2015 Member Survey

Thank you for taking the time to participate in the 2015 Down Syndrome Association of Central Ohio Membership Survey. The feedback you provide with help shape DSACO priorities and determine programming for the next two years. This survey is completely anonymous and should take no more than 20 minutes to complete. Thank you again for your participation!

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* 1. I am a: (Check all that apply)

Parent

Grandparent

Relative

Self Advocate

Professional

Other (Please specify)

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* 2. My county of residence is:

Athens

Coshocton

Delaware

Fairfield

Fayette

Franklin

Gallia

Hocking

Jackson

Knox

Lawrence

Licking

Madison

Marion

Meigs

Morgan

Morrow

Muskingum

Perry

Pickaway

Ross

Union

Vinton

Other

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* 3. My ethnicity is:

White/Non-Hispanic

Hispanic

Black or African American/Non-Hispanic

Asian/Pacific Islander

Native American

Other (please specify)

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* 4. How many people live in your household?

1-2

3-4

5-6

7-8

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* 5. Please identify the age of your family member(s) with Down syndrome. If you are a Professional, please identify the age groups you work with most frequently.

Ages 0-2

Ages 3-5

Ages 6-12

Ages 13-19

Ages 20-26

Ages 27 & older

I do not have a family member with Down syndrome.

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* 6. DSACO FAMILIES ONLY - For statistical and grant writing purposes ONLY, please indicate your annual household income.

$0-$24,999

$25,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000-$124,999

$125,000+

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* 7. Please rank your preference of the methods DSACO uses to provide information with 1 being least preferred and 5 being most preferred.

	1	2	3	4	5
Direct mailings	Direct mailings 1	Direct mailings 2	Direct mailings 3	Direct mailings 4	Direct mailings 5
Eblasts	Eblasts 1	Eblasts 2	Eblasts 3	Eblasts 4	Eblasts 5
Newsletter	Newsletter 1	Newsletter 2	Newsletter 3	Newsletter 4	Newsletter 5
Social Media (Facebook/Twitter)	Social Media (Facebook/Twitter) 1	Social Media (Facebook/Twitter) 2	Social Media (Facebook/Twitter) 3	Social Media (Facebook/Twitter) 4	Social Media (Facebook/Twitter) 5
Website	Website 1	Website 2	Website 3	Website 4	Website 5

Additional Comments

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* 8. How many DSACO activities do you, your family members or your family member w/Ds attend annually?

0-1

2-3

4-5

6-7

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* 9. DSACO hosts many social events throughout the year, including a Summer Picnic, Holiday Party, Crew Game and Columbus Blue Jackets Game. Do you feel the number of social events offered are:


Just right	Just right
Not enough	Not enough
Too many	Too many

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* 10. Please rank your interest in the current DSACO recreational/fitness and performing arts scholarships, programs and services with 1 being least interest and 7 being most interest.

	1	2	3	4	5	6	7
Recreation Scholarships	Recreation Scholarships 1	Recreation Scholarships 2	Recreation Scholarships 3	Recreation Scholarships 4	Recreation Scholarships 5	Recreation Scholarships 6	Recreation Scholarships 7
iCan Bike Camp	iCan Bike Camp 1	iCan Bike Camp 2	iCan Bike Camp 3	iCan Bike Camp 4	iCan Bike Camp 5	iCan Bike Camp 6	iCan Bike Camp 7
Stamping Club	Stamping Club 1	Stamping Club 2	Stamping Club 3	Stamping Club 4	Stamping Club 5	Stamping Club 6	Stamping Club 7
Walking Club	Walking Club 1	Walking Club 2	Walking Club 3	Walking Club 4	Walking Club 5	Walking Club 6	Walking Club 7
Ann Barbour Memorial (Performing Arts) Scholarship	Ann Barbour Memorial (Performing Arts) Scholarship 1	Ann Barbour Memorial (Performing Arts) Scholarship 2	Ann Barbour Memorial (Performing Arts) Scholarship 3	Ann Barbour Memorial (Performing Arts) Scholarship 4	Ann Barbour Memorial (Performing Arts) Scholarship 5	Ann Barbour Memorial (Performing Arts) Scholarship 6	Ann Barbour Memorial (Performing Arts) Scholarship 7
Golf Academy	Golf Academy 1	Golf Academy 2	Golf Academy 3	Golf Academy 4	Golf Academy 5	Golf Academy 6	Golf Academy 7
Soccer Clinic	Soccer Clinic 1	Soccer Clinic 2	Soccer Clinic 3	Soccer Clinic 4	Soccer Clinic 5	Soccer Clinic 6	Soccer Clinic 7

List additional programs/services you believe DSACO should offer.

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* 11. Please rank the importance of advocacy or awareness events, programs and services that DSACO provides with 1 being least important and 5 being most important.

	1	2	3	4	5
Advocacy Training	Advocacy Training 1	Advocacy Training 2	Advocacy Training 3	Advocacy Training 4	Advocacy Training 5
Down Syndrome Awareness Month Activities	Down Syndrome Awareness Month Activities 1	Down Syndrome Awareness Month Activities 2	Down Syndrome Awareness Month Activities 3	Down Syndrome Awareness Month Activities 4	Down Syndrome Awareness Month Activities 5
World Down Syndrome Day Events	World Down Syndrome Day Events 1	World Down Syndrome Day Events 2	World Down Syndrome Day Events 3	World Down Syndrome Day Events 4	World Down Syndrome Day Events 5
Advocacy Efforts, through Petitions, Letters & Testifying	Advocacy Efforts, through Petitions, Letters & Testifying 1	Advocacy Efforts, through Petitions, Letters & Testifying 2	Advocacy Efforts, through Petitions, Letters & Testifying 3	Advocacy Efforts, through Petitions, Letters & Testifying 4	Advocacy Efforts, through Petitions, Letters & Testifying 5
Expertise on Disability Legislation	Expertise on Disability Legislation 1	Expertise on Disability Legislation 2	Expertise on Disability Legislation 3	Expertise on Disability Legislation 4	Expertise on Disability Legislation 5

Additional Comments

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* 12. Please rank the importance of current DSACO education programs and services with 1 being least important and 7 being most important.

	1	2	3	4	5	6	7
P.A.L.S.: Support Group for Teens with Down syndrome	P.A.L.S.: Support Group for Teens with Down syndrome 1	P.A.L.S.: Support Group for Teens with Down syndrome 2	P.A.L.S.: Support Group for Teens with Down syndrome 3	P.A.L.S.: Support Group for Teens with Down syndrome 4	P.A.L.S.: Support Group for Teens with Down syndrome 5	P.A.L.S.: Support Group for Teens with Down syndrome 6	P.A.L.S.: Support Group for Teens with Down syndrome 7
Adult Conference	Adult Conference 1	Adult Conference 2	Adult Conference 3	Adult Conference 4	Adult Conference 5	Adult Conference 6	Adult Conference 7
First Connect: Parent Mentoring Program	First Connect: Parent Mentoring Program 1	First Connect: Parent Mentoring Program 2	First Connect: Parent Mentoring Program 3	First Connect: Parent Mentoring Program 4	First Connect: Parent Mentoring Program 5	First Connect: Parent Mentoring Program 6	First Connect: Parent Mentoring Program 7
Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 1	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 2	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 3	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 4	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 5	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 6	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 7
Workshops & Programs on Topics of Interest	Workshops & Programs on Topics of Interest 1	Workshops & Programs on Topics of Interest 2	Workshops & Programs on Topics of Interest 3	Workshops & Programs on Topics of Interest 4	Workshops & Programs on Topics of Interest 5	Workshops & Programs on Topics of Interest 6	Workshops & Programs on Topics of Interest 7
Conference Scholarships	Conference Scholarships 1	Conference Scholarships 2	Conference Scholarships 3	Conference Scholarships 4	Conference Scholarships 5	Conference Scholarships 6	Conference Scholarships 7
Summer Learning Academy	Summer Learning Academy 1	Summer Learning Academy 2	Summer Learning Academy 3	Summer Learning Academy 4	Summer Learning Academy 5	Summer Learning Academy 6	Summer Learning Academy 7

Additional Comments

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* 13. If you have PARTICIPATED in support activities in the past year, please rate your experiences with 1 being poor and 5 being excellent.

