On ASQ:SE-2 items, higher scores indicate a concern. The item from your example ("When upset, can your baby calm down within a half hour?") is a question about a competence behavior. A Rarely or Never response is associated with 10 points (marked by a X on the questionnaire) which means that the child does not have that skill, which is a concern. An Often or Always response to this item is associated with zero points (marked by a Z on the questionnaire) because the child has the skill. On ASQ:SE-2, unlike ASQ-3, higher total scores indicate the need for a referral.