Veins and Autism

Instructions

We are conducting a survey on the potential causes of autism. We are analyzing data now from a larger study and hope to have the report completed by summer 2008. Currently, we have almost 3000 surveys. We have an additional issue we wish to explore concerning the presence of veins on the temples. We need mothers of normally developing children as well as those mothers with neurodevelopmental disorders so we have a comparison group.

There are only 8 questions and will only take a couple of minutes to complete. By clicking on the submit button you are consenting to participating in this study. If you have any questions or concerns you can contact Dr. Angie MacKewn in the psychology department at the University of Tennessee at Martin at amackewn@utm.edu or 731-881-7370.

Thank you for taking the time to complete this brief survey.
If your child is normally developing thanks for participating so we can have a control group.

Mother's survey

1.	What is your child's age (to the closest year)?

2.	What is the sex of your child?

	Male
	Female

3.	Is your child diagnosed with a neurodevelopmental disorder (for example - Autism, Aspergers, PDD)?

	Yes
	No

4.	If diagnosed with a neurodevelopmental problem, what is the specific diagnosis?

5.	Does your child have visible veins (blood vessels) or on his or her temples? (The area on each side of the forehead.)

	Yes, they are highly visible
	Yes, but they are not that visible
	no, they do not have visible veins

Created with an Unregistered Copy of SurveyGold survey software - www.surveygold.com