X and Y Screening Questionnaire (XYSQ)

If you have answered YES to three or more questions, please consider speaking to your primary care provider about having a chromosomal analysis to determine if your child has an X or Y Chromosomal Variation.
focus-foundation-questionnaire

1. My baby was quiet and demanded little attention

2. By 9 months, my baby was not saying “ma-ma”, “da-da” or “ba-ba” in a turn taking game with me

3. My child was on the late side for walking (after 16 months)

4. My child struggled with “latching on” to the breast

5. My child cried for several weeks when beginning Day Care, Preschool or Kindergarten

6. My child is shy with other children but talks very well with me and familiar adults

7. My child seems clumsy in comparison to his age group

8. My child has flat feet

9. My child has a shortened attention span for his/her age

10. My child “worries” about events, people or what might happen

11. My child seems very good at puzzles or computers

12. My child has angry outbursts over minor events

13. My child seems “a step behind” when compared to his peers in speech and language skills

14. My child struggles with reading

15. My child shows fear or increased discomfort with loud noises, vacuum cleaners or in crowded places

16. My child seems to have soft muscles sometimes called low muscle tonus

17. My child is taller than his/her peers

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    What You Can Do Now

    If you have had a prenatal diagnosis or feel you may have a child with developmental delays or developmental dysfunction the following options are designed to help you towards the next step in treatment or early diagnosis.

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