Autism Quiz

Complete this 1-minute Autism Quiz

Find out of your child is a candidate for Autism Treatment with MeRT, Magnetic Resonance Therapy. For additional information about the treatment we offer for Autism, click here.

Autism Quiz

These questions are designed to help determine if your child may benefit from Magnetic Resonance Therapy (MeRT).

What severity of autism does your child have?
- Mild spectrum disorder
- Moderate autism
- Severe autism
At what age was your child diagnosed as having autism?
How old is your child now?
Does your child have any other developmental delays?
- Gross motor
- Fine motor
- Adaptive skills
- Cognitive delays
- Perceptual impairment
- Social delays
- None of these
Check all that apply.
Does your child have behavioral issues?
- Yes, severe
- Yes, moderate
- Yes, mild
- No
Does your child speak?
- My child does not speak
- My child has severe speech delays
- My child has moderate speech delays
- My child has mild speech delays
- My child has no speech delays
Is your child able to follow directions?
- Can follow one step instructions (Get the ball, please)
- Can follow multiple step directions (Go to your room, get your shoes, and bring them here, please)
- Has trouble following any instructions
Does your child respond to their name with eye contact?
- Yes
- No
- Sometimes
Does your child interact with his / her peers?
- Yes
- No
- Sometimes
Can your child do simple daily living skills independently? (eating, dressing, bathing)
- Yes
- No
- My child is not of age yet
How would you like us to respond to you?
Your Name?*
Phone Number*
Email Address*
Best time to reach you
How did you find us?*
- Google Search
- The Doctors tv show
- Dr. Oz
- Facebook
- Radio or TV
- Referral

THE PATH TO A BRIGHTER FUTURE

LET’S GET STARTED

We identify & nurture where the brain has difficulty communicating. Our New Patient Coordinator is happy to talk with you, explain the our treatment protocols and fees and answer any questions you may have.

Contact our New Patient Coordinator for a Consultation

CALL: (619) 255-2101

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Contact Us

New Patients: (619) 789-5613

Address:
Brain Treatment San Diego
2918 Fifth Ave #300
San Diego, CA 92103

Hours of Operation

Monday to Friday
8AM to 4PM

Autism Quiz

How would you like us to respond to you?