Children with autism cannot wait Question Title * 1. Gender of child male female OK Question Title * 2. Age of child at present 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 OK Question Title * 3. What age was your child when concerns were first raised with a health care professional? under 12 months between 12-18 months between 18-24 months between 2-3 years between 3-4 years bettween 4-6 years over 6 years OK Question Title * 4. Did you receive a diagnosis for your child through the public health care system such as the assessment of need process? Yes No OK Question Title * 5. If so, how long was your wait for diagnosis? less than 3 months 3-6 months 6-9 months 9-12 months 12-18 months 18-24 months over 24 months OK Question Title * 6. What county are you living in? Antrim Armagh Carlow Cavan Clare Cork Derry Donegal Down Dublin Fermanagh Galway Kerry Kildare Kilkenny Laois Leitrim Limerick Longford Louth Mayo Meath Monaghan Offaly Roscommon Sligo Tipperary Tyrone Waterford Westmeath Wexford Wicklow OK Question Title * 7. Did you receive a diagnosis for your child privately? Yes No OK Question Title * 8. If so, how long was your wait for diagnosis? Less than 3 months 3-6 months 6-9 months 9-12 months 12-18 months 18-24 months over 24 months OK Question Title * 9. What services does your child require at present? speech therapy occupational therapy psychology services ABA( Applied Behavioural Annalysis) Respite Care Other (please specify) OK Question Title * 10. How many sessions of the following services does your child receive through the PUBLIC service per year? Speech therapy Occupational therapy Psychology services ABA therapy Respite care Other services OK Question Title * 11. Do you supplement these services required privately? Yes No OK Question Title * 12. If yes, how many sessions per year do you supplement privately? Speech therapy Occupational therapy Psychology services ABA therapy Respite care other services OK Question Title * 13. Which of the following would best describe your child? high functioning ASD/ Aspergers mild ASD moderate ASD severe ASD OK Question Title * 14. How long was your child waiting for an appropriate school placement? No wait 0-6 months 6-12 months 12-18 months 18-24 months over 24 months OK Question Title * 15. Which of the following educational settings does your child attend? None mainstream school mainstream with the help of SNA ASD unit in mainstream school special school OK Question Title * 16. How would you rate your level of satisfaction with the public services provided ? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 17. How would you rate the impact of having a child with ASD within your family has on family life and everyday living? no impact mild impact moderate impact severe impact OK Question Title * 18. Has either parent given up working outside the home as a result of their child's diagnosis? Yes No OK Question Title * 19. Has either parent reduced their working hours outside the home as a result of their child's diagnosis Yes No OK Question Title * 20. Does your child have interrupted sleep? Never Once a month Once a week Twice a week More than twice a week OK Question Title * 21. When your child's sleep is interrupted is your sleep also interrupted? Always Usually Sometimes Rarely Never OK Question Title * 22. Does having an autistic brother or sister impact negatively on siblings? no impact mild impact moderate impact severe impact OK Question Title * 23. As a parent of a child with autism ,do you: sometimes feel embarrassed by your child's behaviour in public ? feel socially isolated? feel frustrated by your parenting reality compared to what you might have expected ? feel guilt? feel despair ? sometimes feel resentment of your child ? feel anger at yourself ? feel anger at your spouse ? feel anger at medical professionals ? feel overwhelmed ? feel it has an impact on your physical health ? feel it has an impact on your mental health ? feel it has a significant impact on family finances ? OK Question Title * 24. Is there anything else you would like to add about having a child with autism ? OK DONE