	1	2	3	4	5	N/A
First Connect Parent Mentoring	First Connect Parent Mentoring 1	First Connect Parent Mentoring 2	First Connect Parent Mentoring 3	First Connect Parent Mentoring 4	First Connect Parent Mentoring 5	First Connect Parent Mentoring N/A
Ds Medical Edge	Ds Medical Edge 1	Ds Medical Edge 2	Ds Medical Edge 3	Ds Medical Edge 4	Ds Medical Edge 5	Ds Medical Edge N/A
Other	Other 1	Other 2	Other 3	Other 4	Other 5	Other N/A
Resource & Play Groups	Resource & Play Groups 1	Resource & Play Groups 2	Resource & Play Groups 3	Resource & Play Groups 4	Resource & Play Groups 5	Resource & Play Groups N/A

If other, please indicate.

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* 14. If you have PARTICIPATED in any DSACO fundraisers in the past two years, please rate your experiences with 1 being poor and 5 being excellent.

	1	2	3	4	5	N/A
Dancing with our Stars Gala	Dancing with our Stars Gala 1	Dancing with our Stars Gala 2	Dancing with our Stars Gala 3	Dancing with our Stars Gala 4	Dancing with our Stars Gala 5	Dancing with our Stars Gala N/A
DSACO Golf Classic	DSACO Golf Classic 1	DSACO Golf Classic 2	DSACO Golf Classic 3	DSACO Golf Classic 4	DSACO Golf Classic 5	DSACO Golf Classic N/A
Run For Down syndrome 5K	Run For Down syndrome 5K 1	Run For Down syndrome 5K 2	Run For Down syndrome 5K 3	Run For Down syndrome 5K 4	Run For Down syndrome 5K 5	Run For Down syndrome 5K N/A
Columbus Buddy Walk	Columbus Buddy Walk 1	Columbus Buddy Walk 2	Columbus Buddy Walk 3	Columbus Buddy Walk 4	Columbus Buddy Walk 5	Columbus Buddy Walk N/A

Additional Comments

Question Title

* 15. If you have PARTICIPATED in any of our recreational/fitness programs in the past two years, please rate your experiences with 1 being poor and 5 being excellent.

	1	2	3	4	5	N/A
iCan Bike Camp	iCan Bike Camp 1	iCan Bike Camp 2	iCan Bike Camp 3	iCan Bike Camp 4	iCan Bike Camp 5	iCan Bike Camp N/A
Ann Barbour Memorial (Performing Arts) Scholarship	Ann Barbour Memorial (Performing Arts) Scholarship 1	Ann Barbour Memorial (Performing Arts) Scholarship 2	Ann Barbour Memorial (Performing Arts) Scholarship 3	Ann Barbour Memorial (Performing Arts) Scholarship 4	Ann Barbour Memorial (Performing Arts) Scholarship 5	Ann Barbour Memorial (Performing Arts) Scholarship N/A
Stamping Club	Stamping Club 1	Stamping Club 2	Stamping Club 3	Stamping Club 4	Stamping Club 5	Stamping Club N/A
Walking Club	Walking Club 1	Walking Club 2	Walking Club 3	Walking Club 4	Walking Club 5	Walking Club N/A
Soccer Clinic	Soccer Clinic 1	Soccer Clinic 2	Soccer Clinic 3	Soccer Clinic 4	Soccer Clinic 5	Soccer Clinic N/A
Recreation Scholarships	Recreation Scholarships 1	Recreation Scholarships 2	Recreation Scholarships 3	Recreation Scholarships 4	Recreation Scholarships 5	Recreation Scholarships N/A
Golf Academy	Golf Academy 1	Golf Academy 2	Golf Academy 3	Golf Academy 4	Golf Academy 5	Golf Academy N/A

Additional Comments

Question Title

* 16. If you have PARTICIPATED in any of our advocacy or awareness programs or events in the past two years, please rate your experiences with 1 being poor and 5 being excellent.

