The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

sIhb3DTBW6HVFpnwjUY6CMWab4spDfRETWz7HPQSFFM8bVn7YCLf2LqEt4yVUQuq8ZQXyeXQnrqLd9SZBywbsftwrDUF

Thank you for your interest!

Thank you for your interest in participating in this study to develop a new tool to monitor children's progress in communication. This study is open to children between the ages of 9 and 42 months.

Please complete the fields below about the child you are interested in enrolling and we will contact you with more information about the study. Thank you!

Participant agreed to receive consent?

What is the postal code where you currently reside?

* must provide value

Is your child between the age of 9 and 42 months?

* must provide value

Yes

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Was your child born full term (over 36 weeks gestation)?

Yes

reset

Does your child have an autism diagnosis?

Yes

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Do you or anyone else have concerns about autism?

Yes

reset

Has your child ever received a developmental or medical diagnosis? If yes, please specify.

Yes

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If yes, please specify:

Do you or anyone else have any concerns about your child's development?

Yes

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Do any of your child's biological siblings have a diagnosis of autism spectrum disorder?

Yes

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Your First Name

* must provide value

Date survey completed

* must provide value

M-D-Y

Email Address (this will be used to send you initial study information and survey links)

* must provide value

Phone number

* must provide value

Preferred Method of Contact

* must provide value

Call

Text

* must provide value

Phone number to call

* must provide value

Phone number to text

* must provide value

Please enter your zip code again

* must provide value

Are you interested in being contacted about other research projects?

* must provide value

Yes

reset

This age is outside of the range eligible to participate. Thank you for your time. Have a nice day.

Your child is not eligible to participate. Thank you for your time. Have a nice day.

Thank you for your time. After you submit this survey, a staff member will contact you soon with more details about the study. Have a nice day!

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.