-o o0-o o8-o o@-o ` oH-o  oP-o  oX-o   o`-o  H oh-o  op-o ox-o o-o o-o Ho-o o-o o-o o-o o-o Ho-o xo-o o-o o-oo-o o-o Ho-o po-o o-o o.o  o.o! o.o" Xo.o# o .o$ o(.o%o0.o& @o8.o' xo@.o( oH.o) oP.o* oX.o+ xo`.o, oh.o- op.o. 0ox.o/ `o.o0 o.o1 o.o2 o.o3 0o.o4 o.o5 (o.o6 ho.o7 o.o8 o.o9 0o.o: Xo.o; o.o< o.o= o.o> 0o.o? o/o@ o/oA o/oB o/o o o( o` o o o o o` o o o oH o o o o oHoooooHoxoooo oHopoooo oXoooo@oxooo oxoooLVALN0o`oooo0oo(ohooo0oXoooo0ooooo o@^ o@^ : o@^r o@^H! o@^ o@^ o@^2 o@^`"r o@^x o@^h(  o@^( " o@^( Z o@^(  o@^(  o@^ o@^P2o@^Zo@^h o@^o@^!o@^("`"o@^'Zo@^lSo@^Sto@^`o@^po@^2o@^leZo@^ioo@^aro@^lCno@^Stlo@^ 2o@^!jo@^"o@^#o@^io$So@^ID%Ro@^ry&o@^tI'o@^ro( o@^")2o@^* o@^+o@^,o@^-rBo@^yK.yro@^/o@^0o@^1o@^2Bo@^3o@^4:o@^5zo@^6o@^7 o@^8Bo@^9jo@^:o@^;o@^<o@^=Bo@^>o@^?o@^@1o@^3Ao@^@3BASQ Data oAo  oAo : oAo r o Ao o(Ao o0Ao  o8Ao 2 o@Ao r oHAo oPAo oXAo " o`Ao Z ohAo opAo oxAo oAo 2oAo ZoAo oAo oAo oAo "oAo ZoAo oAo oAo oAo oAo 2oAo ZoAo oAo oAo oBo oBo 2oBo joBo o Bo o(Bo o0Bo Ro8Bo o@Bo oHBo oPBo 2oXBo o`Bo ohBo opBo BoxBo roBo oBo oBo oBo BoBo oBo :oBo zoBo oBo oBo BoBo joBo oBo oBo oBo BoBo oCo oCo oCo oCo o o( o` o o o o o` o o o oH o o o o oHoooooHoxoooo oHopoooo oXoooo@oxooo oxooo0o`oooo0oo(ohooo0oXoooo0ooooo ofo[oC Ho8oHoXohoxo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo Coo oHio aoCMHoVok HoVof HoVog HoVoh oVob HoVoS oVo[ oVoq oVon HoVos HoVoJ HoVoK HoVoL HoVoM HoVoN oVoP HoVoA oVoB HoVo4 oVoC HoVo6 oVo; HoVo8 oVo<LVALO oVo? HoVo oVo oVo HoVo HoVo HoVo HoVo oVo oVo  oVo  oVo  oVo  oVo  oVo oVo oVo HoVo HoVo HoVo HoVo HoVo HoVo HoVo HoVo HoVo HoVo HoVo HoVo HoVo HoVo HoVo HoVo  HoVo! 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x  h R @ b    8        b    d  2  2  2 ;Patient Demographics.ID number'Patient DemographicsKPatient Demographics.Child's Last NameMPatient Demographics.Child's first Name;Patient Demographics.BirthdateP H  8  U@8 h  uD b uD  uD  uD+Patient Demographics    `  rL:@ Query1h   h  p    (  0 x C[Patient Demographics].[ID number]  S[Patient Demographics].[Child's Last Name]p U[Patient Demographics].[Child's first Name] ?[Patient Demographics].Birthdate0  uD  uD b uD  uD+Patient Demographics     b  ^    p 0   x    8 H X h x                                                                `   `   `   `   z X   xDh   p   (   d  2  2  2( 80 8 @ H    ( ` 'Patient Demographics 2  d Zip CodePrimaryKey  v     0R x xq x x x x x x x x x x x x x x x x x x x x x x x x x x x x     h /h Patient Demographics h   h   8 p  2 8 2@  x   x    @    P ` LVALX\RMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $4 ,[ASQ Data].[ID number]Date           o # Value List '1/1/01';'2/1/01';'3/1/01';'4/1/01';'5/1/01';'6/1/01';'7/1/01';'8/1/01';'9/1/01';'10/1/01';'11/1/01';'12/1/01'      0twip x,&Communication Score           m #dTelephone    7       m #t("Gross Motor Score           m #hTotal Score    -       m #|0*Personal-Social Score           m #|0*Problem Solving Score           m #r& Fine Motor Score           m #JReferral    !       o Value List 'none';'Consortium';'DEC';'Speech/Hearing';'Other(see Comments)'      0twip  #t& Edu on parenting    *    Yes/No   j60Edu on domestic violence    )    Yes/No   jt& Edu on nutrition    (    Yes/No   j~0*Edu on drug awareness    '    Yes/No   j~0*Edu on family reading    &    Yes/No   jt& Edu on computers    %    Yes/No   jn Edu on stress    $    Yes/No   jt& Edu on first aid    #    Yes/No   j|.(Edu on child support    "    Yes/No   j2 Age           o Value Listz r'4 months';'6 months';'12 months';'24 months';'48 months'    LVALS  0twip  #bComments  p&  +       m #HBWalks, runs & climbs like others? 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Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #hBlue Sheet        Yes/No   jZ ASQ        Yes/No   jjHealth Fair        Yes/No   j@:Practice Member (health Fair)  p         o # Value List 'Wendover';'High Point';'Devon';'Moses Cone';'HealthServe Eugene';'Healthserve North East'      0twip p$Medicaid Number           m ##9U*555555555 5 5 5 5 5555555555555555555 5!5"5#5%5&5'5(5)5*5+5,5-5.;;;;; ; ; ; ; ;;;;;;;;;;;;;;;;;; ;!;";#;$;%;&;';(;);*;+;,;-;.;/;0;1;2;3;5;6;7;8ccccccccc c c c c ccccccccccccccccccc c!c"c#c$c%c&c'c(iiiiiiiii i i i i iiiiiiiiiiiiiiiiiii i!i"i#i$i%nnnnnnnnnn n n n n nnnnnnnnnnnnnnnnnnn n!n"n#n$n&n'n(n)n*n+n,n-n.n/n0n1n3n4n5  !"#$%&'  !"#$%&'()*+,-./01234  !"#$%&'()*+,-./01234  !"#$%&'()*+,-  !"#$%&')*+,-  !"#$%'()  !"#  !"#$%&'()*+,-./01234  !"#$%&'  !"  !"#$%&'()*+,-./0123  !"#$%&'()*+,-./0123   !"#$%&'()*+,-./012  !"#$%&'(  !"#$%&'(  !"#$%&'()*+  !"#  !"#$%&'()*+,-./0123  !"#$%&' !" !"#$%&'  !"#$%'()  !"#  !"#$%&'()*+,-./01234  !"#$%&'  !"  !"#$%&'()*+,-./0123 #9T      !"#$%&'()*+,-./012                           !                           ! 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" # $ % & ' ( ) *HHHHHHHHHH H H H H HHHHHHHHHHHHHHHHHHH H!H"H#H%H&IIIIIIIIII I I I I IIIIIIIIIIIIIIIIIII I!I"I#JJJJJJJJJJ J J J J JJJJJJJJJJJJJJJJJJJ KKKKKKKKKK K K K K KKKKKKKKKKKKKKKKKKK K!K"K#K$K%K&K'K(K)K*LLLLLLLLLL L L L L LLLLLLLLLLLLLLLLLLL L!L"L#L$L%L&L'L(L)L*L+L,L-L.L/L0L1L3MMMMMMMMMM M M M M MMMMMMMMMMMMMMMMMMM M!M"M#M$NNNNNNNNN N N N N NNNNNNNNNNNNNNNNN N!N"N#N$OOOOOOOOO O O O OOOOOOOOOOOOOOOOOOO O!O"O#O$xxxxxxxxx x x x x xxxxxxxxxxxxxxxxxxx x!x"x#yyyyyyyyy y y y y yyyyyyyyyyyyyyyyy y!y"y#y$zzzzzzzzz z z z z zzzzzzzzzzzzzzzzz {{{{{{{{{ { { { { {{{{{{{{{{{{{{{{||||||||| | | | | ||||||||||||||||||| |!|"|#|$}}}}}}}}} } } } } }}}}}}}}}}}}}}}}}} }!}"}#}$}%~~~~~~~~~ ~ ~ ~ ~ ~~~~~~~~~~~~~~~~~~~ ~!~"~#~$~%      !"#$%&   !"#$%&      !"#$  !  !  !"#$%&'()    !   !"#  !"  !"#$  !"  !"#$%&'(  !"  !"#  !"#$%  !"#  !" l vcP<) y  x xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx  eUpdate FlagsForeignNameIdLvLvExtraLvModule LvPropName OwnerParentIdRmtInfoLongRmtInfoShortTypeniYYIdParentIdName        k8 month6 months6 months6 months6 months6 months6 , i`og, i`ogcGN)?-\Wc&J%sW.a}eAh;6J xiɁ: &p , i`og, i`ogcGN)?-\Wc&J%sW.a}eAh;6J xiɁ: &p j i^Hi^HcGNVLu…*'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        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monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK@@@@@@<<888888((((($ W08lssssali072099605560GCH Wendover605012 lllsssshak020697English556060GCH High Point556048 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK@@@@@@<<888888((((($ W08lssssali072099605560GCH Wendover60501lsssshak020697English556060GCH High Point556048 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK@@@@@@<<888888((((($ W08lssssali072099605560GCH Wendover605012 months@@@@@@@@@@lsssshak020697English556060GCH High Point556048 monthsKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK@@@@@@<<888888((((($ W08lssssali072099605560GCH Wendover605012 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8assali022501Spanish504045GCH High Point555010/04/016 monthsPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPFFFF<<88444444$$$$$ M08 i<kjone052200conl<kjone052200consortium202535GCH Wendover30506 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months224DDDDDDDDDD????????????????????????????????????????????????55555511------W8qlqmdoug040800consortium252540GCH Wendover35456 months369PPPPPPPPPPKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKAAAAAA==999999+++++'#W8ldksor031500505040GCH Wendover50306 months150DDDDDDDDDD????????????????????????????????????????????????55555511------W8 lmstev082399555560GCH Wendover55606 months401DDDDDDDDDD????????????????????????????????????????????????55555511------W8Pltnelo000000504055GCH Wendover60556 months504DDDDDDDDDD????????????????????????????????????????????????55555511------W8lclmcca022000605560GCH Wendover60506 months355DDDDDDDDDD????????????????????????????????????????????????55555511------W8leortc053199606060GCH Wendover60606 months187DDDDDDDDDD????????????????????????????????????????????????55555511------W8  ccwcwebb012301lcwcwebb012301English606060Moses Cone FPDeborah Wittall60(336) 855-39116007/11/01mother4 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||rrrj``\LHH7777((((($ W08D7lcwcwebb012301English606060Moses Cone FPDeborah Wittall60(336) 855-39116007/11/01mother4 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||rrrj``\LHH7777((((($ W08D7ljclour021601English606060lcwcwebb012301English606060Moses Cone FPDeborah Wittall60(336) 855-39116007/11/01mother4 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||rrrj``\LHH7777((((($ W08D7ljclour021601English606060Moses Cone FP45(336) 381-43714507/12/01mom4 months106mmmmmmmmmmhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh^^^YOOK;777777((((($ W087ldwdwile061597EnglishSpeech/HearingTalked to mom and at this time mom wants just speech52525Moses Cone FPyes, developmentSheree Wiley30(336) 273-79102004/11/01mother48 months{{{lllllhdbb,W:d7ltptprat052098English503535Moses Cone FPKelvin Pratt55(336) 375-98432507/05/01father36 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzooog]]YIEE7777((((($ W08D7`lmpmpine071200Spanish355535GCH Wendover454007/18/0112 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08`lmmmmonk021799English354545GCH