Meetings Survey

1. Which county in the Upper Canada Chapter region do you live in?

Which county in the Upper Canada Chapter region do you live in? Stormont

Glengarry

Dundas

Leeds

Grenville

2. Check all that apply. Would you, as a family member, be interested in attending support meetings for:

Check all that apply. Would you, as a family member, be interested in attending support meetings for: Young children

Children/youth

Teens/young adults

Adults

No thanks - not interested in family support meetings

3. Check all that apply. Would you, as a family member, attend support meetings dealing with:

Check all that apply. Would you, as a family member, attend support meetings dealing with: Newly diagnosed child

Mild/Moderate Autism

Severe Autism

Aspergers

Doesn't matter

4. When would you be able to attend family support meetings?

	Mon	Tues	Wed	Thurs	Fri	Sat	Sun
Between 10am and noon	*When would you be able to attend family support meetings? Between 10am and noon Mon	Between 10am and noon Tues	Between 10am and noon Wed	Between 10am and noon Thurs	Between 10am and noon Fri	Between 10am and noon Sat	Between 10am and noon Sun
Between 1pm and 3pm	Between 1pm and 3pm Mon	Between 1pm and 3pm Tues	Between 1pm and 3pm Wed	Between 1pm and 3pm Thurs	Between 1pm and 3pm Fri	Between 1pm and 3pm Sat	Between 1pm and 3pm Sun
Between 3pm and 5pm	Between 3pm and 5pm Mon	Between 3pm and 5pm Tues	Between 3pm and 5pm Wed	Between 3pm and 5pm Thurs	Between 3pm and 5pm Fri	Between 3pm and 5pm Sat	Between 3pm and 5pm Sun
Between 7pm and 9pm	Between 7pm and 9pm Mon	Between 7pm and 9pm Tues	Between 7pm and 9pm Wed	Between 7pm and 9pm Thurs	Between 7pm and 9pm Fri	Between 7pm and 9pm Sat	Between 7pm and 9pm Sun
Doesn't matter	Doesn't matter Mon	Doesn't matter Tues	Doesn't matter Wed	Doesn't matter Thurs	Doesn't matter Fri	Doesn't matter Sat	Doesn't matter Sun

5. How often would you like to attend family support meetings?

How often would you like to attend family support meetings? Weekly

Bi-weekly

Monthly

Bi-monthly

Doesn't matter

6. What would prevent you from attending support meetings?

What would prevent you from attending support meetings?

7. How could the Upper Canada Chapter support you to attend support meetings?

How could the Upper Canada Chapter support you to attend support meetings?

8. Do you require on-site child care during the support meetings?

	Yes	No	Doesn't matter
3-7 yrs	*Do you require on-site child care during the support meetings? 3-7 yrs Yes	3-7 yrs No	3-7 yrs Doesn't matter
8-12 yrs	8-12 yrs Yes	8-12 yrs No	8-12 yrs Doesn't matter
12-17 yrs	12-17 yrs Yes	12-17 yrs No	12-17 yrs Doesn't matter

9. Please include your name, email and telephone info so that we can contact if we are able to plan meetings that meet your needs.

Please include your name, email and telephone info so that we can contact if we are able to plan meetings that meet your needs.

10. Would you be interested in organizing or facilitating support meetings?

Would you be interested in organizing or facilitating support meetings? Yes

Maybe

Meetings
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1. Default Section

1. Which county in the Upper Canada Chapter region do you live in?

2. Check all that apply. Would you, as a family member, be interested in attending support meetings for:

3. Check all that apply. Would you, as a family member, attend support meetings dealing with:

4. When would you be able to attend family support meetings?

5. How often would you like to attend family support meetings?

6. What would prevent you from attending support meetings?

7. How could the Upper Canada Chapter support you to attend support meetings?

8. Do you require on-site child care during the support meetings?

9. Please include your name, email and telephone info so that we can contact if we are able to plan meetings that meet your needs.

10. Would you be interested in organizing or facilitating support meetings?

MeetingsExit this survey

1. Default Section

1. Which county in the Upper Canada Chapter region do you live in?

2. Check all that apply. Would you, as a family member, be interested in attending support meetings for:

3. Check all that apply. Would you, as a family member, attend support meetings dealing with:

4. When would you be able to attend family support meetings?

5. How often would you like to attend family support meetings?

6. What would prevent you from attending support meetings?

7. How could the Upper Canada Chapter support you to attend support meetings?

8. Do you require on-site child care during the support meetings?

9. Please include your name, email and telephone info so that we can contact if we are able to plan meetings that meet your needs.

10. Would you be interested in organizing or facilitating support meetings?

Meetings
Exit this survey