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Workshops to Support Families of Children with Autism
1.
County where you live:
Your Voice Matters-Help Us Design the Best Workshop Series for You! Open to families of children diagnosed or suspected of Autism Spectrum Disorder.
2.
Please choose the days and times best for you. Select all that apply.
Morning (9 am to 12 pm)
Afternoon (12 pm - 4 pm)
Evening (5 pm - 8 pm)
Monday
Morning (9 am to 12 pm)
Afternoon (12 pm - 4 pm)
Evening (5 pm - 8 pm)
Tuesday
Morning (9 am to 12 pm)
Afternoon (12 pm - 4 pm)
Evening (5 pm - 8 pm)
Wednesday
Morning (9 am to 12 pm)
Afternoon (12 pm - 4 pm)
Evening (5 pm - 8 pm)
Thursday
Morning (9 am to 12 pm)
Afternoon (12 pm - 4 pm)
Evening (5 pm - 8 pm)
Friday
Morning (9 am to 12 pm)
Afternoon (12 pm - 4 pm)
Evening (5 pm - 8 pm)
Saturday
Morning (9 am to 12 pm)
Afternoon (12 pm - 4 pm)
Evening (5 pm - 8 pm)
Sunday
Morning (9 am to 12 pm)
Afternoon (12 pm - 4 pm)
Evening (5 pm - 8 pm)
3.
How long should each workshop session be?
1 hour
1.5 hours
2 hours
4.
How many weeks should the workshop series last?
4 weeks
6 weeks
8 weeks
Other (please specify)
5.
What format would you prefer? Select all that apply.
In-Person Workshops
Virtual (live sessions via Zoom or similar platform)
Book Club discussing "An Early Start to Your Child with Autism"
6.
What would you need to make it easier to attend these workshops? Select all that apply.
Childcare provided during workshops
Transportation assistance
Flexible scheduling options
Recordings available afterward
Other (please specify)
7.
Would you be interested in regularly scheduled parent support group model?
Yes
No
Tell us a little about your family and your needs
8.
What are the ages of your child(ren)?
9.
Indicate the behaviors you notice your child exhibiting or those that are concerning to you. Check all that apply.
minimal eye contact
limited social interactions
irregular responses to emotions
preference to play alone
communication delays
sensitivities to sounds, textures, sights, smells
strong reactions to changes in routine/transitions
challenging behaviors/tantrums
aggressive behaviors
repetitive actions or stimming behaviors
Other (please specify)
10.
What types of topics or discussion points interest you? Check all that apply.
Help navigating education/support available
Getting through the biggest challenges of the day
Managing needs of other children/family members while support a child with ASD
Limiting screen time without meltdowns
Identify teachable moments in my everyday interactions with my child
Promoting and encouraging my child's communication throughout the day
11.
What types of services or supports does your child currently receive?
12.
Do you have any other suggestions or considerations we should keep in mind?