Wendoverear infections great grandmother554006/29/0127 monthsAfternoonUniversityDebt/Food StampsTo learn everything he canTalked to mom about grants and loans for UNCGAngela Joneswwwwwwwwwwwwllllbb^^ZZZZF6((((($ W08P @ 0mmphill063000EnglishWill repeat at 15 month visit603050GCH Wendover301507/02/0112 monthsooooooooooooooooooooooooooooooooooooooddddZZVVRRRRRRDDDDD@<88C0:Clqeqepps070399EnglishSpeech/Hearing403040GCH Wendover353507/05/0124 monthsccccccccccccccccccccccccccccccccccccccccccccccccccccccccccXXXXNNJJFFFFFF8888840,,,WClmwhit010501EnglishNo concerns noted605050GCH Wendoveryes, ear infections604507/06/016 monthsTo grow up health and strongJanice Teague406zzzzzzzzzzzzzzzzzzzzzzppppffbb^^^^^I;;;;;73//W0lktktayl123199EnglishNo concerns at this time Interested in workshops554050no, talks betterGCH 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months368OOOOOOOOOOJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ@@@@@@<<888888((((($ W08llrlrame011099Spanish554560GCH High Pointyes, recent illness605002/05/0124 monthsjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj____UUQQMMMMM8((((($ W08 lzbzbarn062599English505050GCH High Point605007/24/0124 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W080 lncncull090497English456055GCH High Point605507/19/0136 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08 ldadalex012696English306050no, because her friends ask her whyGCH High Pointyes, hearing and comprehension602506/23/01no, because I have to repeat myself more than 2 times most of the times60 months  ldadalex012696English306050no, because her friends ask her whyGCH High Pointyes, hearing and comprehension602506/23/01no, because I have to repeat myself more than 2 times most of the times60 months ldadalex012696English306050no, because her friends ask her whyGCH High Pointyes, hearing and comprehension602506/23/01no, because I have to repeat myself more than 2 times most of the times60 months ldadalex012696English306050no, because her friends ask her whyGCH High Pointyes, hearing and comprehension602506/23/01no, because I have to repeat myself more than 2 times most of the times60 months}}}]]]MMM(($ W0$ Zkikakappl081298English305540no, She talks better than othersMoses Cone FP45(336) 547-06995008/02/0133 monthslkakappl081298English305540no, She talks better than othersMoses Cone FP45(336) 547-06995008/02/0133 months{{{{qqm]YYYYYYJJJ(($ W0lhbhbane032401Spanish605560Moses Cone FP55(336) 851-06684508/02/01mother16 monthsllllllllllllllllllllllllllllllllllllllllllllllllllllllllllaaaYOOK;777777((((($ W087ljhjhart040596English455040Health Serve North Eastyes, nose bleedsKelly Hartman60(336) 375-14325507/31/01father60 monthszzvfbbSAAA((((($ W08d7lsmsmill042297English606060Health Serve EugeneCherrie Miller60(336) 272-10716007/23/01mother48 monthswwwoeeaQMM====((((($ W08D7ljmjmill052099English606060Health Serve EugeneCherrie Miller60(336) 272-10716007/30/01mother24 monthswwwoeeaQMM====((((($ W08D7Plvgvgrah081096EnglishSchoolsMeet with teachers - set up a date Notify school Pt needs service. Refer to schools Pre-K at Washington Elementary303530Health Serve EugeneBetty Graham50(336) 574-15195007/25/01mother48 months%W:D7plahahayw062299English506060GCH WendoverGeorgia Mathis60(336) 375-66456008/03/01grandmother24 monthsuuuh^^ZJFF6666((((($ W08D7lrsrsmit020496English555560GCH Wendover606008/04/0160 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08lkjkjohn042496English606060GCH Wendover606008/04/01mother60 months[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[PPPH>>::666666((((($ W085lhbhbowe062596English504560GCH Wendover606008/04/0160 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08ldadarms070797English454560GCH Wendover60(336) 378-96524508/04/0148 monthsccccccccccccccccccccccccccccccccccccccccccccccccccccccccccXXXXNNJ:666666((((($ W08ltstsmit051497English555555GCH Wendoveryes, Tiffany's dad is deaf505008/04/0148 monthsooooooooooooooooooooooooooooooooooooooooooooooooooooooooooddddZZVVRRRR66((((($ W08LVALugMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   jbComments           m #HBWalks, runs & climbs like others?           m #:LVALl4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  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Lambdin04/21/01mother54 monthsmmmm__((($ W08E?TClcpcpars120600EnglishASQ given by Child Service Coordinator606050GCH WendoverKimiyutta Parson50(336) 987-328860C. Lambdin04/21/01mother4 monthsTClmdmdougl05239905050GCH Wendover605024 months??????????????TClwhwhing081899English505040GCH Wendoveryes,both of them bruise very easily606024 monthsnnnnnnnnnnnnnnTClamamoha071600English606045GCH Wendoveryes, not eating well604008/17/0112 monthsiiiiiiiiiiiiiiTCLVALm       o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. 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Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        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Was referred in April to Early Intervention255045Moses Cone FPyes, weight problems (seems tammust080899English505550no, started talking recently but getting betterGCH Wendoveryes, virus in the ears256010/08/0124 monthsammust080899English505550no, started talking recently but getting betterGCH Wendoveryes, virus in the ears256010/08/0124 months{{{{{cUUU$$ M0 l)jwrig011701EnglishMailed mom info on High School sent card. To call me foammust080899English505550no, started talking recently but getting betterGCH Wendoveryes, virus in the ears256010/08/0124 months{{{{{cUaammust080899English505550no, started talking recently but getting betterGCH Wendoveryes, virus in the ears256010/08/0124 months{{{{{cUUU$$ M0 aammust080899English505550no, started talking recently but getting betterGCH Wendoveryes, virus in the ears256010/08/0124 months{{{{{cUUUammust080899English505550no, started talking recently but getting betterGCH Wendoveryes, virus in the ears256010/08/0124 months{{{{{cUUU$$ M0 lzlzloga062899English555ammust080899English505550no, started talking recently but getting betterGCH Wendoveryes, virus in the ears256010/08/0124 months{{{{{cUUU$$ M0 l LVAL| SQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip 3 Age      [΅΅΅΅΅΅΅΅΅΅΅΅΅ljpjpeta040900Spanish606060GCH Wendover604008/24/0116 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08ljburt022101English555560GCH Wendover45(336) 342-91615508/24/016 months231ggggggggggbbbbbbbbljpjpeta040900Spanish606060GCH Wendover604008/24/0116 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08ljburt022101English555560GCH Wendover45(336) 342-91615508/ljpjpeta040900Spanish606060GCH Wendover604008/24/0116 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08ljburt022101English555560GCH Wendover45(336) 342-91615508/24/016 moljpjpeta040900Spanish606060GCH Wendover604008/24/0116 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08lljpjpeta040900Spanish606060GCH Wendover604008/24/0116 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08ljburt022101English555560GCH Wendover45ljpjpeta040900Spanish606060GCH Wendover604008/24/0116 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08ljburt022101English555560GCH Wendover45(336) 342-91615508/24/016 months231ggggggggggbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbXXXXNNJ:666666((((($ W08lcmcmccr082300English505055no per dad, yes per momGCH WendoverKalisha Hoskins55(336) 851-95144008/24/01mother36 monthsxxtd``OOOOAAA(($ W0D7ljstub041701English556060GCH Wendoveryes, pyloric stenosisMichelle Wheeler60(336) 389-04476008/31/01mother4 months285wwsc__MMM6((((($ W08L7lkmkmart083000Spanish505060GCH Wendoveryes,su papa556008/01/0112 months``````````````````````````````````````````````````````````UUUUKKGGCCCC66((((($ W08llhlhern120800Spanish456060GCH Wendoveryes, problemas de infeccion de oidosBlanca Hernandez60(336) 374-56565508/23/018 monthsrnn\\\6((((($ W08Lajwrig011701EnglishMailed mom info on High School sent card. To call me for GED info503055GCH High Point453007/23/016 monthsFriday 12:00 pmGEDA. Sent info by mailTonita Jackson||xxxxxxhhhhhd`\\M0:P@ lLVALuMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   jbComments           m #HBWalks, runs & climbs like others?           