Request edit access
Participate in F.A.C.E. Lab Research!
Is your child 10-16 years old, with and without autism? Do you want to teach your child about science and the importance of helping others?

Our study consists of 2 visits to our lab, which is conveniently located on the Boston Common. Each visit is around 2.5 hours long. Compensation consists of $10 per hour for the first session and $20 for the second session. We have subsidized parking available at a short distance from the lab.
What is your name? *
What's your child's first name? *
What is your child's last name? *
What is your child's middle initial? *
Relationship to Participant: *
Age of Participant: *
Sex of Participant: *
Primary Phone Number: *
Email Address: *
Is English your child's primary language? *
If no, does your child speak English fluently?
Clear selection
Does your child have any developmental disabilities? *
If yes, please specify diagnosis
Do your child have any vision problems? *
If yes, does your child wear contacts or glasses?
Clear selection
Does your child have any problems with hearing? *
If so, specify here:
How did you hear about this study? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy