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

Question Title

* 1. Age of the family member with ASD

0-2

3-5

6-8

9-11

12-14

15-17

18+

Question Title

* 2. Age of the person filling in the survey

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 3. Gender of the person filling in the survey

Male

Female

Other

Question Title

* 4. Marital Status of the person filling in the survey

Single

Domestic Partner

Married

Divorced

Widowed

Question Title

* 5. District

Noord

Oranjestad

Paradera

San Nicolaas

Santa Cruz

Savaneta

Question Title

* 6. Working Field of the person filling in the survey

Government

Semi-government

NGO

HORECA

Private Sector

Unemployed

Question Title

* 7. Relation to individual with ASD

Parent

Sibling

Aunt/ Uncle

Cousin

Grandparent

Other (family member)

Legal Guardian

Question Title

* 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)