Participate in a Study

If you and your child would like to participate in a study, please complete the information below. Alternatively, feel free to call (650) 725-0441 or email us at learninglab@psych.stanford.edu

We would be happy to answer all of your questions.

If you get our answering machine or are sending an email, please include any of the information below that you feel comfortable sharing with us:

* Required Item
** At least one of the two related fields must be filled in


Child's birth date*


Child's Name

Gender
Male Female
Mother's Name **

Father's Name **

Home Address*

City* State* Zip Code*
Home Phone** Other Phone**

Email address*

Was your child full-term? Yes No
If not, please explain


Has your child had any ear infections? Yes No
If so, please explain how many, date(s), and severity


Birthdates and gender of your child's siblings


Which language(s) is your child exposed to at home?
Please include approximate percentage of time for each language


Most convenient times or days of the week for you


Other questions, comments, concerns, or suggestions


Finally, how did you find out about us? Please check all that apply
Received letter in the mail Received phone call Word of mouth Other


 



Please note that all information is kept strictly confidential.


Thank you for your interest!!



 
 


The Learning Lab
Psychology Department
Stanford University
(650) 725-0441