Thank you for your interest in our research study!
You may leave this field blank if you are 18 years old.
You may leave this field blank if you are 18 years old.
You may leave this field blank if you are 18 years old.
Are you a teen or a parent/guardian?
Teen
Parent/Guardian
Male
Female
Other
Male
Female
Other
Would you be able to come to McLean Hospital in Belmont, MA for one or more study sessions?
Yes
No
Would your teen be able to come to McLean Hospital in Belmont, MA for one or more study sessions?
Yes
No
Is English your native language?
Yes
No
Is English your teen's native language?
Yes
No
Do you wear contacts or glasses?
Contacts
Glasses
Both contacts and glasses
Neither contacts nor glasses
Does your teen wear glasses or contacts?
Glasses
Contacts
Both glasses and contacts
Neither glasses nor contacts
Yes
No
Yes
No
Are you right-handed or left-handed?
Right-handed
Left-handed
Ambidextrous
Is your teen right-handed or left-handed?
Right-handed
Left-handed
Ambidextrous
Do you have braces, a permanent retainer, or any other dental device that cannot be removed?
Check all that apply.
Does your teen have braces, a permanent retainer, or any other dental devices that cannot be removed?
Check all that apply.
Are you currently using hormonal contraceptives (such as birth control pills, patches, vaginal rings, hormone-releasing contraceptive coils, Depo-Provera shots, hormonal IUDs, hormonal implants ex. Nexplanon)?
Yes
No
Is your teen currently using hormonal contraceptives (such as birth control pills, patches, vaginal rings, hormone-releasing contraceptive coils, Depo-Provera shots, hormonal IUDs, hormonal implants ex. Nexplanon)?
Yes
No
Have you ever been diagnosed with ADHD (attention deficit disorder)?
Yes
No
Has your teen ever been diagnosed with ADHD (attention deficit disorder)?
Yes
No
Are you currently taking any psychotropic medication for mental health concerns such as depression or anxiety?
Yes
No
Has your teen ever taken any psychotropic medication for mental health concerns such as depression or anxiety?
Yes
No
Have you ever been diagnosed with an eating disorder?
Yes
No
Has your teen ever been diagnosed with an eating disorder?
Yes
No
Have you ever had seizures?
Yes
No
Has your teen ever had seizures?
Yes
No
Have you ever had a head injury in which you lost consciousness?
Yes
No
Has your teen ever had a head injury in which she lost consciousness?
Yes
No
Do you have a history of any neurological disorders?
Examples: Epilepsy, Autism, Asperger Syndrome, Tourette's Syndrome, Stereotypic Movement Disorder
Yes
No
Does your teen have a history of any neurological disorders?
Examples: Epilepsy, Autism, Asperger Syndrome, Tourette's Syndrome, Stereotypic Movement Disorder
Yes
No
Do any of your siblings or parents have a history of depression, Bipolar Disorder or Psychotic Disorder?
Yes
No
Is there any family history of depression, Bipolar Disorder, or Psychotic Disorder within any first degree relatives?
First degree relatives include: yourself, child's father, and any other children
Yes
No
Do you have any metal in your body?
Example: Metal implanted during a surgery
Yes
No
Does your teen have any metal in her body?
Example: Metal implanted during a surgery
Yes
No
In the past month, has there been a period of time when you felt sad, down, or empty for most of the day nearly every day?
Yes
No
In the past month, has there been a period of time when your teen felt sad, down, or empty for most of the day nearly every day?
Yes
No
Are you currently experiencing any loss of pleasure or interest in activities you usually enjoy?
Do you feel bored when you try to do activities you usually enjoy? Are you finding that activities you usually enjoy are just not as fun anymore?
Yes
No
Is your teen currently experiencing any loss of pleasure or interest in activities she usually enjoys?
Does she feel bored when she tries to do activities she usually enjoys? Is she finding that activities she usually enjoys are just not as fun anymore?
Yes
No
How did you hear about our study?
Thank you for completing our survey! We appreciate the time and thought you put into it.
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