Partial Waiver of Signed Consent for Adult Participants Intelligibility of children’s speech "*" indicates required fields 1Waiver of Signed Consent for Adult Participants2Eligibility form Thank you for your interest in our study entitled Intelligibility of children’s speech. For this project, we are recruiting adults from 18 years to 45 years of age who have normal hearing, no known disabilities, and who speak English as their primary language or who is bilingual in English and one or more other languages. The information we gather from you will help us to identify and characterize clinical features related to speech production of children with and without speech disorders. If you are interested in potentially participating in this study, we ask that you provide us with some basic information so that we can determine whether you are eligible for the study and so that we can contact you later on to schedule an appointment. By checking the box below, you are giving us permission to contact you regarding participating in the study if you qualify.* I agree Is English your first and primary language?* Yes No How many languages do you know and use?*Please enter a number from 1 to 10.Please list all the languages you know from most comfortable to use to least comfortable to use (i.e., most dominant to least dominant)most comfortable to use or most dominant* Untitled* Untitled* Untitled* Untitled* Untitled* Untitled* Untitled* Untitled* least comfortable to use or least dominant* Are you between the ages of 18-45?* Yes No Do you have a history of hearing loss?* Yes No Have you ever been hospitalized for a head injury?* Yes No Have you ever had a psychiatric diagnosis such as schizophrenia or bipolar disorder (also includes anxiety disorder)?* Yes No If yes, are you currently on medication for this disorder?* Yes No Have you ever been diagnosed with ADHD, ADD, or OCD?* Yes No If yes, are you currently on medication for this disorder?* Yes No Have you participated in this study in the past?* Yes No If yes, when did you participate?* What is your name?* First Last What is the best number to contact you?*What is your email address?* 13) If you meet all criteria for participation, would you like: $15 Cash Extra Credit Service Hour/Participation Point How did you hear about our study?*