Family Survey | Regional Therapy Model

Dear Regional Families

Please help us develop regional therapy models that can help children with autism and their families in regional W.A. We know the challenges you face accessing local therapists in Regional Western Australia, and we want to hear your ideas to help us overcome some of these barriers?

Please take a few minutes to complete this survey to help us plan for more services and supports in regional W.A:

* 1. In which WA region do you live?

* 2. Please enter the town that you live in:

* 3. Are you a parent or guardian of a child with Autism?

Yes

If no, in what capacity do you support a child with Autism?

* 4. How old is your child with Autism?

* 5. Do you have local therapy services that you can access?

Yes

* 6. If yes, please select which therapy services are available in your area (select more that 1 that applies):

Speech Pathology

Occupational Therapy

Psychology

Physiotherapy

* 7. Are you happy with the current therapy supports you receive? Please comment.

* 8. Are there other therapy services that you would like to see available? What would these be?

* 9. If you are not able to access local therapists, which of these services would you be happy to access:

Ongoing consultation with a therapist over phone/web conference/Skype, where the therapist provides strategies for you and the school to carry out?

Intensive blocks of therapy in Perth over school holidays?

Intensive blocks of therapy in your local regional town once a year with ongoing consultation?

* 10. Are there any other types of therapy services you would like to access?

* 11. Do you own a computer or tablet?

Yes

* 12. Do you have access to reliable internet in your local area?

Yes

* 13. How often do your travel to Perth?

Monthly

Every 2 to 3 months

Every 6 months

Every 12 months

Never

Other (please specify)

Thank you for participating in our survey; this information will help develop our regional therapy model. We will keep you updated!