Family Situation of families with children/individuals with Autism Spectrum Disorder (ASD)
General Questions
This page refers to general information regarding the person filling in the survey
1.
Age of the family member with ASD
0-2
3-5
6-8
9-11
12-14
15-17
18+
2.
Age of the person filling in the survey
Under 18
18-24
25-34
35-44
45-54
55-64
65+
3.
Gender of the person filling in the survey
Male
Female
Other
4.
Marital Status of the person filling in the survey
Single
Domestic Partner
Married
Divorced
Widowed
5.
District
Noord
Oranjestad
Paradera
San Nicolaas
Santa Cruz
Savaneta
6.
Working Field of the person filling in the survey
Government
Semi-government
NGO
HORECA
Private Sector
Unemployed
7.
Relation to individual with ASD
Parent
Sibling
Aunt/ Uncle
Cousin
Grandparent
Other (family member)
Legal Guardian
8.
Amount of interaction with family member with ASD
Everyday
1-2 times per week
3-5 times per week
1-2 a month
Other (please specify)
