There are two types of items on ASQ:SE-2 questionnaires: items asking about competence behaviors and items asking about problem behaviors. Therefore, the points associated with the three response options (Often or Always, Sometimes, Rarely or Never) are not the same for every item. For competence behaviors (e.g., Is your baby's body relaxed?), Often or Always answers receive 0 points and Rarely or Never answers receive 10 points. For problem behaviors (e.g., Does your child hurt himself on purpose?), Often or Always answers receive 10 points and Rarely or Never answers receive 0 points. Sometimes responses always receive 5 points, regardless of the type of item. The small letters beside each box in the response columns (Z, V, and X) indicate how to score each question. Z represents zero points, roman number V represents 5 points, and Roman numeral X represents 10 points.