Health Magazine

Help a Student with an Autism Research Project

By Joysautismblog @joysautismblog

I was contacted by a student who is doing a project on autism and I am happy to pass along this survey so that this student can collect data about autism and complete their project. I sure would appreciate anyone who would be willing to help out with this project, and with that I hand it over to Nive:

Hello all! My name is Nive and I am a high school senior who has always found the topic of autism extremely fascinating. I am currently doing an independent research project on the condition, and as part of my research, I created a short (12 question) survey to explore the various environmental factors present during pregnancy that seem to have an effect on the child after birth. It would be a tremendous help if you could copy and paste it into an email, and send it to [email protected]

I think it is really important to point out that my information collected for the survey is strictly anonymous, which is to say that no one’s name will be included in my project or report. I can assure you that your names will be removed from the information you provide, but if you would like to submit your information anonymously, you have the option of doing that as well; here is a link to a site where you can send email messages anonymously:; just be sure to enter autism.senior.project in “receiver’s email”.

Here is the survey:

1. The child I will be answering questions about in this survey has autism.


2. Mother ‘s age at time of conception of child _____ and during pregnancy _____

3.  Father’s age at time of conception_____
Please underline the answer you select, or please type appropriate answer.

4. There were complications with birth of the child (excess bleeding/ prolonged labor/ or prematurity).


5. Mother took antidepressants during pregnancy.


6. Mother suffered from bodily infection during time of pregnancy


7. State of mother’s residency during pregnancy:

8. Mother resided in urban area during pregnancy.


9. There was a high amount of pollution in the area where the mother resided during pregnancy.


10. Mother took hormone supplements before pregnancy.


11. Assistive Reproductive Technologies (artificial insemination/ in vitro fertilization) were used to conceive the child.

Decline to answer

12. Vaccines were administered to child after birth.


Thank you all so much, and hopefully we can work towards solving the big puzzle that is autism with whatever steps we take!


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