Hello! If you have found this webpage, your child is probably already scheduled to be seen in the Department of Neuropsychology at the Kennedy Krieger Institute. If you are not sure if your child has been scheduled for an appointment, please call 443-923-4400.

It is helpful for the provider who will evaluate your child to have some background information before your visit. The link below will take you to a secure website where you can provide an update on your child’s background information to the Department of Neuropsychology before his or her visit. You will be asked to provide background information about your child and provide ratings of his or her learning and behavior. We appreciate your willingness to take time out of your busy schedule to provide us with this information. Getting this type of information before your child’s appointment will help us prepare to get the most out of your child’s assessment day.

This is an abbreviated version of the questionnaire, which takes most people about half an hour to complete. You may want to plan time to complete it during a quiet period of the day. It is okay if you do not finish it all at one time. Y ou do not have to finish the whole questionnaire at one time. You can continue the questionnaire at any time as long as you are on the same computer and internet browser (e.g., Internet Explorer, Firefox, Google Chrome, etc.) on which you started the survey.

We use Qualtrics.com, a secure website, to collect information about our patients. By clicking the link below, you will be taken to our parent questionnaire on the Qualtrics website. If you have questions about this process, please see the Frequently Asked Questions below and/or feel free to email NPDQForms@kennedykrieger.org 

Frequently Asked Questions:

Why can’t I go back to previous screens as I’m taking the questionnaire?

For data security purposes, you are not allowed to return to previously completed screens of this online questionnaire. This prevents anyone from "backing up" and looking at your responses if you step away from the computer while completing the questions.

What other steps have been taken to ensure the safety and security of my responses?

Computerized security measures are used to protect privacy and reduce the risk of a breach of confidentiality. Many of these measures are described at the Qualtrics website: www.qualtrics.com/security-statement. To prevent someone from viewing your responses when they are transferred to us over the Internet, they are instantly encrypted with technology equivalent to the industry standard for securely transmitting credit card information. While it is HIGHLY unlikely that encrypted responses would be intercepted by someone on the Internet, responses would still be in a form that could not be read without a unique encryption key that is held only by the database provider, i.e., Qualtrics.

Some of these questions might be good to ask my child’s teacher(s). Can the teacher fill out this questionnaire?

This questionnaire was designed specifically for parents to complete, however, it would be very helpful to have input from your child’s teacher prior to your child’s appointment. With the letter confirming your child’s Neuropsychology Department appointment, you should have received a letter for your child’s teacher. Please feel free to complete the permission on that letter and give it to your child’s teacher(s), so that they can complete the teacher questionnaire. The questions on the teacher questionnaire relate to your child’s academic, social, and behavioral functioning at school.