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Please complete this form to receive invitations to participate in our studies on Autism Spectrum Disorder and/or Alexithymia. Complete the form and we will be in contact with you as soon as possible.
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Personal Details
Name (Firstname, Surname) *
Email address *
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Do you consider yourself to have any conditions such as Autism Spectrum Disorder, Alexithymia, Depression, Anxiety etc? If so, do you have a clinical diagnosis and when was it given? *
What is your first language or mother tongue?
Do you speak any other languages and to what level of proficiency?
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