m #:LVALx4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns           o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time    )))Aaamroqu030800453555GCH High Point30456 months=====================================amroqu030800453555GCH High Point30456 months================================================333333//++++++M8limimonr080999English505560GCH Wendover606009/04/0124 moamroqu030800453555GCH High Point30456 months================================================333333//++++++M8limimonr080999English505560Gamroqu030800453555GCH High Point30456 months================================================333333//++++++M8limimonr080999English505560GCH Wendover606009/amroqu030800453555GCH High Point30456 months================================================333333//++++++M8limimonr080999English505560Gamroqu030800453555GCH High Point30456 months================================================333333//++++++M8amroqu030800453555GCH High Point30456 months================================================333333//++++++M8jflor0806008/22/01 - Appointment in officePatricia DawkinsB000000000000amroqu030800453555GCH High Point30456 months================================================333333//++++++M8jflor0806008/22/01 - Appointment in officePatricia DawkinsB00000000000amroqu030800453555GCH High Point30456 months================================================333333//++++++M8jflor0806008/22/01 - Appointment in officePatricia Dawkamroqu030800453555GCH High Point30456 months================================================333333//++++++M8jflor0806008/22/01 - Appointment in officePatricia DawkinsB000000000000000000000000000000000000000000000000000000000000aamroqu030800453555GCH High Point30456 months================================================333333//++++++M8jflor0806008/22/01 - Appointment in officePatricia amroqu030800453555GCH High Point30456 months================================================333333//++++++M8jflor0806008/22/01 - Appointment in officePatricia DawkinsB000000000000000000000000000000000000000000000000000000000000aamroqu030800453555GCH High Point30456 months================================================333333//++++++M8jflor0806008/22/01 - Appointment in officePatricia DawkinsB000000000000000000000000000000000000000000000000000000000000C_wdacwdwdavi032199English304560GCH High Point605505/16/0127 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJlwdwdavi032199English304560GCH High Point605505/16/0127 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08 llklkhan022700Englilwdwdavi032199English304560GCH High Point605505/16/0127 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08 llklkhan022700English555560GCH High PointShabana Dashid60(336) 431-86434009/04lwdwdavi032199English304560GCH High Point605505/16/0127 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08 llklkhan022700Englwdwdavi032199English304560GCH High Point605505/16/0127 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08 llklkhan022700English555560GCH High PointShabana Dashid60(336) 431-86434009/04/0118 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjj``\LHH8888((((($ W08D`)lajajohn010297English355050GCH High Point404509/04/0148 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08 lkbkbarr101399English503555GCH High Pointyes, mono hospitalized555508/31/0122 monthsmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmbbbbXXTTPPPPP8((((($ W08 lhahalra081700English503530GCH High Point603008/31/0012 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08 lnlnlewi031598English606060GCH High Pointyes, She has some bumps on her body that worrys me.606010/06/0024 monthsuuqqmmm888((((($ W08$ljcjcook012498English605055GCH High PointWhen Joseph was 10-1/2 -11 months he started to hae a lot of energy & now he is wakening up between 7-7:30 am & doesn't go to bed until 1 or 2 am with no naps. He constantly experiences screaming spells & has extreme difficulty being still605008/31/0136 monthsFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF;;;;11--)))888((((($ W08$pTygeta082798English09/12/01 Called mom - Mom cannot read. Did not fill out ASQGCH High Point36 monthsqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqffffffffffffffVVVVVVVVVC0lababald061800English304060GCH WeTTygeta082798English09/12/01 Called mom - Mom cannot read. Did not fill out ASQGCH High Point36 monthsqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqqffffffffffffffVVVVVVVVVC0LVALy       o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jA LVAL SQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip LVAL{MR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   jbComments           m #HBWalks, runs & climbs like others?           m #:LVAL|4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns           o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time    LVAL}       o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jAG LVALW SQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip X Age           m #LVAL       o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jALVALMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   jbComments           m #HBWalks, runs & climbs like others?           m #:LVAL4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns           o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time    LVAL       o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jA LVAL SQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip  Age           o # Value List@ 8'6';'12';'18';'24';'36';'48'      0twip YNg[]@@~sq_fASQ Datak6$ǐ4MR2KeepLocal TH<<<<<<: `]@@~sq_fASQ Datak6$ǐ4]@@~sq_fASQ Datak6$ǐ4MR2KeepLocal TH<<<<<<: `LVALhD*@8iRn@8ic  ? eR8iR CReR  R R: Rr R R R R2 Rr R R R" RZ R R R R2RZRRRR"RZRRRRR2RZRRRRR2RjRRRRRRRR R2RRRRBRrRRRRBRR:RzRR RBRjRRRRBRRRRRit R R( R` R R R R R` R R R RH R R R R RHRRRRRHRxRRRR RHRpRRRR RXRRRR@RxRRR RxRRR0R`RRRR0RR(RhRRR0RXRRRR0RRRRRR R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R: Rr R R R R2 Rr R R R" RZ R R R R2RZRRRR"RZRRRRR2RZRRRRR2RjRRRRRRRR R2RRRRBRrRRRDRBRR:RzRR RBRjRRRRBRRRRRk  f d g d h d b S  [ q n s d J d K d L d M d N d P A d B 4 d C 6 d ; 8 d < ?  2    d  2  d  2                    2  2  2  2      2               2 ! 2 " 2 #  $ 2 %  &  u d '  )  *  )ASQ Data.ASQ commentsASQ Data#ASQ Data.Diagnosis3ASQ Data.Date of Diagnosis)RASQ Data.Re-Referral'ASQ Data.CASE NUMBER;ASQ Data.blue sheet respondentASQ Data.ASQ7ASQ Data.Maternal Depression9RASQ Data.High Risk History1ASQ Data.Custom Drop Down9ASQ Data.Tranportation Action1ASQ Data.Headstart Action1ASQ Data.Nutrition Action-ASQ Data.Housing Action'ASQ Data.Edu ActionAR`RASQ Data.Phone Call to Parent?%ASQ Data.Goals Text9ASQ Data.Want Head Start Info#ASQ Data.Best Time/ASQ Data.Personal Goals)ASQ Data.Edu Concerns1ASQ Data.Housing Concerns/RASQ Data.Nutr Concerns'RASQ Data.Head Start+ASQ Data.Trans Conerns)ASQ Data.Adjusted AgeASQ Data.Other!ASQ Data.Have CSC'RASQ Data.ID number!ASQ Data.LanguageASQ Data.Pass%boASQ Data.Referral9ASQ Data.Edu on child support1ASQ Data.Edu on first aid+ASQ Data.Edu on stress1ASQ Data.Edu on computers?ASQ Data.Edu on family reading=ASQ Data.Edu on drug awareness3ASQ Data.Edu on nutritionAASQ Data.Edu on domestic violence1LVALASQ Data.Edu on parenting%ASQ Data.CommentsWASQ Data.Walks, runs & climbs like others?3RASQ Data.Fine Motor Score?RASQ Data.Problem Solving Score;ASQ Data.Personal-Social Score)KASQ Data.Total ScoreKRRASQ Data.Talks like other children?3ASQ Data.Understand child?!ASQ Data.Outcomes%RASQ Data.ProvideriASQ Data.Any medical problems in last several months?ASQ Data.Family history of child deafness or hearing impairment?7ASQ Data.Anything worry you?=ASQ Data.Person filling out ASQMASQ Data.Mailing Address (if different)3ASQ Data.Gross Motor Score#ASQ Data.Telephone7ASQ Data.Communication Score1ASQ Data.Assisting in ASQASQ Data.Date;ASQ Data.Relationship to ChildMASQ Data.Concerns about child's vision?ASQ Data.Age%ASQ Data.Hear well?9ASQ Data.Use both hands well?;ASQ Data.Feet flat on surface?hRCC`RDR@R HR+[@XRpR  R]  R] : R] r R]  R]  R]  R] 2 R] r R]  R]  R] " R] Z R]  R]  R]  R] 2R] ZR] R] R] R] "R] ZR] R] R] R] R] 2R] ZR] R] R] R] R] 2R] !jR] "R] #R] $R] %RR] &R] 'R] ( R] )2R] *R] +R] ,R] -BR] .rR] /R] 0R] 1R] 2BR] 3R] 4:R] 5zR] 6R] 7 R] 8BR] 9jR] :R] ;R] <R] =BR] >R] ?R] @R] AR]BASQ Datah3RCCC /RP3RVRHRE8X@~sq_fASQ Data1pR R-R R-R ( R-R ` R -R R(-R R0-R R8-R R@-R ` RH-R  RP-R  RX-R   R`-R  H Rh-R  Rp-R Rx-R R-R R-R HR-R R-R R-R R-R R-R HR-R xR-R R-R R-RR-R R-R HR-R pR-R R-R R.R  R.R! 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R/R@ R/RA R/RB R/R R R( R` R R R R R` R R R RH R R R R RHRRRRRHRxRRRR RHRpRRRR RXRRRR@ aalopeaalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEaaalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lrdrdays071799English504060aalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lrdrdays071799English504060GCH Devon505508/24/0124 monthsPPPPPPPPPPPPPPPPPPPaalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lrdrdays071799English504060GCH Devon505508/24/0124 monthsPPPPaalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lrdrdays071799English50aalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lbtbtyso080699English554055GCH Devon606008/27/0124 monthsPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPaalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lbtbtyso080699English55aalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lbtbtyso080699English554055GCH Devon606008/27/0124 monthsPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPaalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lbtbtyso080699English55405aalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lbtbtysaalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lbtbtyso080699English554055aaalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08lbtbtyso080699English55aalope022800Spanish504550GCH Wendover355012 monthsEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::::66222222$$$$$ M08Tcwill120700yes, dad deaf in right ear "sick" as a child and this caused ityes, menigitis6 monthskkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkaaPPPPPPPPPPC@DDDDDDDDDDDDDiksksanc080596Spanish605060GCH High PointYolanda Rodarte60(336) 302-00954509/11/01mother48 months~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ssskaa]MII8888lksksanc080596Spanish605060GCH High PointYolanda Rodarte60(336) 302-00954509/11/01mother48 months~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ssskaa]MII8888((((lksksanc080596Spanish605060GCH High PointYolanda Rodarte60(336) 302-00954509/11/01mother48 months~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ssskaa]MII8888((((($lksksanc080596Spanish605060GCH High PointYolanda Rodarte60(336) 302-00954509/11/01mother48 months~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ssskaa]MII8888((((($ W08D7ltctclag042297English405560GCH High Point606009/11/0148 monthsUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUJJJJ@@<<888888((((($ W08 lthawk121500English506060GCH WendoverKatrina Lane60(336) 327-87805507/09/01mother6 months503}}}}}}}}}}xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxnnnf\\XHDD6666((((($ W08D7lomdafa030501English604060GCH Wendoveryes, cold50(336) 275-47276009/14/01father6 months367zzzzzzzzzzuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuukkkcYYUEAAAAA6((((($ W88 7/lnsaun031101English405555GCH Wendover60(336) 275-66736009/11/01mother6 months415oooooooooojjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj```XNNJ:666666((((($ W087lmtmtorr102299Spanish455050GCH WendoverYolanda Torres45(336) 358-81325009/14/0124 monthssssssssssssssssssssssssssssssssssssssssssssssssssssssssssshhhh^^ZJFF6666((((($ W08Dlththawk093000English605560555509/06/0110 monthsPPPPPPPPPPPPPPPPPPPPEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE::::00,,((((((((((($ W08 lacaclap031898EnglishSpeech/Hearing2 BA's in S&H last year, speech not clear please refer to Linda504045noGCH Devon602009/07/0142 months}}}yyuqmm,WTClhfhflet020400English555540GCH DevonMelody Fletcher50(336) 271-26586008/20/01mother18 monthsyyyyyyyyyyyyyyTCTtboul04230009/04/01 Called, no answer504560GCH Devon35406 monthsGEDFree/Reduced School mealWyenita AlstonsssssssssssssssssssssYYTTTTTTTTTTTTTTJJJJJJFFBBBBBB777773/++C@:@8LVALRxRRR RxRRR0R`RRRR0RR(RhRRR0RXRRRR0RRRRR R]  R] : R] r R]  R]  R]  R] 2 R] r R]  R]  R] " R] Z R]  R]  R]  R] 2R] ZR] R] R] R] "R] ZR] R] R] R] R] 2R] ZR] R] R] R] R] 2R] !jR] "R] #R] $R] %RR] &R] 'R] ( R] )2R] *R] +R] ,R] -BR] .rR] /R] 0R] 1R] 2BR] 3R] 4:R] 5zR] 6R] 7 R] 8BR] 9jR] :R] ;R] <R] =BR] >R] ?R] @R] AR]BASQ Data RAR  RAR : RAR r R AR R(AR R0AR  R8AR 2 R@AR r RHAR RPAR RXAR " R`AR Z RhAR RpAR RxAR RAR 2RAR ZRAR RAR RAR RAR "RAR ZRAR RAR RAR RAR RAR 2RAR ZRAR RAR RAR RBR RBR 2RBR jRBR R BR R(BR R0BR RR8BR R@BR RHBR RPBR 2RXBR R`BR RhBR RpBR BRxBR rRBR RBR RBR RBR BRBR RBR :RBR zRBR RBR RBR BRBR jRBR RBR RBR RBR BRBR RCR RCR RCR RCR R R( R` R R R R R` R R R RH R R R R RHRRRRRHRxRRRR RHRpRRRR RXRRRR@RxRRR RxRRR0R`RRRR0RR(RhRRR0RXRRRR0RRRRR RfR[RC HR8RHRXRhRxR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR CRR RHiR aRCMHRVRk HRVRf HRVRg HRVRh RVRb HRVRS RVR[ RVRq RVRn HRVRs HRVRJ HRVRK HRVRL HRVRM HRVRN RVRP HRVRA RVRB HRVR4 RVRC HRVR6 RVR; HRVR8 RVR< RVR? HRVR RVR RVR HLVALRVR HRVR HRVR HRVR RVR RVR  RVR  RVR  RVR  RVR  RVR RVR RVR HRVR HRVR HRVR HRVR HRVR HRVR HRVR HRVR HRVR HRVR HRVR HRVR HRVR HRVR HRVR HRVR  HRVR! HRVR" HRVR# HRVR$ HRVR% HRVR& HRVRu HRVR' HRVR) HRVR* Rz xdRhRdR8]pRGR HRWRXHRWRHRWRHRWRIRWR8IRWRpIRXRIRXRIR(XRJR8XRPJRHXRJRXXRJRhXRJRxXR0KRXRhKRXRKRXRKRXRLRXRHLRXRLRXRLRXRLRYR(MRYR`MR(YRMR8YRMRHYRNRXYR@NRhYRxNRxYRNRYRNRYR ORYRXORYRORYRORYRPRYR8PRYRpPRZRPRZRPR(ZRQR8ZRPQRHZRQRXZRQRhZRQRxZR0RRZRhRRZRRRZRRRZRSRZRHSRZRSRZRSRZRSR[R(TR[R`TR([RTR8[RTRH[RURX[R@URh[RxURx[RUR[RUR[R VR[RXVR[R GR d HR dXHR dHRHR IR8IRpIRIR dIR dJR dPJR dJR dJR dJR0KR dhKRKR dKRLR dHLRLR dLRLR(MR 2`MRMRMR dNR 2@NR dxNR 2NRNR ORXORORORPR8PRpPRPR PR QR 2PQR 2QR 2QR 2QR 0RR hRR 2RR RR SR HSR SR SR SR 2(TR 2`TR 2TR TR 2UR @UR xUR dUR UR  VR XVR4XbR`bRhbRpbRxbRbRbRbRbRbRbRbRbRbRbRbRbRbRbRbRbRcRcRcRcR cR(cR0cR8cR@cRHcRPcRXcR`cRhcRpcRxcRcRcRcRcRcRcRcRcRcRcRcRcRcRcRcRcRdRdRdRdR dR(dR0dR8dR@dRHdRPdRXdR`dRhdRGR HRXHRHRHRIR8IRpIRIRIRJRPJRJRJRJR0KRhKRKRKRLRHLRLRLRLR(MR`MRMRMRNR@NRxNRNRNR ORXORORORPR8PRpPRPRPRQRPQRQRQRQR0RRhRRRRRRSRHSRSRSRSR(TR`TRTRTRUR@URxURURUR VRXVRVRASQ Data ddR ;dRPatient DemographicsASQ DataEdu on first aid(eRRv phRhR0hRRfRfRqfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRfRhR CRhR.\\\\\\\\\\\\cjajarre100400504030GCH Wendover455014 monthljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 lefeflet090699ljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 lefeflet090699English454550GCH WendoverTracy Fletcher5lljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 lefeflet090699English454550GCH WendoverTracy Fletcher55(33ljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 lefeflet090699English454550GCH WendoverTraljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 lNbroge112200ljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 lNbroge112200English606060GCH WendoverHowarlljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 ldwdwrig022400EnglishBabbling constantly, I will not refer556050yes and noGCH Wendoveryes, ear infection, cold603509/04/01PGM (guardian)18 mljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 ldwdwrig022400EnglishBabbling constantly, I will not refer5560ljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 ldwdwrig022400EnglishBabbling constantly, I willljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 ldwdwrig022400ljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 ldwdwrig022400EnglishBabbling constantly, I will not refer556050yes and noGCH Wendoveryes, ljajarre100400504030GCH Wendover455014 months@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@55555511------W8 TCLVAL.hR0iReRASQ Data7Patient DemographicsASQ DataReRphR[RphRRfRhRhRhRiRVR2\\\\\\\\\\\\cdsdshaw091000English5550ldsdshaw091000English555060GCH Wendoveryes, stomachyes, stomachCatina White55(336) 855-94435509/19/01mother12 monthsxxtd``RDD6((((($ Wldsdshaw091000English555060GCH Wendoveryes, stomachyes, stomachCatina White55(336) 855-94435509/19/01mother12 monthsxxtd``RDD6((((($ ldsdshaw091000English555060GCH Wendoveryes, stomachyes, stomachCatina White55(336) 855-94435509/19/01mother12 monthsxxtd``RDD6((((($ ldsdshaw091000English555060GCH Wendoveryes, stomachyes, stomachCatina White55(336) 855-94435509/19/01mother12 monthsxxtd``RDldsdshaw091000English555060GCH Wendoveryes, stomachyes, stomachCatina White55(336) 855-94435509/19/01mother12 monthsxxtd``RDD6((((($ W08l7lrmrmend052000Spanish456060no no habla moy bienGCH WendoverTeresita Mendoza55(704) 636-80424009/20/01mother16 monthsvvrb^^LLLL>>>(($ W0D7pljsjsumm101497English606060yes, light stutterGCH WendoverVicki Brim60(336) 275-58386009/20/01aunt36 months~~~xnnjZVVJJJJ<<<(($ W0D7lrfrfloy072899Englishno, Raekwon is faster than most toddlers his age504045GCH WendoverMichael Crumpton60(336) 272-58545509/20/01father24 months~zzhhhhZZZZZVRNW0 8A^ ? 8A^ @ 8A^ A 8A^BASQ Datah3 CCC / P3 V H E8X@~sq_fASQ Datap  -  -  ( -  ` -  (-  0-  8-  @-  ` H-   P-   X-    `-   H h-   p-  x-  -   -  H -   -   -   -   -  H -  x -   -   -  -   -  H -  p -   -   .    . !  . " X . #  . $  (. % 0. & @ 8. ' x @. (  H. )  P. *  X. + x `. ,  h. -  p. . 0 x. / ` . 0  . 1  . 2  . 3 0 . 4  . 5 ( . 6 h . 7  . 8  . 9 0 . : X . ;  . <  . =  . > 0 . ?  / @  / A  / B  /   ( `     `    H      H     H x      H p      X    @ x     LVALx   0 `    0  ( h   0 X    0     8A^m 8A^ $ : 8A^r 8A^ 8A^m 8A^8%  8A^ m2 8A^r 8A^+ mK 8A^  8A^ " 8A^ Z 8A^W^  8A^>  8A^ 8A^2 8A^# mZ 8A^, 8A^eI 8A^]6 8A^" 8A^Z 8A^  8A^ 8A^^ 8A^, m 8A^m Sy2 8A^ SZ 8A^Prm 8A^ey 8A^nt 8A^le 8A^X- 2 8A^ m!j 8A^ m" 8A^ mS# 8A^St$ 8A^ri%aR 8A^y & 8A^Co't 8A^yp(  8A^0)2 8A^ P' *  8A^+ 8A^m, 8A^ri-B 8A^yX.r 8A^ m/ 8A^0 8A^1 8A^2B 8A^3 8A^4: 8A^5z 8A^6 8A^04 7  8A^4 8B 8A^v9j 8A^: 8A^; 8A^< 8A^=B 8A^> 8A^G? 8A^@  8A^A 8A^ mB ASQ Data A   A  : A  r A  (A  0A   8A  2 @A  r HA  PA  XA  " `A  Z hA  pA  xA  A  2 A  Z A   A   A   A  " A  Z A   A   A   A   A  2 A  Z A   A   A   B   B  2 B  j B   B   (B   0B  R 8B   @B   HB   PB  2 XB   `B   hB   pB  B xB  r B   B   B   B  B B   B  : B  z B   B   B  B B  j B   B   B   B  B B   C   C   C   C   ( `     `    H      H     H x      H p      X    @ x     x   0 `    0  ( h   0 X    0       f [ C H 8 H X h x C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   C   Hi  a CMH V k H V f H V g H V h  V b H V S  V [  V q  V n H V s H V J H V K H V L H V M H V N  V P H V A  V B H V 4  V C H V 6  V ; H V 8  V lctctrej100100Spanish606055GCH Wendover505510/18/01father12 months[[lctctrej100100Spanish606055GCH Wendover505510/18/01father12 months[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[PPPH>>::666666((((($ W085lctctrej100100Spanish606055GCH Wendover505510/18/01father12 months[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[PPPH>>::666666((((($ W085lctctrej100100Spanish606055GCH Wendover505510/18/01father12 months[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[PPPH>>::666666((((($ W085lzlctctrej100100Spanish606055GCH Wendover505510/18/01father12 months[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[PPPH>>::666666((((($ W085lctctrej100100Spanish606055GCH Wendover505510/18/01father12 months[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[PPPH>>::666666((((($ W085lzmzmcle080198Englishno, more so555045GCH Wendoveryes, some wheezing at nightyes, unnecessary roughness, sometimes combative, overly aggressive, hitting, spitting, lctctrej100100Spanish606055GCH Wendover505510/18/01father12 months[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[[PPPH>>::666666((((($ W085 Ilaespi022801Spanish555050GCH Wendover605509/17/016 months17VVVVVVVVVVRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRHHHH>>::666666((((($ W08 Ilmstev082399EnglishSpeech/Hearing502545GCH WendoverLouise Bolen60(336) 643-85582009/17/01grandmother24 months401vll I Ilmstev082399EnglishSpeech/Hearing502545GCH WendoverLouise Bolen60(336) 643-85582009/17/01grandmother24 months401vllhXTTFFFF8888840,,,W8D7Trchee032401coldAisshia Cheek(336) 574-178709/17/01m Ilmstev082399EnglishSpeech/Hearing502545GCH WendoverLouise Bolen60(336) 643-85582009/17/01grandmother24 months401vllhXTTFFFF8888840,,,W8D7 ITrchee032401coldAisshia Cheek(336) 574-178709/17/01mother6 monthsPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPFFF>444$$$CH2ljrjreiv072899English506050 ITrchee032401coldAisshia Cheek(336) 574-178709/17/01mother6 monthsPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPFFF>444$$$CH2Tjflor080600Consortium8/22/01 - Appointment in office. 09/10/01- no answer letter sent homePatricia DawkinsuccccccccccccccccccccccccccccccccccccccccccccccccccccccccccccC]idleak022201English606060GCH High Point60402/27/02mother12 months946682465L151mmmmmmmh\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\QQQI@@<<888888((((ldleak022201English606060GCH High Point604002/27/02mother12 months946682465L151nnnnnnnnnni]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]]RRRJ@@<<888888((((($ W085`lnpool010901English606050Moses Cone FPyes, constant vomitting, does not sleep all night or nap more thn 30 minutesYvette Poole60(336) 253-65636009/11/01mother6 months413777((((($ W08d7lkgkgrav012796English405055Moses Cone FPyes, her earsLatasha Graves35(336) 988-02774509/05/01motherno,I think she has a problem with her left ear60 monthsxnnjZVVF777((((($ W08dllrlrobi110395English505560Moses Cone FPyes, grandmother is deafCharles Robinson45(336) 549-51653509/11/01father60 months{{wgccQQ77((((($ W08T7l.apowe030701EnglishConsortium302020Moses Cone FPyes, He is 6 months and don't have teeth yet.45(336) 230-13653009/12/016 months46vrrrCCC444440,(((W8$luaualex000000English401540nonoGCH WendoverShelia Brown35(336) 965-07073509/25/00grandmother20 months{{{ndd`PLL>>>>00,(($ W0E7luaualex000000English401540nonoGCH WendoverShelia Brown35(336) 965-07073509/25/00grandmother20 months{{{ndd`PLL>>>>00,(($ W0E70lmwmwool120295EnglishSpoke with guardian - is gettinglluaualex000000English401540nonoGCH WendoverShelia Brown35(336) 965-07073509/25/00grandmother20 months{{{ndd`PLL>>>>00,(($ W0E7luaualex000000English401540nonoGCH WendoverShelia Brown35(336) 965-07073509/25/00grandmother20 months{{{ndd`PLL>>>>00,(($ W0E7luaualex000000English401540nonoGCH WendoverShelia Brown35(336) 965-07073509/25/00grandmother20 months{{{ndd`PLL>>>>00,(($ W0E70lkwkluaualex000000English401540nonoGCH WendoverShelia Brown35(336) 965-07073509/25/00grandmother20 months{{{ndd`PLL>>>>00,(($ W0E70LVAL <  V ? H V   V   V  H V  H V  H V  H V   V   V   V   V   V   V   V   V   V  H V  H V  H V  H V  H V  H V  H V  H V  H V  H V  H V  H V  H V  H V  H V  H V  H V ! H V " H V # H V $ H V % H V & H V u H V ' H V ) H V *  z xd h d `C^p G  H W XH W H W H W I W 8I W pI X I X I (X J 8X PJ HX J XX J hX J xX 0K X hK X K X K X L X HL X L X L X L Y (M Y `M (Y M 8Y M HY N XY @N hY xN xY N Y N Y  O Y XO Y O Y O Y P Y 8P Y pP Z P Z P (Z Q 8Z PQ HZ Q XZ Q hZ Q xZ 0R Z hR Z R Z R Z S Z HS Z S Z S Z S [ (T [ `T ([ T 8[ T H[ U X[ @U h[ xU x[ U [ U [  V [ XV [  G  d H  dXH  dH H  I 8I pI I  dI  dJ  dPJ  dJ  dJ  dJ 0K  dhK K  dK L  dHL L  dL L (M  2`M M M  dN  2@N  dxN  2N N  O XO O O P 8P pP P  P  Q  2PQ  2Q  2Q  2Q  0R  hR  2R  R  S  HS  S  S  S  2(T  2`T  2T  T  2U  @U  xU  dU  U   V  XV 4Xb `b hb pb xb b b b b b b b b b b b b b b b b c c c c c (c 0c 8c @c Hc Pc Xc `c hc pc xc c c c c c c c c c c c c c c c c d d d d d (d 0d 8d @d Hd Pd Xd `d hd G  H XH H H I 8I pI I I J PJ J J J 0K hK K K L HL L L L (M `M M M N @N xN N N  O XO O O P 8P pP P P Q PQ Q Q Q 0R hR R R S HS S S S (T `T T T U @U xU U U  V XV V ASQ Data dd  ;d Patient DemographicsASQ DataEdu on first aid(e  v ph h 0h  f fq f f f f f f f fLVAL f f f f f f f f f f f f f f f f f f f f h  C h h 0i e ASQ Data7Patient DemographicsASQ Data e ph [ ph  f h h h i V  ajchan0ijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by heriijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-836730ijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336)iijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-836730ijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-83673006/25/0148 mijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-83673006/25/0148 months))))))))))))))))))ijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-83673006/25ijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-83673006/25/0148 months)))))))))))))))))))))))))))))))))))))))))))))))))))))))ijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-83673006/25/0148 months))))))))iijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-83673006/25/0148 months))))))))))ijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-836730ijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-83673006/25/0148 months))))))))))))))))))iijcjchan071501EnglishDECDEC after interim ASQ Done on home visit. Accuracy of this questionnaire should be questioned . 10 year old sister aswered it by herself English is also her second language.352025GCH WendoverJennifer Chang30(336) 621-83673006/25/0148 months)))))))))))))))))))))))))))))))))))))))))))))))))))))))!T:Ddaicacaln101201Spanish506050GCH Wendoveryes, infectionsOlivia Hernandez4lcacalon101201Spanish506050GCH Wendoveryes, infectionsOlivia Hernandez45(336) 854-13535004/15/026 months{{{{qqm]YYGG66((((($ W08T lbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,llbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,,,W$lswlbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,,,W$lswash110400English503050lbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,,,W$lswlbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,,,W$llbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,lbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,,,W$llbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,,,lbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,lbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,,,W$lbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,,,lbsbsoul022599EnglishSpeech/Hearing454540noGCH High PointYes, still on bottle505024 monthsuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuujjjjjjffbbbLLL<<<8840,,,W$ W5 LVALE SQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip jASQ Form Age           m #0\\\\\\\\Tlamamoji092800Spanish605060GCH WendoverMinerva Perea60(336) 299-94725010/25/01mother12 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzooog]]YIEE6666((((($ W08D7llamamoji092800Spanish605060GCH WendoverMinerva Perea60(336) 299-94725010/25/01mother12 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzooog]]YIEE6666((((($ W08D7lamamoji092800Spanish605060GCH WendoverMinerva Perea60(336) 299-94725010/25/01mother12 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzooog]]YIEE6666((((($ W08D7lamamcle083196English606060GCH High PointAprielle Staton60(336) 883-19826009/07/01motheryes, Concerned because of history of blindness and early detection of glaucoma48 monthslamamcle083196English606060GCH High PointAprielle Staton60(336) 883-19826009/07/01motheryes, Concerned because of history of blindness and early detection of glaucoma48 monthslamamcle083196English606060GCH High PointAprielle Staton60(336) 883-19826009/07/01motheryes, Concerned because of history of blindness and early detection of glaucoma48 monthslamamcle083196English606060GCH High PointAprielle Staton60(336) 883-19826009/07/01motheryes, Concerned because of history of blindness and early detection of glaucoma48 monthsskaa]MII8888((((($ lamamcle083196English606060GCH High PointAprielle Staton60(336) 883-19826009/07/01motheryes, Concerned because of history of blindness and early detection of glaucoma48 monthsskaa]MIIlamamcle083196English606060GCH High PointAprielle Staton60(336) 883-19826009/07/01motheryes, Concerned because of history of blindness and early detection of glaucoma48 monthsllamamcle083196English606060GCH High PointAprielle Staton60(336) 883-19826009/07/01motheryes, Concerned because of history of blindness and early detection of glaucoma48 monthslamamcle083196English606060GCH High PointAprielle Staton60(336) 883-19826009/07/01motheryes, Concerned because of history of blindness and early detection of glaucoma48 monthsskaa]MII8888((((($ W08Dw0lararive062500English606060GCH Wendoveryes, seizures60(336) 275-02966008/01/01mother12 monthszzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzooog]]YIEEEEE6((((($ W08 7TCYNLVALMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   jbComments           m #HBWalks, runs & climbs like others?           