Eligibility Questionnaire


Instructions: Thank you for your interest in this study. One youth and parent per family can participate in the study. To determine if you and your teen are eligible to participate in this study, please complete the brief survey below. All of your responses will be kept confidential and will only be used as part of this study.


1. How old is your teen?

 

2. Does your teen have 22q11.2 Deletion Syndrome?

 

3. Does your teen have an IQ of 55 or higher?

 

4. Do you and your teen speak English?

 

5. Does your family have access to a desktop or laptop computer with Internet access?

 

6. How does your teen identify their gender?

 

7. Is your teen of Hispanic, Latino, or Spanish origin?

 

8. What race is your teen? (check boxes)

 

9. How do you identify your gender?

 

10. Are you of Hispanic, Latino, or Spanish origin?

 

11. What is your race? (check boxes)

 


Click "Submit" to determine your family’s eligibility to participate in the study.