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South Asian Language Development Studies
South Asian Language Development Studies
SIGN UP TO PARTICIPATE: South Asian Language Development Studies
Consent to be Contacted
By filling in this form, you are consenting to be contacted by the Infant Studies Centre regarding our South Asian language development studies. Thank you! You also have the option to be contacted regarding other studies. We are part of the Early Development Research Group (EDRG) here at UBC, which is comprised of six research centres, each studying different aspects of development (e.g. language, social reasoning, mathematical reasoning). Please indicate below whether you are willing to be contacted about any study within the EDRG for which you are eligible.
*
Yes, I am willing to be contacted by any of the six research centres in UBC's Early Development Research Group.
No, I would like to be contacted ONLY by the Infant Studies Centre for the South Asian language development studies in particular.
Parent Info
Parent Name
*
First
Last
Relationship to Child
*
Mom
Dad
Phone
*
Phone Type
*
Home
Cell
Email
*
How did you find out about us?
From a family who has already participated
From a representative at a community centre, library, daycare, hospital, etc.
From a poster or brochure in the community
From a social media website (e.g. Facebook, Twitter)
From an internet search engine
Child Info
Child's Name
*
First
Last
Child's Gender
*
Male
Female
Child's Birth Date
*
MM slash DD slash YYYY
Gestation Period
*
Please indicate the length of your pregnancy (gestation period) in weeks and days. For example, 34 weeks and 4 days.
Weeks
Days
Language Exposure
*
Please indicate the languages that your child is exposed to on a regular basis. Please also indicate approximately how much of each language your child is hearing. For example, if your child is hearing 80% English and 20% Spanish, you would enter English (80%) in the first column and Spanish (20%) in the second column.
Language 1 (%)
Language 2 (%)
Language 3 (%)
Language 4 (%)
Do you have any other children?
*
Yes
No
Would you be interested in participating with your other child/children, too?
*
Yes
No
Info for Second Child
Child's Name
*
First
Last
Child's Gender
*
Male
Female
Child's Birth Date
*
MM slash DD slash YYYY
Gestation Period
*
Please indicate the length of your pregnancy (gestation period) in weeks and days. For example, 34 weeks and 4 days.
Weeks
Days
Language Exposure
*
Please indicate the languages that your child is exposed to on a regular basis. Please also indicate approximately how much of each language your child is hearing. For example, if your child is hearing 80% English and 20% Spanish, you would enter English (80%) in the first column and Spanish (20%) in the second column.
Language 1 (%)
Language 2 (%)
Language 3 (%)
Language 4 (%)
Would you like to add a third child?
*
Yes
No
Info for Third Child
Child's Name
*
First
Last
Child's Gender
*
Male
Female
Child's Birth Date
*
MM slash DD slash YYYY
Gestation Period
*
Please indicate the length of your pregnancy (gestation period) in weeks and days. For example, 34 weeks and 4 days.
Weeks
Days
Language Exposure
*
Please indicate the languages that your child is exposed to on a regular basis. Please also indicate approximately how much of each language your child is hearing. For example, if your child is hearing 80% English and 20% Spanish, you would enter English (80%) in the first column and Spanish (20%) in the second column.
Language 1 (%)
Language 2 (%)
Language 3 (%)
Language 4 (%)
Would you like to add a fourth child?
*
Yes
No
Info for Fourth Child
Child's Name
*
First
Last
Child's Gender
*
Male
Female
Child's Birth Date
*
MM slash DD slash YYYY
Gestation Period
*
Please indicate the length of your pregnancy (gestation period) in weeks and days. For example, 34 weeks and 4 days.
Weeks
Days
Language Exposure
*
Please indicate the languages that your child is exposed to on a regular basis. Please also indicate approximately how much of each language your child is hearing. For example, if your child is hearing 80% English and 20% Spanish, you would enter English (80%) in the first column and Spanish (20%) in the second column.
Language 1 (%)
Language 2 (%)
Language 3 (%)
Language 4 (%)
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