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
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