Autism Resource Center

Exit this survey

 

1. How old is your child?

How old is your child?

2. What is your child’s gender?

What is your child’s gender?   Male Female

3. What race is your child?

What race is your child?   Caucasian African American Hispanic/Latino Asian Other

4. Is your child currently diagnosed with

Is your child currently diagnosed with   Autistic Disorder Autistic Disorder & additional diagnosis Asperger's Disorder Asperger's Disorder & additional diagnosis Pervasive Developmental Disorder - Not Otherwise Specified Pervasive Developmental Disorder – Not Otherwise Specified & additional diagnosis Sensory processing disorder Sensory processing disorder & additional diagnosis Speech/language disorder Speech/language disorder & additional diagnosis Mental Retardation Mental Retardation & additional diagnosis Other No diagnosis made