Family History (Aile Öyküsü)
Relation (Akrabalık)
Seçiniz
Mother
Father
Sibling
Grandparent
Cousin
Etc.
No information
Disorder (Bozukluk)
Seçiniz
Autism Spectrum Disorder
Attention Deficit Hyperactivity Disorder
Schizophrenia
Psychotic Disorders
Bipolar Disorder
Depression
Mood Disorder
Learning Disability
Other neurodevelopmental disorders : (boşluk doldurma)
Alzheimer's Disease (Alzheimer Hastalığı)
Parkinson's Disease (Parkinson Hastalığı)
Dementia (Demans)
Huntington's Disease (Huntington Hastalığı)
Multiple Sclerosis
Amyotrophic Lateral Sclerosis
Other neurodegenerative disorders
Other
No information
Other (Diğer)
EEG Data
Yes/Evet
No/Hayır
Sleep EEG Data
Yes/Evet
No/Hayır
Sleep Tracking
Yes/Evet
No/Hayır
Genetic Screening
Yes/Evet
No/Hayır
Blood Sample
Yes/Evet
No/Hayır
Date of Blood Sample:
Time of Blood Sample:
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