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HFA/Asperger's Females Parent Interview Form

Please fill-in the form below.
1. What is your daughter's age:
2. What is the most difficult aspect of socialization for your daughter?
3. What female role models does she relate to?
4. Does she have an imaginary friend?
5. Does she have artistic interests?
6. What types of literature does she enjoy?
7. How does she express emotion? Relate to other's emotions
8. Does she imitate others?
9. Is she confused by female social expectations?
Societal expectations for appearance?
10. What are her particular areas of interest?
11. What is your greatest challenge as a parent of an AS daughter?
Other Symptoms: (check all that apply)

Unusual Voice
Tics
Learning Disability
Obsessive Compulsive
Sensory Integration

 Attention Deficit Disorder
Anxiety
Depression
Gastrointestinal Problems
Pressing "Submit Form" will send this form directly to Dr. Mary Cohen,
Director, Autism Spectrum Resource Center.
8/19/02
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Last Updated: 3/26/02