The Association between Sensitization to Allergens and Mental & Behavioral Disorders in Children
Developmental disorders caused by autism are broad-spectrum, with different symptoms, severity levels and phenotypes, which makes diagnosing children at an early age a real challenge. Autism is a heterogeneous disorder influenced by genetic, environmental, and immunological factors, one of which could be allergies. The goal of this research is to find any possible associations between allergies and kid's mental & behavioral disorders. 
All information provided in this questionnaire is anonymous and will be used for research purposes only. If you have a few kids with ASD, please fill in this questionnaire separately for each kid. 

Japanese translation: https://forms.gle/NMreJbNnMDSKGv3eA 
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Questionnaire made by Neurobiophysics student Gintare-Maria Balciute (Vilnius university, Lithuania).
General information
Where are you from? *
Gender of your child: *
Age of your child (years): *
At what age was your child diagnosed with autism? *
At what age did you notice that your kid started developing allergies?  *
Does your kid also have ADHD (Attention-deficit/hyperactivity disorder)? *
Does your kid spend time in children's groups (in kindergarten, school)? *
Select all that apply to your family: *
Required
Autism evaluation checklist
Some questions about autism, that are important in this research, were taken from ATEC by Bernard Rimland, Ph.D. & Stephen M. Edelson, Ph.D.
Select all that apply:
*
Required
Select, what is a minor or a serious problem for your child: *
Required
Allergy
We determine whether allergies influence symptom severity and behavioral changes.
Select to which food allergens your kid is allergic:
(if it's not listed, please write it down below)
*
Required
Select to which inhalant allergens your kid is allergic:
(if it's not listed, please write it down below)
*
Required
Once your kid got an allergic reaction (or got a seasonal allergy), what behavioural changes did you notice? *
Required
Did your kid outgrow some allergies? If yes, which ones (please write down)? *
If your kid outgrew some allergies, did he/she lose some of the symptoms? Select which ones, or write down yourself: *
Required
Does your kid have seasonal allergies? *
The end. Thank you!
Thank you very much for filling in this questionnaire. 
Any additional information you want to add to this research, please write it down below:
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