My name is Athena Tellis, and I am currently a rising junior in high
school. I am doing a summer research project to be submitted to an
epidemiology competition. I am requesting that all parents of
children participate in my survey (ALL information that you give me is
kept confidential! And I promise you, this is not a hard survey) because
I really, truly need responses, and there has been a definitely lack in
those. If you would take 5-10 minutes, and answer the following
questions, I would appreciate it very, very much! Also, if you know of
any other people who would be willing to answer the questions, if you
could forward the survey to them, that would be fantastic! The survey is
listed below and all responses should be emailed to
atyesproject@ ... Please answer these questions as thoroughly and
accurately as you can. When answering about ages, please try to be
specific, such as "five and three months" instead of
"five." This helps with the data collection and calculations
that I will eventually make. You do not have to write in complete
sentences (bullets, numbered lists are fine). All identifying
will be removed when I write my report. Thank you very much
for choosing to participate in my study. Take your time while answering,
though I would like answers to be emailed back to me as soon as
1) What has your child been diagnosed with, if he/she has been
diagnosed at all?
2) Before vaccinations, did your child exhibit signs of
neurotypical children (e.g. played with other children, talked
a. If yes, what were the observations you made (e.g. what did your
child do that was neurotypical) ?
3) Have you given your child any vaccines?
a. If yes, what vaccines has your child been given (if known, did
these vaccines have thimerosal in them)? Try to list all vaccines.
b. If yes, when were they given (give child's age)?
4) When did you start realizing that your child was not
child's age) or did someone else tell you
(teacher, friend, spouse, etc,) with his or her suspicions?
5) What symptoms did you see that made you sense that your child
was not neurotypical?
6) Is there any information (about anything, autism, your child)
that you might want me to include in my study?
7) May I quote you on any of the above answers that you have made?
All identifying information will be removed.