Parent Connection Survey
1
. What are some topics you would like to see presented at a Parent Connection?
What are some topics you would like to see presented at a Parent Connection?
Puberty/Sexuality Issues
Transition Needs
Skin Care Issues
Nonverbal Learning Issues
Behavior Management
Urological/Continence Issues
How to Promote Independence
IEP Issues
Encouraging Friendships
Open Discussions
Other (please specify)
2
. Would you be willing to stay for a Parent Connection AFTER clinic is over? (From 1:00-2:00 p.m.)
Would you be willing to stay for a Parent Connection AFTER clinic is over? (From 1:00-2:00 p.m.)
YES
NO
3
. What days would you be interested in attending a Parent Connection?
Mornings
Afternoons
Evenings
Monday
*
What days would you be interested in attending a Parent Connection? Monday Mornings
Monday Afternoons
Monday Evenings
Tuesday
Tuesday Mornings
Tuesday Afternoons
Tuesday Evenings
Wednesday
Wednesday Mornings
Wednesday Afternoons
Wednesday Evenings
Thursday
Thursday Mornings
Thursday Afternoons
Thursday Evenings
Friday
Friday Mornings
Friday Afternoons
Friday Evenings
Saturday
Saturday Mornings
Saturday Afternoons
Saturday Evenings
Sunday
Sunday Mornings
Sunday Afternoons
Sunday Evenings
4
. Have you attended a Parent Connection in the Past?
Have you attended a Parent Connection in the Past?
YES
NO
5
. If you have NOT attended a Parent Connection in the past, what was your reason for NOT attending?
If you have NOT attended a Parent Connection in the past, what was your reason for NOT attending?
Did Not Know About Them
Not Interested in Attending
Too Far Too Travel
Child Care Issues
Topics Not of Interest
Other (please specify)
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