	1	2	3	4	5	N/A
World Down Syndrome Day Events	World Down Syndrome Day Events 1	World Down Syndrome Day Events 2	World Down Syndrome Day Events 3	World Down Syndrome Day Events 4	World Down Syndrome Day Events 5	World Down Syndrome Day Events N/A
Advocacy Efforts, through Petitions, Letters & Testifying	Advocacy Efforts, through Petitions, Letters & Testifying 1	Advocacy Efforts, through Petitions, Letters & Testifying 2	Advocacy Efforts, through Petitions, Letters & Testifying 3	Advocacy Efforts, through Petitions, Letters & Testifying 4	Advocacy Efforts, through Petitions, Letters & Testifying 5	Advocacy Efforts, through Petitions, Letters & Testifying N/A
Expertise on Disability Legislation	Expertise on Disability Legislation 1	Expertise on Disability Legislation 2	Expertise on Disability Legislation 3	Expertise on Disability Legislation 4	Expertise on Disability Legislation 5	Expertise on Disability Legislation N/A
Other	Other 1	Other 2	Other 3	Other 4	Other 5	Other N/A
Down Syndrome Awareness Month Activities	Down Syndrome Awareness Month Activities 1	Down Syndrome Awareness Month Activities 2	Down Syndrome Awareness Month Activities 3	Down Syndrome Awareness Month Activities 4	Down Syndrome Awareness Month Activities 5	Down Syndrome Awareness Month Activities N/A
Advocacy Training	Advocacy Training 1	Advocacy Training 2	Advocacy Training 3	Advocacy Training 4	Advocacy Training 5	Advocacy Training N/A
The Columbus Buddy Walk	The Columbus Buddy Walk 1	The Columbus Buddy Walk 2	The Columbus Buddy Walk 3	The Columbus Buddy Walk 4	The Columbus Buddy Walk 5	The Columbus Buddy Walk N/A

If Other, please indicate.

Question Title

* 17. If you have PARTICIPATED in any of our education programs and activities in the past two years, please rate your experiences with 1 being poor and 5 being excellent.

	1	2	3	4	5	N/A
P.A.L.S.: Supporting group for teens with Down syndrome	P.A.L.S.: Supporting group for teens with Down syndrome 1	P.A.L.S.: Supporting group for teens with Down syndrome 2	P.A.L.S.: Supporting group for teens with Down syndrome 3	P.A.L.S.: Supporting group for teens with Down syndrome 4	P.A.L.S.: Supporting group for teens with Down syndrome 5	P.A.L.S.: Supporting group for teens with Down syndrome N/A
Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 1	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 2	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 3	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 4	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs 5	Ds Medical Edge: Programs for medical community on diagnosis delivery & support programs N/A
Workshops & Programs on Topics of Interest (See below)	Workshops & Programs on Topics of Interest (See below) 1	Workshops & Programs on Topics of Interest (See below) 2	Workshops & Programs on Topics of Interest (See below) 3	Workshops & Programs on Topics of Interest (See below) 4	Workshops & Programs on Topics of Interest (See below) 5	Workshops & Programs on Topics of Interest (See below) N/A
First Connect: New Parent Mentoring Program	First Connect: New Parent Mentoring Program 1	First Connect: New Parent Mentoring Program 2	First Connect: New Parent Mentoring Program 3	First Connect: New Parent Mentoring Program 4	First Connect: New Parent Mentoring Program 5	First Connect: New Parent Mentoring Program N/A
Adult Conference	Adult Conference 1	Adult Conference 2	Adult Conference 3	Adult Conference 4	Adult Conference 5	Adult Conference N/A
Summer Learning Academy	Summer Learning Academy 1	Summer Learning Academy 2	Summer Learning Academy 3	Summer Learning Academy 4	Summer Learning Academy 5	Summer Learning Academy N/A
Conference Scholarships	Conference Scholarships 1	Conference Scholarships 2	Conference Scholarships 3	Conference Scholarships 4	Conference Scholarships 5	Conference Scholarships N/A

Please specify which Workshop & program on Topic of Interest you participated in.

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* 18. Have you been interested in participating in a program/activity but were unable? Please indicate the program/activity and the barrier to your participation.

	Transportation	Child Care for Siblings	Cost	Location	Other
Play Group	Play Group Transportation	Play Group Child Care for Siblings	Play Group Cost	Play Group Location	Play Group Other
Estate Planning & Guardianship	Estate Planning & Guardianship Transportation	Estate Planning & Guardianship Child Care for Siblings	Estate Planning & Guardianship Cost	Estate Planning & Guardianship Location	Estate Planning & Guardianship Other
Golf Academy	Golf Academy Transportation	Golf Academy Child Care for Siblings	Golf Academy Cost	Golf Academy Location	Golf Academy Other
Routines & Grooves	Routines & Grooves Transportation	Routines & Grooves Child Care for Siblings	Routines & Grooves Cost	Routines & Grooves Location	Routines & Grooves Other
Summer Learning Academy	Summer Learning Academy Transportation	Summer Learning Academy Child Care for Siblings	Summer Learning Academy Cost	Summer Learning Academy Location	Summer Learning Academy Other
Paula Kluth Inclusion Conference	Paula Kluth Inclusion Conference Transportation	Paula Kluth Inclusion Conference Child Care for Siblings	Paula Kluth Inclusion Conference Cost	Paula Kluth Inclusion Conference Location	Paula Kluth Inclusion Conference Other
Resource/Support Group	Resource/Support Group Transportation	Resource/Support Group Child Care for Siblings	Resource/Support Group Cost	Resource/Support Group Location	Resource/Support Group Other