m #:LVAL4^MR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   jbComments           m #HBWalks, runs & climbs like others?           m #:LVAL4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns           o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time    LVAL       o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jA LVAL SQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip  ASQ Form Age           o # Value List@ 8'6';'12';'18';'24';'36';'48'      0twip LVAL<x<<< <x<<<0<`<<<<0<<(<h<<<0<X<<<<0<<<<< <8A^m <8A^ $ : <8A^ mr <8A^ <8A^m <8A^8%  <8A^ m2 <8A^r <8A^+ m <8A^+ m  <8A^+ m " <8A^+ m Z <8A^, m ( <8A^. m  <8A^(" ` <8A^m2<8A^# mj Z<8A^#  <8A^m<8A^ mm<8A^% m%"<8A^mP' bZ<8A^ؐ<8A^ <8A^,<8A^<8A^2<8A^ Z<8A^ec<8A^yl<8A^Se<8A^ty<8A^ti 2<8A^eI!j<8A^ct"<8A^le#<8A^io$<8A^ID%R<8A^&<8A^\^^'<8A^\^^( <8A^\^^)2<8A^\^^*<8A^\^^+<8A^\^^,<8A^\^^-B<8A^\^^.r<8A^\^^/<8A^\^^0<8A^\^^1<8A^\^^2B<8A^\^^3<8A^\^^4:<8A^\^^5z<8A^\^^6<8A^\^^7 <8A^\^^8B<8A^\^^9j<8A^\^^:<8A^\^^;<8A^\^^<<8A^\^^=B<8A^\^^><8A^\^^?<8A^\^^@<8A^\^^A*<8A^\^^BASQ Data <A<  < A< : <(A< r <0A< <8A< <@A<  ^ ?^ @^ A*^BASQ Datax3CCC0/`3VX Sk@~sq_fASQ Data1 -  - ( (- ` 0- 8- @- H- P- ` X-  `-  h-   p-  H x-  - - - - H- - - - - H- x- - -- - H- p. . .  .!  ." X(.# 0.$ 8.%@.& @H.' xP.( X.) `.* h.+ xp., x.- .. 0./ `.0 .1 .2 .3 0.4 .5 (.6 h.7 .8 .9 0.: X.; .< .= /> 0/? /@ /A  /B (/  ( `     `    H     HHx Hp X@x x0`LVAL0(h0X0 ^  ^ : ^ r ^  ^  ^  ^ 2 ^ r ^  ^  ^ " ^ Z ^  ^  ^  ^ 2^ Z^ ^ ^ ^ "^ Z^ ^ ^ ^ ^ 2^ Z^ ^ ^ ^ ^ 2^ !j^ "^ #^ $^ %R^ &^ '^ ( ^ )2^ *^ +^ ,^ -B^ .r^ /^ 0^ 1^ 2B^ 3^ 4:^ 5z^ 6^ 7 ^ 8B^ 9j^ :^ ;^ <^ =B^ >^ ?^ @^ A*^BASQ Data A   A : (A r 0A 8A @A  HA 2 PA r XA `A hA " pA Z xA A A A 2A ZA A A A "A ZA A A A A 2A ZA B B B B 2 B j(B 0B 8B @B RHB PB XB `B 2hB pB xB B BB rB B B B BB B :B zB B B BB jB B B C BC C C  C *(C  ( `     `    H     HHx Hp X@x x0`0(h0X0 f[C X8HXhx0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C0C Xi0aCMHVk HVf HVg HVh Vb HVS V[ Vq Vn HVs HVJ HVK HVL HVM HVN VP HVA VB HV4 VC HV6 V; HV8 V< V? HV V V HV HV HV HLVALV V V  V  V  V  V  V V V HV HV HV HV HV HV HV HV HV HV HV HV HV HV HV HV  HV! 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months{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{qqqi__[KGG9999*****&"W08D7ljgjgwyn060601English406055Moses Cone FPFelicia Gwyn60(336) 643-91585509/25/01mother4 monthsyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyyooog]]YIEE7777((((($ W08D7lntntyso042999English506060no, more advanceMoses Cone FPTracy Parson60(336) 621-49986010/03/01mother27 monthsyook[WWIIII:::(($ W0D7lkfkfish082997English556060Moses Cone FPDavid Fish55(336) 349-59814509/25/01father48 monthsxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxmmme[[WGCC7777((((($ W08D7ljmjmeba052601English606060Health Serve North East60(336) 272-05006009/24/01mother18 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvkkkcYYUEAAAAAA((((($ W087ljmjmeba05260ljmjmeba052601English606060Health Serve North East60(336) 272-05006009/24/01mother18 monthsvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvkkkcYYUEAAAAAA((((($ W087lawawils060501English606060Health Serve EugeneShuntel McCain60(336) 275-00506010/09/01mother4 monthswwwoeeaQMM====((((($ W08D7lnanabbo072997English606060Health Serve Eugene60(336) 274-43715510/10/91father48 monthsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrggg_UUQA======((((($ W087lkikirel091101English504535Health Serve Eugeneyes, breathing problemsKaren60(336) 574-19793510/10/01mother24 monthsuuqa]]VVV=((((($ W08L7 lkckcowe021701English306060Health Serve EugeneKaren Cowell40(336) 574-19796010/10/01mother60 monthsuuumcc_OKK====((((($ W08D7 ljjjjohn091999English505060Moses Cone FPyes, coldDovie Locklear60(336) 851-43394510/03/01mother24 months|||tjjfVRRBBB7((((($ W08L7 liwiwill032977English104050GCH Wendoveryes, SC diseaseTamara Williamson55(336) 988-87025010/02/01mother48 months|rrn^ZZGGG6((((($ W08L7 \LVALlraphicsASQ Dataeh[hfhhh(iV0\\\\\_acull08iacacull082400English601035GCH Wendoveryes, this skin problemyes, skinDianne Culley25(336) 275-60233lacacull082400English601035GCH Wendoveryes, this skin problemyes, skinDianne Culley25(336) 275-60233509/06/01mother12 monthsno, the right foot on tip toe|lhhYNN6((((($ W08l7lfmfmeit101899EnglishNo referral Parent unable to answer all questions.455030GCH Wendover453510/16/0124 months||||rrnnjjjjjjlfmfmeit101899EnglishNo referral Parent unable to answer all questions.455030GCH Wendover453510/16/0124 months||||rrnnjjjjjj\\\\\XTPPW0: ZTCltwtwhit121998EnglishHealth fair homevisit253555GCH WendoverShantea White45(336) 508-46243010/20/01mother33 months ZTCltttterry061099English404035no, very difficult to understand sometimesno, not that clearGCH High Pointyes, asthmaSharon Terry50(336) 989-05815009/26/01motheryes, his left eye is cross-sighted24 months ZTCltttterr061099English354535GCH High PointTyreese Terry55(336) 989-05816009/26/01mother24 months| ZTCltttterr061099English354535GCH High PointTyreese Terry55(336) 989-05816009/26/01mother24 months|||||||||||||||||||||||||||||||||||||||||||||||||| ZTCltttterr061099English354535GCH High PointTyreese Terry55(336) 989-05816009/26/01mother2 Z ZTCltttterr061099English354535GCH High PointTyreese Terry55(336) 989-05816009/26/01mother24 months||||||||||||||||||||||||||||||||||||||| ZTCltttterr061099English354535GCH High PointTyreese Terry55(336) 989-05816009/26/01mother24 months||||||||||||||||||||||| ZTCltttterr061099English354535GCH High PointTyreese Terry55(336) 989-05816009/26/01mother24 months||||||||||||||TCQQQQQQQQQQ4jjazport112100Enazport112100English405055GCH WendoverGail Tatum50(336) 294-35555006/04/01mother6 monthsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrhhh`VVRB>>2222$$$$$ M08D7ljjjjuar101999Spanish254560GCH Wendoveryes606010/01/0124 monthsXXXXXXXXXXaazport112100English405055GCH WendoverGail Tatum50(336) 294-35555006/04/01mother6 monthsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrhhh`VVRB>>2222$$$$$ M08D7ljjjjuar101999Spanish254560GCH Wendoveryes606010/01/0124 monthsXXXXXXXXXXXXXXaazport112100English405055GCH WendoverGail Tatum50(336) 294-35555006/04/01mother6 monthsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrhhh`VVRB>>2222$$$$$ M08azport112100English405055GCH WendoverGail Tatum50(336) 294-35555006/04/01mother6 monthsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrhhh`VVRB>>2222$$$$$ M08D7azport112100English405055GCH WendoverGail Tatum50(336) 294-35555006/04/01mother6 monthsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrhhh`VVRB>>2222$$$$$ M08D7labazport112100English405055GCH WendoverGail Tatum50(336) 294-35555006/04/01mother6 monthsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrhhh`VVRB>>2222$$$$$ M08azport112100English405055GCH WendoverGail Tatum50(336) 294-35555006/04/01mother6 monthsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrhhh`VVRB>>2222$$$$$ M08D7ldpdparr101599Englazport112100English405055GCH WendoverGail Tatum50(336) 294-35555006/04/01mother6 monthsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrhhh`VVRB>>2222$$$$$ M08D7lavavala092500Spanish606azport112100English405055GCH WendoverGail Tatum50(336) 294-35555006/04/01mother6 monthsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrhhh`VVRB>>2222$$$$$ M08D7ljpjpalm021298English455555Better than some his ageGCH WendoverYes, He complains about his legs hurting at times. 