Family and Support System Survey

Please take this survey to see how well you are preparing your youth for health care transition

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* 1. Do you understand your youth’s medical condition?

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* 2. Can your youth describe their medical condition?

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* 5. Is your youth able to care for self?

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* 6. If your youth is unable to care for self, are you preparing for shared decision making or Guardianship?

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* 7. Do you encourage alone time between your youth and his/her doctor?

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* 8. Do you encourage your youth to ask questions?

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* 9. Does your youth know about the change in privacy at age 18?

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* 10. Do you know how your youth’s medical needs will be paid when they reach adulthood?

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