If Other, please specify

Question Title

* 19. Please provide insight to assist DSACO on future areas of programming. Please review all of the options first, then choose 5 topics and rank them with 1 being least important and 5 being most important to you and your family.

	1	2	3	4	5
Behavior/Social Appropriateness	Behavior/Social Appropriateness 1	Behavior/Social Appropriateness 2	Behavior/Social Appropriateness 3	Behavior/Social Appropriateness 4	Behavior/Social Appropriateness 5
Employment Skills	Employment Skills 1	Employment Skills 2	Employment Skills 3	Employment Skills 4	Employment Skills 5
Health & Fitness Programs	Health & Fitness Programs 1	Health & Fitness Programs 2	Health & Fitness Programs 3	Health & Fitness Programs 4	Health & Fitness Programs 5
Self Defense	Self Defense 1	Self Defense 2	Self Defense 3	Self Defense 4	Self Defense 5
Bullying Prevention	Bullying Prevention 1	Bullying Prevention 2	Bullying Prevention 3	Bullying Prevention 4	Bullying Prevention 5
Fire Safety	Fire Safety 1	Fire Safety 2	Fire Safety 3	Fire Safety 4	Fire Safety 5
Performing Arts Programs	Performing Arts Programs 1	Performing Arts Programs 2	Performing Arts Programs 3	Performing Arts Programs 4	Performing Arts Programs 5
Puberty/Sexuality	Puberty/Sexuality 1	Puberty/Sexuality 2	Puberty/Sexuality 3	Puberty/Sexuality 4	Puberty/Sexuality 5

Additional Comments

Question Title

* 20. Please provide insight to assist DSACO on future areas of programming for families and community professionals. Please review all of the options first, then choose 5 topics and rank them with 1 being least important and 5 being most important.

	1	2	3	4	5
Transition Planning	Transition Planning 1	Transition Planning 2	Transition Planning 3	Transition Planning 4	Transition Planning 5
Educational Resources	Educational Resources 1	Educational Resources 2	Educational Resources 3	Educational Resources 4	Educational Resources 5
Estate Planning	Estate Planning 1	Estate Planning 2	Estate Planning 3	Estate Planning 4	Estate Planning 5
Sibling & Extended Family guidance	Sibling & Extended Family guidance 1	Sibling & Extended Family guidance 2	Sibling & Extended Family guidance 3	Sibling & Extended Family guidance 4	Sibling & Extended Family guidance 5
Individualized Education Plans	Individualized Education Plans 1	Individualized Education Plans 2	Individualized Education Plans 3	Individualized Education Plans 4	Individualized Education Plans 5
Behavior/Inclusion	Behavior/Inclusion 1	Behavior/Inclusion 2	Behavior/Inclusion 3	Behavior/Inclusion 4	Behavior/Inclusion 5
Medical Community Resources	Medical Community Resources 1	Medical Community Resources 2	Medical Community Resources 3	Medical Community Resources 4	Medical Community Resources 5

Additional Comments

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* 21. DSACO continues to investigate alternative methods of reaching our communities. In what manner would you prefer to participate in training or program sessions?

		N/A
Webinar	Webinar	Webinar N/A
In person	In person	In person N/A
Interactive On-line	Interactive On-line	Interactive On-line N/A

Additional Comments

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* 22. Is there anything else you would like to share with us?

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* 23. Thank you for completing the 2015 DSACO Membership Survey! If you are interested in being entered in the drawing for a $100 VISA Gift Card, please provide your name, address, email and phone number.

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* 24. In an effort to better serve our membership, could we contact you for clarification of any answers you provided?

	Yes	No
By phone	By phone Yes	By phone No
By email	By email Yes	By email No