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IAN Research IAN Research Reports IAN Research Questions Parental Depression History Questionnaire Intro Basic Family Information Child with ASD Questionnaire Social Responsiveness Scale (SRS) Social Communication Questionnaire (SCQ) Treatment List Questionnaire for Each Treatment Weight and Height Intro Weight and Height Questionnaire Mother Basic Medical History Questionnaire Father Basic Medical History Questionnaire Sibling Without ASD Questionnaire Child with ASD - First Diagnosis Child with ASD - Current Diagnosis Child with ASD - Regression Child with ASD - Fragile X Child with ASD - Seizures Child with ASD - Mental Retardation Child with ASD - Motor Delay Child with ASD - ADHD Diagnosis Child with ASD - Anxiety Child with ASD - Bipolar Disorder Child with ASD - Depression Child with ASD - Attention and Mood Issues by ASD Child with ASD - Type of School Child with an ASD - Previous Research Participant? Mother - Education Mother - Learning Disability Mother - Speech Delay Mother - Speech Therapy Mother - Special Education Mother - ADHD Mother - Anxiety Mother - Bipolar Disorder Mother - Depression Father - Education Father - Learning Disability Father - Speech Delay Father - Speech Therapy Father - Special Education Fathers - ADHD Father - Anxiety Father - Bipolar Disorder Father - Depression Sibling - Speech Delay Sibling - Speech Therapy Sibling - Special Education Sibling - ADHD Sibling - Anxiety Sibling - Bipolar Disorder Sibling - Depression Understanding Research Government Initiatives Autism Spectrum Disorder Research User Guide for IAN Research Participants Research Studies Studies No Longer Recruiting

SIBLING WITHOUT ASD QUESTIONNAIRE

Parents taking part in the IAN Research project answer a series of questions via the Internet from the comfort of their own homes and at their own convenience. They can stop the process at any time, starting again when they are ready. (This is a wonderful feature, as parents of children with ASDs experience many interruptions in their daily lives!)

Data collected from thousands of parents --stripped of identifying information-- will be shared with autism researchers seeking answers to crucial questions.

The Sibling Without an ASD questionnaire asks parents for important information about each of their children who have not been diagnosed with an Autism Spectrum Disorder. The questionnaire takes approximately 5 minutes to complete.

Please note: items which appear as orange and underlined are linked to Research Results --an explanation of that particular question's importance together with a graph showing our results so far. 

Developmental History

  1. How old was the child when he/she first walked?
  2. If you remember, please give the exact age (in years and months) that child first walked.
  3. How old was the child when he/she said his/her first words?
  4. If you remember, please give the exact age (in years and months) that the child said his/her first words.
  5. How old was the child when he/she was able to use two to three words together for meaningful speech?
  6. How old was the child when he/she was toilet trained?

Birth History

  1. What was the length of the pregnancy with this child?
  2. Which one of these describes the child's birth?
  3. What was the child’s BIRTH ORDER?
  4. How much did child weigh at birth?

Additional Medical History

  1. Has the child ever been diagnosed with Fragile X?
  2. Has the child ever been diagnosed with Tuberous Sclerosis?
  3. Has the child ever been diagnosed with Seizures or Epilepsy?
  4. Has the child ever been diagnosed with Mental Retardation?
  5. Has the child ever been diagnosed with a Motor Delay?
  6. Has the child ever been diagnosed with or received treatment for Depression?
  7. Has the child ever been diagnosed with or received treatment for Bipolar Disorder (Manic/Depressive Disorder)?
  8. Has the child ever been diagnosed with or received treatment for Attention Deficit/Hyperactivity Disorder (AD/HD) or Attention Deficit Disorder (ADD)?
  9. Has the child ever been diagnosed with or received treatment for an Anxiety Disorder?
  10. Has the child ever been diagnosed with or received treatment for Schizophrenia?

Educational History

  1. What type of school (or preschool) does the child attend?
  2. What is the child's current grade or level of school?
  3. Has the child EVER received any special education services (other than speech or language therapy)?
  4. Does the child CURRENTLY receive special education services from the public school system?
  5. What is the child's CURRENT special education code?
  6. Has the child EVER received speech or language therapy?



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