Babylab voor Taalonderzoek

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Thank you for registering your child to help us with our research! The personal data below will be used by the manager or by students of the Babylab to see which experiment your child can participate in and to contact you. We would like to point out that all your answers (in accordance with the code of conduct for the use of personal data in scientific research, VSNU 2005) will be treated with the utmost confidentiality. This data will be stored for a period of at least 10 years on a secure server at Utrecht University. By entering the information below you agree with this.

If you want to change or delete your information, you can do so via the selfservice (https://babylab-admin.hum.uu.nl/selfservice) using the e-mail address supplied below.

Participant registration

Details child

First name

Last name

Gender Girl Boy

Date of birth

Birth weight (in grams)

Gestational age

Details parent

First name parent

Last name parent

City

We reimburse a maximum of 5 euros for travel expenses.

Phone number

Alternative phone number

E-mail

Sometimes interns in the Babylab do not speak/write Dutch. Would you be okay with being contacted in English (by phone or email)?

Yes, that's fine No, I prefer to be contacted in Dutch

Approximately once a year we send out a newsletter. If you want to receive this, you can say so here.

Yes No

Language specific questions

Children with a biological parent who has dyslexia are also more likely to have dyslexia themselves. A lot of research is being done into this.

Are there indications one of the (biologic) parents may have dyslexia? Yes, mother Yes, father Yes, both No I'd rather not say

It is also important for many researchers to know whether one of the biological parents has a language development disorder.

Has one of the parents (ever had) a language development disorder (TOS formerly ESM)? Yes, mother Yes, father Yes, both No I'd rather not say

Is your child regularly exposed to other languages than Dutch? Yes No

Please fill in which languages your child is exposed to and the (estimated) percentage of the exposure to these languages. If you fill in these percentages (you don't have to), they must add up to 100

Taal 1 + voeg taal toe

Data processing

Yes, I agree to my data being processed as described above.