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months{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{ppph^^ZJFF6666((((($ W08D7ltwtwall010191English556060Health Serve North EastyesLillian Cook45(336) 987-043960Terry Wallace11/01/01mother60 months{lhXTTFFFA((((($ W08L? ltgtgate041397English405055Health Serve North Eastyes, asthmaElizabeth Bryant60(336) 334-01485011/08/01mother48 monthsxxtd``NNNA((((($ W08L7lktkthac113099English603055Health Serve North Eastyes, common coldDebra Harris60(336) 273-98556011/27/01mother24 monthsyyueaaSSSA((((($ W08L7ldwdwhid111895English12/3/01 completed ASQ per LMP 12/04/01 Need to call parents505050Health Serve North EastyesDavid Whidbee50(336) 375-96895011/13/01father60 monthsfffffb^ZZW0:T7ldbdburg080898EnglishSpeech/Hearing403550Health Serve North EastHeidi Burgardt50(336) 375-06682511/05/01mother36 monthsyyueaaQQQQ8888840,,,W8D7plewewood052397English605060GCH Wendover606011/01/0148 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ 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State child is trying to crawl.202540GCH High Pointyes, allergies25(336) 989-00575511/16/01mother6 monthsM0:$7leheholt062600English454550Moses Cone FPJackie Ledford60(336) 987-7887451/18/02mother18 months{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{{ppph__[KGG7777((((($ W0leheholt062600English454550Moses Cone FPJackie Ledford60(336) 987-78874501/18/02mother18 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||qqqi__[KGG7777((((($lleheholt062600English454550Moses Cone FPJackie Ledford60(336) 987-78874501/18/02mother18 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||qqqi__[KGG7777((((leheholt062600English454550Moses Cone FPJackie Ledford60(336) 987-78874501/18/02mother18 months||||||||||||||||||||||||||||||||||||||||||||||||||||||||||qqqi__[KGG7777((((($ W08D7lkskstov092099English556055GCH Wendover606011/01/0124 monthsSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSHHHH>>::666666((((($ W08lhahabba041599English403545GCH Wendoveryes, URI, coughyes, momyes, behavior505011/20/01dad24 monthswwwrhhdd```QG6((((($ W08<5ltjtjone031797English555555GCH WendoverSherri Lynn55(336) 286-37696011/30/01mother48 monthsxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxmmme[[WGCC6666((((($ W08D7lgmgmare112499Spanishno303040GCH Wendoveryes, suspiesMartha Escamilla40(336) 632-45243011/30/01mother48 months|rrn^ZZH:::,,,,,($ W0>6666((((($ W08Dlmtmtall103099English505055GCH Wendoveryes, diarrhea555011/01/0124 monthsbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbWWWWMMIIEEEEE6((((($ W08 l8asosa051801Spanish606050GCH WendoverAna Sosa45(336) 275-24915511/29/01mother6 months56xxxxxxxxxxttttttttttttttttttttttttttttttttttttttttttttttttjjjbXXTD@@6666((((($ W08D7lagagarc072497English556060GCH Wendoveryes, ear infections606011/01/0160 monthshhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh]]]]SSOOKKKKK6((((($ W08 l?klewi052301English406045GCH Wendoveryes, mother-part nerve deafness in right earyes, neck redness/rash will not seem to go away - used A&D ointment (about 7 days)Shari Lewis355511/28/01mother6 months319d66((((($ W08t5@ LVALPMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   jbComments           m #HBWalks, runs & climbs like others?           m #:LVAL4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns           o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time    LVAL       o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jAZ LVALj SQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip EASQ Form Age      LVAL6MR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   jbComments           m #HBWalks, runs & climbs like others?           m #:LVAL4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns           o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time    LVAL       o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jAH9,ϤIEϝFΝ<̀|̷S˧ʣSɟHdž#NJƆ%ƷųSė~o³Limoor012999NCjsimoor012999NCrkrkhal031500RahimKhaliz03/15/00NC946412575Q<<0000000,,,,"@ rrive053199RainRivera05/31/99NC946300259Q434@;///////++++!salli021401SamanthaAllison02/14/01NC00000000,,,,"borte022100BrittanyOrtegabueno02/21/00NC(336) 989-2328DDDDDD440000&jtjtapi013101JeidyTapirodriguez01/31/01NC946670293TCC77777773333)@jmjmora082601JacquelinMoralespuente08/26/012208B chambers sthigh pointNC27260rebeccapuente946835218S~~rrjaaaZVJ77-Ykkgkguil090801KarenGuillen09/08/01NC946847435Q==1111111----#@Vdjdjack090201DwightJackson, Jr.09/02/01321 E Grimes ave apt Chigh pointNC27260(336) 724-1918charlenebash946837554O|rrb[WK33)[dbagui072201BrandonAguilar07/22/01NC////////++++!kmkmcco051400K'ShauneMcCormick05/14/00NC946460929KBB66666662222(@babagui091398BrianAguilarbautista09/13/98NC9999999995555+ dhdhern030101DavidHernandezMartinez03/01/01NC946700723LGG;;;;;;;7777-@rtrthan031401ReenaThan03/14/01NC946700191S::.......**** @8" rbrbakh082101RofidaBakheet08/21/011829 Merritt Dr. Apt AGreensboroNC(336) 323-1029946855461TrrfffffVVRF..$Bdodoake071201DustinOakes07/12/01NC946792659S<<0000000,,,,"@Dththarr050399TorieHarris05/03/99NC946107876P<<0000000,,,,"@2afull081399AkyaFuller08/13/99NCLeslieFuller;;;3++++''''rbrbatt041998RickeyBattle04/19/98705 Penn PlaceHigh PointNC27260(336) 882-0829DebraBarnfield946857123SvvkddTMI=--#[rbrbutl100697RayshawnButler10/06/97818 Spring Oak Ct.High PointNC27263(336) 861-6741CathyWall945645282OwwqjjZSOC//%[knknabe081301KhanNabeeha08/13/01NC000000000,,,,"mtmtoni121597ManuelTonilflores12/15/97NC6666666662222(ihick082899IsaiahHicks08/28/99NC,,,,,,,,((((cdcdelg072401CeasarDelgado07/24/01320-I richardson avehigh pointNC27260(336) 794-9334glendaboca946816114Pyyskk[TPD..$[4jtjteub080601JadenTeuboun08/06/01NC946922259S==1111111----#@zazaren090397ZayraArenasjuarez09/03/97NC6666666662222(dbdbutc022301DaishionaButchee02/23/01NC946686310KAA55555551111'@kbkbull120497KierraBullard12/04/97NC222222222....$4sgsgrim062401StephanieGrimaldorivera06/24/01NC<<<<<<<<<8888.2grgraud100398GumaroRaudosontibanez10/03/98NC:::::::::6666, rwrwill013101RahkiyaWilliams01/31/01808 gordon sthigh pointNC27262(336) 803-3921vonittetynes946665786LvvoffVOK?00&[mande091699MartaviousAnderson09/16/99NC33333333////%jtjtown100498jacobtownsend10/04/987-f laurel lee tergreensboroNC27405(336) 358-2127melindaHollingsworthriiYRNB..$1bvbvare061900BaldomeroVarela06/19/00NC4444444440000&dmdmans092697DamionManson09/26/97NC111111111----#46 LVAL SQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip LVAL6MR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   jbComments           m #HBWalks, runs & climbs like others?           m #:LVAL4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns           o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time    LVAL       o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jA 9N,,'  xqjc\UNG@92+$ | u n g ` Y R K D = 6 / ( !    y r k d ] V O H A : 3 , %     } v o h a Z S L E > 7 0 ) "    z s l e ^ W P I B ; 4 - &     ~ w p i b [ T M F ? 8 1 * #     {tmf_XQJC<5.'  xqjc\UNG@92+$|ung`YRKD=6/(! yrkd]VOHA:3,% }vohaZSLE>70)" O)  "J{|(' #N!%   }5!!#0/i!x&.3  &z+z i|!%O|!}-cLMx JxH, y!MN($'M#&O J *+ H# y}%! 3"c$n*"2 LK!c1$MNH!#x M"% MxK%}~$z}   ~ $)|0i )nH!Li/O 0! #&' ('&5;#iz ~ . %5n$#.I"~n y$  ~()n n |-# N' "{yn") (nJL"4n! c~% O ;MxM "K    OM )5KI{"J, N '5 -5}  !I;M5L!2 z n%  J M; +! x  )Ki |O$iM*}%5J.5}K&|cc& N  ;x5M! bgoed111099Brendan Goedeck 11/10/992026 Lynette Dr.GreensboroNC27403(336) 272-2911TaraSavagetlffVOK?--# 5 LVALE SQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip jASQ Form Age           m #YNLVALMR2OrderByOn"DatasheetFontName&DatasheetFontHeight&DatasheetFontWeight&DatasheetFontItalic,DatasheetFontUnderlineTabularCharSetTabularFamily$DatasheetForeColorColumnWidthColumnOrderColumnHiddenRequiredAllowZeroLengthDisplayControlRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsListRowsListWidthLimitToList FormatValidationRuleValidationText FilterOrderByDescriptionInputMaskCaptionDefaultValueColumnWidthsDecimalPlacesOrientation$UnicodeCompressionRowHeight   Arial      "  " $Date           o # Value List '1/1/02';'2/1/02';'3/1/02';'4/1/02';'5/1/02';'6/1/02';'7/1/02';'8/1/02';'9/1/02';'10/1/02';'11/1/02';'12/1/02'      0twip x,&Communication Score  t         m #dTelephone           m #t("Gross Motor Score  L         m #hTotal Score           m #|0*Personal-Social Score  (         m #|0*Problem Solving Score  \         m #r& Fine Motor Score           m #Referral  ,         o Value List 'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see Comments)'      0twip  #t& Edu on parenting        Yes/No   j60Edu on domestic violence        Yes/No   jt& Edu on nutrition        Yes/No   j~0*Edu on drug awareness        Yes/No   j~0*Edu on family reading        Yes/No   jt& Edu on computers        Yes/No   jn Edu on stress        Yes/No   jt& Edu on first aid        Yes/No   j|.(Edu on child support        Yes/No   jbComments           m #HBWalks, runs & climbs like others?           m #:LVAL4Talks like other children?           m #t("Understand child?           m #Provider           o Value List 'GCH Wendover';'GCH High Point';'GCH Devon';'Moses Cone FP';'Health Serve Eugene';'Health Serve Cone'      0twip  #^XAny medical problems in last several months?           m #tnFamily history of child deafness or hearing impairment?           m #x,&Anything worry you?           m #~2,Person filling out ASQ  $         m #B<Mailing Address (if different)           m #r& Assisting in ASQ           m #|0*Relationship to Child  n         m #B<Concerns about child's vision?  P         m #fHear well?           m #z.(Use both hands well?           m #|0*Feet flat on surface?           m #Pass           o Value List 'yes';'no'      0twip  #dID number           m #dHave CSC        Yes/No   j^ Other        Yes/No   jLanguage           o Value List      0twip P H'English';'Spanish';'Other(type in)' #6Outcomes           o Value Listt l'In Intervention';'Refused Services';'Did Not Qualify'      0twip  #jAdjusted Age           m #f Nutr Concerns           o # Value List      0twip  'None';'Debt/Food Stamps';'WIC';'Free/Reduced School meal';'Special Diet'TEdu Concerns           o # Value List      0twip  'None';'High School';'GED';'Tech College';'Business';'University' Best Time    LVAL       o # Value ListF >'Morning';'Afternoon';'Evening'      0twip hHead Start        Yes/No   jt& Housing Concerns        Yes/No   jn Trans Conerns        Yes/No   jfGoals Text           m #|.