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Name: Amanda Floros
[ Original Post ]
I am a student writing a paper on autism for a university class. Your responses to this survey will be confidential. Not even the instructor will know the names of those who responded. All responses will be destroyed upon completion of my project. Your responses are appreciated. Please feel free to answer any or all of these questions. Please also provide any other information that may be beneficial to my project. Thank you for your time! Please email your responses back to [email protected]



Question 1: Do you have a child or children diagnosed with autism? Please specify what kind of autism.







Question 2: What is the sex of the child or children?







Question 3: What is the age of the child or children?







Question 4: How old was the child or children when they were diagnosed?









Question 5: What symptoms did the child or children have to suggest autism?









Question 6: What tests were used to get the diagnosis?







Question 7: Did you get other opinions from more than one doctor?







Question 8: What treatments/therapies are you currently using and how are they working for the child or children?







Question 9: what other treatments/therapies have your tried in the past and how did they work for the child or children?



Question 10: How does the child or children interact with other children and family members?







Question 11: If the child or children are in school do they attend normal public school or a special school?







Question 12: Is there a history of autism in your family? If there is a history please specify the history.







Question 13: Was the child or children vaccinated at an early age?







Question 14: If the child or children were vaccinated at an early age what vaccinations were they given?







Question 15: Do you believe the vaccinations might have lead to the child or children’s autism?







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