QUESTIONNAIRES

Prenatal Events and Stress Factors in the Development of Autism Spectrum Disorders (ASDs): Supplementary Survey

Researchers: Lara Gushulak (Undergraduate Honours Student, Department of Biochemistry and Medical Genetics, University of Manitoba), Dr. Alison Elliott (supervisor, WRHA Program of Genetics and Metabolism, Department of Pediatrics and Child Health, Department of Biochemistry and Medical Genetics, University of Manitoba), Dr. Albert Chudley (co-supervisor, team member with ASD-CARC, WRHA Program of Genetics and Metabolism, Department of Pediatrics and Child Health, Department of Biochemistry and Medical Genetics, University of Manitoba).

Purpose of the Study: Many prenatal events and factors have been suggested to correlate with ASD. This questionnaire has been developed to help determine if there is an association between different types of conception and ASD. We would like to know whether there is an association between assisted human reproductive technologies and the development of ASD.

Different types of conception include:
1. Natural conception
2. Intrauterine Insemination
3. In vitro fertilization (IVF) without intra-cytoplasmic sperm injection (ICSI)
4. In vitro fertilization (IVF) with intra-cytoplasmic sperm injection (ICSI)

How long will it take? 10-15 minutes to complete an online questionnaire.

What will I be asked? The questionnaire asks specific questions about your child's birth history, such as "Mother's age at birth of child" and "Was this a natural pregnancy?".

Who can participate? The parents/guardians of children who have been diagnosed with an ASD.

How can I participate? Login or register. After you have logged in just click on the name of the child for whom you are completing the questionnaire about, and then click on the questionnaire "Prenatal Events and Stress Factors". After completing this survey (or if you have already completed this survey), click on "Prenatal Events and Stress Factors: Supplementary Survey".

If you have any questions about this study, please contact Lara Gushulak, the study coordinator at: umgushu5@cc.umanitoba.ca