(Want Head Start Info        Yes/No   jp"Personal Goals        Yes/No   jTEdu Action           o # Value List 'A. Sent info by mail';'B. Referred to Internet(Lib)';'Both A & B'      0twip `"Housing Action           o # Value List 'A. Sent Info by Mail';'B. Refered to Project Homestead';'Both A & B'      0twip J& Nutrition Action           o # Value Listx p'A. Sent info by Mail';'B. Referred to WIC';'Both A & B'      0twip <& Headstart Action           o # Value Listj b'A. Sent Age App. Info';'B. Sent Info on Daycare'      0twip |.(Tranportation Action           o # Value List 'A. Sent info on Bus System';'B. Referred to Medicaid Transport';'Both A & B'      0twip ~0*Phone Call to Parent?        Yes/No   j|0*blue sheet respondent           m #Z ASQ        Yes/No   jCASE NUMBER      $ General Number !   mRe-Referral           o # Value List      0twip  'Consortium';'DEC';'Speech/Hearing';'CSC';'GAP';'Headstart';'Project Uplift';'Other(see comments)'t("Date of Diagnosis           m #Diagnosis           o # Value List 'Abuse/Neglect';'Autism';'Congenital Anomilies';'Lack of Development';'Mental Health';'Mental Retardation';'Neurology';'Prematurity'      0twip jAA LVALQ SQ comments           m #v("High Risk History        Yes/No   jz,&Maternal Depression        Yes/No   j& Custom Drop Down           o # Value List. &'1';'2';'3';'4';'5'      0twip ^ASQ Form Age           o # Value List '6 months';'12 months';'18 months';'24 months';'36 months';'48 months'      0twip  LVAL)     0twip ^ASQ Form Age           o # Value List '6 months';'12 months';'18 months';'24 months';'36 months';'48 months'      0twip B0*Relationship to Child           o # Value Listf ^'Parent/Guardian';'Child Care Provider';'Other'      0twip LVALdhD?Hi80@Hic  ?0e8Hi80C8e8  8 8: 8r 8 8 8 82 8r 8 8 8" 8Z 8 8 8 828Z8888"8Z8888828Z8888828j8888R888 828888B8r8888B88:8z88 8B8j8888B8888*8 8 8( 8` 8 8 8 8 8` 8 8 8 8H 8 8 8 8 8H88888H8x8888 8H8p8888 8X8888@8x888 8x88808`8888088(8h88808X8888088888 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8: 8r 8 8 8 82 8r 8 8 8" 8Z 8 8 8 828Z8888"8Z8888828Z8888828j8888R888 828888B8r8888B88:8z88 8B8j8888B8888*8k  f d g d h d b S  [ q n s d J d K d L d M d N d P A d B 4 d C 6 d ; 8 d < ?  2    d  2  d  2                    2  2  2  2      2               2 ! 2 " 2 #  $ 2 %  &  y d '  )  *  )ASQ Data.ASQ commentsASQ Data#ASQ Data.Diagnosis3ASQ Data.Date of Diagnosis'ASQ Data.Re-Referral'ASQ Data.CASE NUMBER;ASQ Data.blue sheet respondentASQ Data.ASQ7ASQ Data.Maternal Depression3ASQ Data.High Risk History1ASQ Data.Custom Drop Down9ASQ Data.Tranportation Action1ASQ Data.Headstart Action1ASQ Data.Nutrition Action-ASQ Data.Housing Action'ASQ Data.Edu Action;ASQ Data.Phone Call to Parent?%ASQ Data.Goals Text9ASQ Data.Want Head Start Info#ASQ Data.Best Time-ASQ Data.Personal Goals)ASQ Data.Edu Concerns1ASQ Data.Housing Concerns+ASQ Data.Nutr Concerns%ASQ Data.Head Start+ASQ Data.Trans Conerns)ASQ Data.Adjusted AgeASQ Data.Other!ASQ Data.Have CSC#ASQ Data.ID number!ASQ Data.LanguageASQ Data.Pass!ASQ Data.Referral9ASQ Data.Edu on child support1ASQ Data.Edu on first aid+ASQ Data.Edu on stress1ASQ Data.Edu on computers;ASQ Data.Edu on family reading;ASQ Data.Edu on drug awareness1ASQ Data.Edu on nutritionAASQ Data.Edu on domestic violence1ASQ Data.Edu on parenting!ASaacnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::6622222acnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08ldmdmill040200EnglishSpeech/Hearing6acnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08ldmdmill040200EnglishSpeech/Hearing604560no, Is not usingacnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08ldmdmill040200EnglishSpeech/Hearing604560no, Is not using 2 word phrases yet only says Mama & stopMoses Cone FPyes, His ability to communicateDianna Miller60acnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08nalli071197EnglishIn Head Start Poplar Grove352040GCH Wenacnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lsqsquen123100English454540Moses Cone FPyes, She doesn't roll over, nor crawlPelayre Quenum`20(336) 375-66964012/05/01child10 monacnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08lvzvzamo112797EnglishDECDEC Packet to be filled out with interpreter403060Moses Cone FPFlavia Del Mercaaacnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08loeoelsh050900English503540GCH Wendover556012/01/0118 monthsSSSSSSacnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08loeoelsh050900English503540GCH Wendover55aacnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08loeoelsh050900English503540GCH Wendoveracnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08loeoelsh050900English5035acnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08l|cslad121600English604040GCH WendoverShayla King55(336)acnarh120100English406050GCH Wendover20506 monthsDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD::::::66222222$$$$$ M08LVALQ Data.CommentsSASQ Data.Walks, runs & climbs like others?1ASQ Data.Fine Motor Score;ASQ Data.Problem Solving Score;ASQ Data.Personal-Social Score'ASQ Data.Total ScoreEASQ Data.Talks like other children?3ASQ Data.Understand child?!ASQ Data.Outcomes!ASQ Data.ProvideriASQ Data.Any medical problems in last several months?ASQ Data.Family history of child deafness or hearing impairment?7ASQ Data.Anything worry you?=ASQ Data.Person filling out ASQMASQ Data.Mailing Address (if different)3ASQ Data.Gross Motor Score#ASQ Data.Telephone7ASQ Data.Communication Score1ASQ Data.Assisting in ASQASQ Data.Date;ASQ Data.Relationship to ChildMASQ Data.Concerns about child's vision?)ASQ Data.ASQ Form Age%ASQ Data.Hear well?9ASQ Data.Use both hands well?;ASQ Data.Feet flat on surface?x8CCp8D(8P8 X8Sk@h88  8`  8` : 8` r 8`  8`  8`  8` 2 8` r 8`  8`  8` " 8` Z 8`  8`  8`  8` 28` Z8` 8` 8` 8` "8` Z8` 8` 8` 8` 8` 28` Z8` 8` 8` 8` 8` 28` !j8` "8` #8` $8` %R8` &8` '8` ( 8` )28` *8` +8` ,8` -B8` .r8` /8` 08` 18` 2B8` 38` 4:8` 5z8` 68` 7 8` 8B8` 9j8` :8` ;8` <8` =B8` >8` ?8` @8` A*8`BASQ Datax38CCC0/8`38V8X8=@~sq_fASQ Data18 8-8 8 -8 ( 8(-8 ` 80-8 88-8 8@-8 8H-8 8P-8 ` 8X-8  8`-8  8h-8   8p-8  H 8x-8  8-8 8-8 8-8 8-8 H8-8 8-8 8-8 8-8 8-8 H8-8 x8-8 8-8 8-88-8 8-8 H8-8 p8.8 8.8 8.8  8.8! 8 .8" X8(.8# 80.8$ 88.8%8@.8& @8H.8' x8P.8( 8X.8) 8`.8* 8h.8+ x8p.8, 8x.8- 8.8. 08.8/ `8.80 8.81 8.82 8.83 08.84 8.85 (8.86 h8.87 8.88 8.89 08.8: X8.8; 8.8< 8.8= 8/8> 08/8? 8/8@ 8/8A 8 /8B 8(/8 8 8( 8` 8 8 8 8 8` 8 8 8 8H 8 8 8 8 8H88888H8x8888 8H8p8888 8X8888@8x888 8x88808`8LVAL888088(8h88808X8888088888 8`  8` : 8` r 8`  8`  8`  8` 2 8` r 8`  8`  8` " 8` Z 8`  8`  8`  8` 28` Z8` 8` 8` 8` "8` Z8` 8` 8` 8` 8` 28` Z8` 8` 8` 8` 8` 28` !j8` "8` #8` $8` %R8` &8` '8` ( 8` )28` *8` +8` ,8` -B8` .r8` /8` 08` 18` 2B8` 38` 4:8` 5z8` 68` 7 8` 8B8` 9j8` :8` ;8` <8` =B8` >8` ?8` @8` A*8`BASQ Data 8A8  8 A8 : 8(A8 r 80A8 88A8 8@A8  8HA8 2 8PA8 r 8XA8 8`A8 8hA8 " 8pA8 Z 8xA8 8A8 8A8 8A8 28A8 Z8A8 8A8 8A8 8A8 "8A8 Z8A8 8A8 8A8 8A8 8A8 28A8 Z8A8 8B8 8B8 8B8 8B8 28 B8 j8(B8 80B8 88B8 8@B8 R8HB8 8PB8 8XB8 8`B8 28hB8 8pB8 8xB8 8B8 B8B8 r8B8 8B8 8B8 8B8 B8B8 8B8 :8B8 z8B8 8B8 8B8 B8B8 j8B8 8B8 8B8 8C8 B8C8 8C8 8C8 8 C8 *8(C8 8 8( 8` 8 8 8 8 8` 8 8 8 8H 8 8 8 8 8H88888H8x8888 8H8p8888 8X8888@8x888 8x88808`8888088(8h88808X8888088888 8f8[8C X888H8X8h8x80C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C880C88 8Xi80a8CMH8V8k H8V8f H8V8g H8V8h 8V8b H8V8S 8V8[ 8V8q 8V8n H8V8s H8V8J H8V8K H8V8L H8V8M H8V8N 8V8P H8V8A 8V8B H8V84 8V8C H8V86 8V8; H8V88 8V8< 8V8? 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 2    d  2  d  2                    2  2  2  2      2               2 ! 2 " 2 #  $ 2 %  &  y d '  )  *  )ASQ Data.ASQ commentsASQ Data#ASQ Data.Diagnosis3ASQ Data.Date of Diagnosis'ASQ Data.Re-Referral'ASQ Data.CASE NUMBER;ASQ Data.blue sheet respondentASQ Data.ASQ7ASQ Data.Maternal Depression3ASQ Data.High Risk History1ASQ Data.Custom Drop Down9ASQ Data.Tranportation Action1ASQ Data.Headstart Action1ASQ Data.Nutrition Action-ASQ Data.Housing Action'ASQ Data.Edu Action;ASQ Data.Phone Call to Parent?%ASQ Data.Goals Text9ASQ Data.Want Head Start Info#ASQ Data.Best Time-ASQ Data.Personal Goals)ASQ Data.Edu Concerns1ASQ Data.Housing Concerns+ASQ Data.Nutr Concerns%ASQ Data.Head Start+ASQ Data.Trans Conerns)ASQ Data.Adjusted AgeASQ Data.Other!ASQ Data.Have CSC#ASQ Data.ID number!ASQ Data.LanguageASQ Data.Pass!ASQ Data.Referral9ASQ Data.Edu on child support1ASQ Data.Edu on first aid+ASQ Data.Edu on stress1ASQ Data.Edu on computers;ASQ Data.Edu on family reading;ASQ Data.Edu on drug awareness1ASQ Data.Edu on nutritionAASQ Data.Edu on domestic violence1ASQ Data.Edu on parenting!AS 9N,,'  xqjc\UNG@92+$ | u n g ` Y R K D = 6 / ( !    y r k d ] V O H A : 3 , %     } v o h a Z S L E > 7 0 ) "    z s l e ^ W P I B ; 4 - &     ~ w p i b [ T M F ? 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