Parent Questionnaire
Please complete the following form as completely and honestly as possible.
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Email *
Child's name: *
What are your child's medical diagnoses and when were these received? *
Was your child identified as gifted or diagnosed with high functioning autism or Asperger's syndrome first? *
Why do you feel your child received the gifted (or high functioning autism/Asperger's syndrome) identification first and the  high functioning autism/Asperger's syndrome (or gifted) identification second? *
How do you feel this timeline has affected his or her educational, social, and emotional experiences? *
Which characteristic behaviors and traits of giftedness, HFA, or Asperger's syndrome do you observe in your child? *
When you describe your child, which identity do you use (ex:  my daughter with Asperger's syndrome, my gifted son, etc.)? *
Which characteristic behaviors or traits has a psychologist, counselor, or teacher mentioned with respect to academic, social, or behavioral goals? *
What type of school does your child attend (public, private, home school, etc.)? *
In which type of classroom(s) does your child participate (inclusion, resource, gifted, etc.)? *
What services does your child receive (gifted, ESE, Speech and Language, etc.) *
What is your child's ethnicity? *
What is your child's age? *
What is your child's grade in school? *
How many siblings does your child have? *
What are the ages of your child's siblings? *
What are your child's strengths? *
What are areas of weakness for your child? *
What are the characteristics of teachers who have been effective with your child's needs? *
Is there anything else you would like me to know about your child? *
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