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Dysgraphia Study: Participant Interest Form

Thank you for your interest in participating in this study on dysgraphia.

The goal of this study is to better understand the experiences of students with a dysgraphia and to give a voice to those who face the challenges of having dysgraphia. Areas of focus include the school and classroom environment, the thought process for writing production, and the process for obtaining a diagnosis.

If you or your child is interested in participating, please submit this form with your information.
1.Name of interested participant(Required.)
2.Name of parent/guardian(Required.)
3.Email of parent/guardian(Required.)
4.Phone number of parent/guardian(Required.)
5.Age(Required.)
6.Do you have or believe you have dysgraphia?(Required.)
7.Are you currently in grades 6-12?(Required.)
8.Do you attend a public school in the United States of America?(Required.)