What is your name? * What is your email address? * This will be our primary way of contacting you to schedule the study. What is your phone number? * In case we need to reach you on the day of the study. Participant Name If other than yourself, please enter the name of the individual participating in our study. Participant Age Please enter the age in years of the individual participating in our study. Do you have a clinical diagnosis of any of the below conditions? Autism Spectrum Conditions Asperger's Syndrome PDD-NOS Attention Deficit / Hyperactivity Disorder Schizophrenia Dyslexia Epilepsy Anxiety Intellectual Disability Behavior Disorder Please select as many items as apply to the individual participating in our study. Submit