FASD Awareness Survey
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1. Welcome to the FASD Awareness Survey

Please answer each question by choosing the answer that best fits. If you are not sure how to answer, choose the one that is closest to the truth.

How would you best describe yourself? I have been affected by prenatal exposure to alcohol.

I am a parent/guardian or relative of someone who has a Fetal Alcohol Spectrum Disorder.

I have a friend who has or might have an FASD.

I work in a profession that serves individuals with FASDs.

I don't know anyone who has an FASD.

What do you think is the worst thing about FASD? Getting into trouble because of impulsivity and poor judgment.

Nobody understands the nature of FASD.

Burnout because of lack of services.

Do you or the person you know who has FASD have a special gift or talent? Talented in drawing or painting.

Talented in singing or playing an instrument.

Good at working with hands, like mechanics or technology.

Gifted with animals.

Likes to garden, landscape, work outdoors.

No talent whatsoever.

How many of the following web sites have you visited? FAS Community Resource Center www.come-over.to/FASCRC

FASD Awareness Day www.fasday.com

Fasstar Enterprises www.fasstar.com

TriLevel Man on YouTube www.youtube.com/trilevelman

Baby Born Free www.babybornfree.com

I have visited several of these sites many times.

I have not visited any of these sites.

How have you educated yourself about FASD? I have attended an FASD conference or training.

I have read the book "Damaged Angels" by Bonnie Buxton.

I have read lots of articles on Teresa's web site.

All of the above.

None of the above.

In what way do you raise awareness about FASD? I talk about FASD only to a close friend or family member.

I discuss FASD with doctors or teachers or counselors.

I talk to everyone I know about it.

I never talk about it.

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